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Updated: Apr 23, 2026
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
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[Ultrasound and venipuncture]
Masui. the Japanese Journal of Anesthesiology
|September 27, 2014
Summary
This guide details crucial precautions for ultrasound-guided venipuncture, emphasizing instrument selection and issue management for safer internal jugular vein catheterizations.
Area of Science:
- Medical Procedures
- Interventional Radiology
- Vascular Access
Background:
- Ultrasound guidance is increasingly vital for complex venipuncture procedures.
- Ensuring patient safety and procedural success requires meticulous attention to detail.
Purpose of the Study:
- To outline essential precautions for ultrasound-guided venipuncture.
- To guide instrument selection and troubleshoot associated issues.
- To enhance safety during internal jugular vein catheterizations.
Main Methods:
- Detailed procedural steps for ultrasound-guided internal jugular vein catheterization.
- Guidelines for selecting and using venipuncture instruments.
- Strategies for managing common instrument-related complications.
Main Results:
- Key considerations include confirming blood flow, aligning probe and needle axes, slow needle insertion, and verifying guide wire placement.
- Recommendations for using thin needles, replacing needles after multiple failed attempts, and using ultrasound to confirm guide wire position.
- Techniques to prevent vascular damage during dilator insertion, including skin incision and controlled dilation depth.
Conclusions:
- Mastering ultrasound-guided venipuncture techniques is crucial for operators.
- Proper use of marking methods and real-time ultrasound enhances procedural safety and patient outcomes.
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