How I Do It: Ultrasound-Guided Internal Jugular and Femoral Central Venous Catheter Insertion

Central venous catheterization is routinely performed in the ICU to obtain venous access for hemodynamic monitoring, parenteral nutritional support, hemodialysis, and delivery of fluids and vasoactive medications. Although central venous catheters can be lifesaving, their insertion is not without ri...

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Veröffentlicht in:Chest 2020-12, Vol.158 (6), p.2425-2430
Hauptverfasser: Millington, Scott J, Colvin, Mai Otsuka, Shiloh, Ariel L, Koenig, Seth
Format: Artikel
Sprache:eng
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Zusammenfassung:Central venous catheterization is routinely performed in the ICU to obtain venous access for hemodynamic monitoring, parenteral nutritional support, hemodialysis, and delivery of fluids and vasoactive medications. Although central venous catheters can be lifesaving, their insertion is not without risk. Historically, central veins were accessed using landmark-based techniques, but the medical literature strongly supports the use of ultrasound guidance. The purpose of this article is to review the basic principles of real-time ultrasound-guided internal jugular and femoral catheter placement. An approach for incorporating these tools into clinical practice is presented, along with illustrative figures and video.
ISSN:1931-3543
DOI:10.1016/j.chest.2020.06.026