Use of Point-of-Care Ultrasound to Confirm Central Venous Catheter Placement and Evaluate for Postprocedural Complications.

Catheterization, Central Venous / adverse effects Central Venous Catheters / adverse effects Humans Jugular Veins / diagnostic imaging Point-of-Care Systems Radiography, Thoracic Ultrasonography
access bubble study central venous catheter ultrasound

Journal

The Journal of emergency medicine
ISSN: 0736-4679
Titre abrégé: J Emerg Med
Pays: United States
ID NLM: 8412174

Informations de publication

Date de publication:
May 2021
Historique:
received: 28 11 2020
revised: 02 01 2021
accepted: 23 01 2021
pubmed: 1 3 2021
medline: 9 7 2021
entrez: 28 2 2021
Statut: ppublish

Résumé

Central venous catheter (CVC) placement is commonly performed in the emergency department (ED), but traditional confirmation of placement includes chest radiograph. This manuscript details the use of point-of-care ultrasound (POCUS) to confirm placement of a CVC and evaluate for postprocedural complications. CVC access in the ED setting is an important procedure. Traditional confirmation includes chest radiograph. POCUS is a rapid, inexpensive, and accurate modality to confirm CVC placement and evaluate for postprocedural complications. POCUS after CVC can evaluate lung sliding for pneumothorax and the internal jugular vein for misdirected CVC. A bubble study with POCUS visualizing agitated saline microbubbles within the right heart can confirm venous placement. POCUS can rapidly and reliably confirm CVC placement, as well as evaluate for postprocedural complications. Knowledge of this technique can assist emergency clinicians.

Sections du résumé

BACKGROUND BACKGROUND
Central venous catheter (CVC) placement is commonly performed in the emergency department (ED), but traditional confirmation of placement includes chest radiograph.
OBJECTIVE OBJECTIVE
This manuscript details the use of point-of-care ultrasound (POCUS) to confirm placement of a CVC and evaluate for postprocedural complications.
DISCUSSION CONCLUSIONS
CVC access in the ED setting is an important procedure. Traditional confirmation includes chest radiograph. POCUS is a rapid, inexpensive, and accurate modality to confirm CVC placement and evaluate for postprocedural complications. POCUS after CVC can evaluate lung sliding for pneumothorax and the internal jugular vein for misdirected CVC. A bubble study with POCUS visualizing agitated saline microbubbles within the right heart can confirm venous placement.
CONCLUSIONS CONCLUSIONS
POCUS can rapidly and reliably confirm CVC placement, as well as evaluate for postprocedural complications. Knowledge of this technique can assist emergency clinicians.

Identifiants

DOI: 10.1016/j.jemermed.2021.01.032 PMID: 33640215
pubmed: 33640215
pii: S0736-4679(21)00088-3
doi: 10.1016/j.jemermed.2021.01.032
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

637-640

Informations de copyright

Published by Elsevier Inc.

Auteurs

Tim Montrief (T)

Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Jonathan Auerbach (J)

Department of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Miami Miller School of Medicine, Miami, Florida.

Jorge Cabrera (J)

Department of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Miami Miller School of Medicine, Miami, Florida.

Brit Long (B)

San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.

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Classifications MeSH

questionsmedicales.fr › Techniques d'investigation › Cathétérisme › Cathétérisme veineux central › Use of Point-of-Care Ultrasound to Confirm...
questionsmedicales.fr › Équipement et fournitures › Cathéters › Dispositifs d'accès vasculaires › Voies veineuses centrales › Use of Point-of-Care Ultrasound to Confirm...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Use of Point-of-Care Ultrasound to Confirm...
questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Veines › Veines jugulaires › Use of Point-of-Care Ultrasound to Confirm...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Systèmes automatisés lit malade › Use of Point-of-Care Ultrasound to Confirm...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Radiographie › Radiographie thoracique › Use of Point-of-Care Ultrasound to Confirm...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Échographie › Use of Point-of-Care Ultrasound to Confirm...