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Ultrasound-guided central venous access.

W R Fry1, G C Clagett, P T O'Rourke

  • 1Department of Surgery, Penrose Hospital, Colorado Springs, Colo., USA. williamfry@centura.org

Archives of Surgery (Chicago, Ill. : 1960)
|July 13, 1999
PubMed
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Real-time ultrasound guidance successfully achieved central venous access in all patients, even those with contraindications. This technique is valuable for difficult central venous catheter insertions, reducing complications.

Area of Science:

  • Medical Procedures
  • Ultrasound Technology
  • Vascular Access

Background:

  • Central venous catheter insertion is a common procedure.
  • Patients with contraindications present challenges for central venous access.
  • Ultrasound guidance may improve success rates and reduce complications.

Purpose of the Study:

  • To evaluate the efficacy of real-time ultrasound guidance for central venous access.
  • To determine if ultrasound guidance can lower complication rates in patients with contraindications.

Main Methods:

  • Prospective case series of 52 patients.
  • Real-time ultrasound evaluation of target veins.
  • Real-time percutaneous central vein cannulation.

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Main Results:

  • 100% success rate for central venous cannulation.
  • No bleeding complications were reported.
  • One case of pneumothorax occurred in an obese patient.

Conclusions:

  • Ultrasound-guided central venous access is effective for difficult cases.
  • The technique should be incorporated into surgical training.
  • Further adoption of ultrasound guidance is recommended for central venous access procedures.