Journal article
Subclavian central venous catheters and ultrasound guidance: policy vs practice
The journal of vascular access, v 14(2)
01 Apr 2013
PMID: 23172174
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose: Policy statements recommend the use of ultrasound guidance (USG) to improve patient safety during placement of central venous catheters (CVCs). Studies have conclusively demonstrated greater success rates and fewer complications with the use of USG in catheter placement using the internal jugular vein approach. Data supporting the use of USG for the subclavian vein (SCV) approach, however, have been less conclusive, and USG for SCV cannulation is rarely used in clinical practice. We compared USG placement versus anatomic placement during subclavian insertion of a CVC.
Methods: A prospective randomized study was performed in March 2010 using a simulation model.
Results: Ultrasound guidance did not provide a statistically significant benefit for successful cannulation of the SCV (93.3% with USG and 100% without; P=0.15 or 2) or for rate of inadvertent arterial puncture (3.3% with USG and 0% without; P=0.31).
Conclusions: The use of USG to access the SCV utilizing a task trainer did not improve time to cannulation or success rates. Further study is required to delineate why USG for SCV cannulation has not been widely adopted in clinical practice.
Metrics
Details
- Title
- Subclavian central venous catheters and ultrasound guidance: policy vs practice
- Creators
- Sharon Griswold-Theodorson - Drexel UniversityEric Farabaugh - Drexel UniversityNeal Handly - Drexel UniversityTodd McGrath - Drexel UniversityDavid Wagner - Drexel University
- Publication Details
- The journal of vascular access, v 14(2)
- Publisher
- WICHTIG EDITORE
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- MD (Doctor of Medicine) Program; Emergency Medicine
- Web of Science ID
- WOS:000323860600002
- Scopus ID
- 2-s2.0-84880068524
- Other Identifier
- 991019167742704721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Peripheral Vascular Disease