CHAPTER 98 THE IMPORTANCE OF ULTRASOUND IN CENTRAL VENOUS LINE PLACEMENT

Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation: The Third Sonography outcomes Assessment Program (SOAP-3) Trial

Milling TJ Jr, Rose J, Briggs WM, et al. Crit Care Med. 2005:33(8):1764–1769

BACKGROUND

Central venous line (CVL) placement is a common ED procedure that had traditionally been performed using landmark guidance; however, many patient factors and anatomical variations make this method prone to complications including bleeding, arterial puncture, vessel laceration, and pneumothorax. Despite the fact that both static and dynamic ultrasounds were thought to be beneficial in CVL placement and that the Agency for Healthcare Research and Quality recommended that all CVL placements be done using real-time (dynamic) ultrasound guidance, there was little evidence to support this in the ED.

OBJECTIVES

To compare the efficiency and safety of static ultrasound, dynamic ultrasound, and landmark technique during internal jugular CVL placement.

METHODS

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