Ultrasound-guided Vascular Access in Critical Illness

Overview

Journal Intensive Care Med

Specialty Critical Care

Date 2019 Feb 20

PMID 30778648

Citations 30

Authors

G A Schmidt

M Blaivas

S A Conrad

F Corradi

S Koenig

M Lamperti

B Saugel

W Schummer

M Slama

Affiliations

Soon will be listed here.

Abstract

Over the past two decades, ultrasound (US) has become widely accepted to guide safe and accurate insertion of vascular devices in critically ill patients. We emphasize central venous catheter insertion, given its broad application in critically ill patients, but also review the use of US for accessing peripheral veins, arteries, the medullary canal, and vessels for institution of extracorporeal life support. To ensure procedural safety and high cannulation success rates we recommend using a systematic protocolized approach for US-guided vascular access in elective clinical situations. A standardized approach minimizes variability in clinical practice, provides a framework for education and training, facilitates implementation, and enables quality analysis. This review will address the state of US-guided vascular access, including current practice and future directions.

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