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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
Summary
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.
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.