Real time wire localization by ultrasound during central line insertion improves accurate positioning in all upper torso sites
To investigate whether point of care ultrasound can improve central venous catheter tip positioning. A single center retrospective case control study. We compared the precision of central venous catheter tip positioning between two intensive care units while in only one of the units, we used point o...
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| Veröffentlicht in: | Journal of critical care 2022-02, Vol.67, p.79-84 |
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| creator | Galante, Ori Sadeh, Re’em Smoliakov, Alexander Muraveva, Alona Almog, Yaniv Schneider, Eyal Frenkel, Amit Fuchs, Lior |
| description | To investigate whether point of care ultrasound can improve central venous catheter tip positioning.
A single center retrospective case control study.
We compared the precision of central venous catheter tip positioning between two intensive care units while in only one of the units, we used point of care ultrasound for guidewire identification.
207 cases in which central venous catheter was inserted using point of care ultrasound guided method, compared to 192 controls. The primary outcome of correct placement of the central venous catheter tip was significantly higher in the point of care ultrasound guided group (97.6% vs 88.0% p = 0.001). Central venous catheter tip was located too low among 12% of patients in the control group while in only 2.4% of patients in the point of care ultrasound group (p = 0.001). Logistics regression analysis revealed that the correct placement of central venous catheter tip in the point of care ultrasound group versus the control group had an odds ratio of 4.9 (CI 1.6–14.5 P = 0.004).
Point of care ultrasound for guidewire identification and localization, while inserting central venous catheter from all upper torso sites, improves precision positioning.
•Using point of care ultrasound for guidewire identification and localization, while inserting CVC from all upper body sites improves accurate positioning.•This method advantages are that it is performed by a single operator and offers real time visualization and location of the CVC tip. |
| doi_str_mv | 10.1016/j.jcrc.2021.10.009 |
| format | Article |
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A single center retrospective case control study.
We compared the precision of central venous catheter tip positioning between two intensive care units while in only one of the units, we used point of care ultrasound for guidewire identification.
207 cases in which central venous catheter was inserted using point of care ultrasound guided method, compared to 192 controls. The primary outcome of correct placement of the central venous catheter tip was significantly higher in the point of care ultrasound guided group (97.6% vs 88.0% p = 0.001). Central venous catheter tip was located too low among 12% of patients in the control group while in only 2.4% of patients in the point of care ultrasound group (p = 0.001). Logistics regression analysis revealed that the correct placement of central venous catheter tip in the point of care ultrasound group versus the control group had an odds ratio of 4.9 (CI 1.6–14.5 P = 0.004).
Point of care ultrasound for guidewire identification and localization, while inserting central venous catheter from all upper torso sites, improves precision positioning.
•Using point of care ultrasound for guidewire identification and localization, while inserting CVC from all upper body sites improves accurate positioning.•This method advantages are that it is performed by a single operator and offers real time visualization and location of the CVC tip.</description><identifier>ISSN: 0883-9441</identifier><identifier>EISSN: 1557-8615</identifier><identifier>DOI: 10.1016/j.jcrc.2021.10.009</identifier><identifier>PMID: 34717163</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Case-Control Studies ; Catheterization, Central Venous - methods ; Catheters ; Central venous catheter ; Central Venous Catheters ; Chest x-ray ; Humans ; Intensive care ; Patients ; Pneumothorax ; Point of care ultrasound ; Real time ; Retrospective Studies ; Torso ; Ultrasonic imaging ; Ultrasonography, Interventional - methods ; Veins & arteries ; Visualization ; Wire</subject><ispartof>Journal of critical care, 2022-02, Vol.67, p.79-84</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-39900204e27707c5e4b13b3239f4c2675175e60f486c73461ca29c79412b872d3</citedby><cites>FETCH-LOGICAL-c384t-39900204e27707c5e4b13b3239f4c2675175e60f486c73461ca29c79412b872d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883944121002318$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34717163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Galante, Ori</creatorcontrib><creatorcontrib>Sadeh, Re’em</creatorcontrib><creatorcontrib>Smoliakov, Alexander</creatorcontrib><creatorcontrib>Muraveva, Alona</creatorcontrib><creatorcontrib>Almog, Yaniv</creatorcontrib><creatorcontrib>Schneider, Eyal</creatorcontrib><creatorcontrib>Frenkel, Amit</creatorcontrib><creatorcontrib>Fuchs, Lior</creatorcontrib><title>Real time wire localization by ultrasound during central line insertion improves accurate positioning in all upper torso sites</title><title>Journal of critical care</title><addtitle>J Crit Care</addtitle><description>To investigate whether point of care ultrasound can improve central venous catheter tip positioning.
