Related Experiment Video
Updated: May 28, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
The importance of training for ultrasound guidance in central vein catheterization
Alan D Kaye1, Charles J Fox, Brad J Hymel
1LSU School of Medicine, Department of Anesthesiology, New Orleans, Louisiana, USA. akaye@lsuhsc.edu
Objective:
To review the complication and success rates associated with CVC placement in patients undergoing cardiovascular surgery depending on the technique utilized and the degree of ultrasound experience of the anesthesia provider.
Design:
Randomized controlled trial.
Setting:
Operating room and post anesthesia care unit.
Patients:
325 patients with CAD requiring cardiovascular surgery with an ASA of III or above.
Interventions:
The subjects underwent CVC of the Internal Jugular vein with or without ultrasound guidance in preparation for cardiovascular surgery.
Measurements:
Utilization of US, carotid artery puncture/cannulation and the presence of post procedure pneumothorax.
Results:
When comparing the group that had CVC without US versus the group having CVC placement with US, there was significant difference in complication rates based on Z-testing (95% confidence level). Furthermore, with 90% confidence (based on Z-testing) there was a significant difference in complication rates between the experienced and non experienced US practitioners.
Conclusions:
With adequate US training, the complications from CVC including carotid artery puncture and pneumothorax can be significantly reduced.
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Ultrasound I: Abdominal Ultrasonography
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...