A single center retrospective case control study.
We compared the precision of central venous catheter tip positioning between two intensive care units while in only one of the units, we used point of care ultrasound for guidewire identification.
207 cases in which central venous catheter was inserted using point of care ultrasound guided method, compared to 192 controls. The primary outcome of correct placement of the central venous catheter tip was significantly higher in the point of care ultrasound guided group (97.6% vs 88.0% p = 0.001). Central venous catheter tip was located too low among 12% of patients in the control group while in only 2.4% of patients in the point of care ultrasound group (p = 0.001). Logistics regression analysis revealed that the correct placement of central venous catheter tip in the point of care ultrasound group versus the control group had an odds ratio of 4.9 (CI 1.6–14.5 P = 0.004).
Point of care ultrasound for guidewire identification and localization, while inserting central venous catheter from all upper torso sites, improves precision positioning.
•Using point of care ultrasound for guidewire identification and localization, while inserting CVC from all upper body sites improves accurate positioning.•This method advantages are that it is performed by a single operator and offers real time visualization and location of the CVC tip.</description><subject>Case-Control Studies</subject><subject>Catheterization, Central Venous - methods</subject><subject>Catheters</subject><subject>Central venous catheter</subject><subject>Central Venous Catheters</subject><subject>Chest x-ray</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Patients</subject><subject>Pneumothorax</subject><subject>Point of care ultrasound</subject><subject>Real time</subject><subject>Retrospective Studies</subject><subject>Torso</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Interventional - methods</subject><subject>Veins & arteries</subject><subject>Visualization</subject><subject>Wire</subject><issn>0883-9441</issn><issn>1557-8615</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc2L1TAUxYMoznP0H3AhATdu-sx3WnAjg18wIIiuQ5reJylpUpNmZFz4t5v6RhcuXAXO_Z2Tyz0IPaXkSAlVL-fj7LI7MsJoE46EDPfQgUqpu15ReR8dSN_zbhCCXqBHpcyEUM25fIguuNBUU8UP6OcnsAFvfgH83WfAITkb_A-7-RTxeItr2LItqcYJTzX7-BU7iE0KOPgI2McC-TfrlzWnGyjYOlez3QCvqfh9tJt8xDYEXNcVMt5SLgm3IZTH6MHJhgJP7t5L9OXtm89X77vrj-8-XL2-7hzvxdbxYSCEEQFMa6KdBDFSPnLGh5NwTGlJtQRFTqJXTnOhqLNscHoQlI29ZhO_RC_OuW3JbxXKZhZfHIRgI6RaDJPtAz1wRhr6_B90TjXHtp1hivRCSEVko9iZcjmVkuFk1uwXm28NJWZvx8xmb8fs7exaa6eZnt1F13GB6a_lTx0NeHUGoN3ixkM2xXmIDqbWjdvMlPz_8n8BLyehBQ</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Galante, Ori</creator><creator>Sadeh, Re’em</creator><creator>Smoliakov, Alexander</creator><creator>Muraveva, Alona</creator><creator>Almog, Yaniv</creator><creator>Schneider, Eyal</creator><creator>Frenkel, Amit</creator><creator>Fuchs, Lior</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202202</creationdate><title>Real time wire localization by ultrasound during central line insertion improves accurate positioning in all upper torso sites</title><author>Galante, Ori ; 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A single center retrospective case control study.
We compared the precision of central venous catheter tip positioning between two intensive care units while in only one of the units, we used point of care ultrasound for guidewire identification.
207 cases in which central venous catheter was inserted using point of care ultrasound guided method, compared to 192 controls. The primary outcome of correct placement of the central venous catheter tip was significantly higher in the point of care ultrasound guided group (97.6% vs 88.0% p = 0.001). Central venous catheter tip was located too low among 12% of patients in the control group while in only 2.4% of patients in the point of care ultrasound group (p = 0.001). Logistics regression analysis revealed that the correct placement of central venous catheter tip in the point of care ultrasound group versus the control group had an odds ratio of 4.9 (CI 1.6–14.5 P = 0.004).
Point of care ultrasound for guidewire identification and localization, while inserting central venous catheter from all upper torso sites, improves precision positioning.
•Using point of care ultrasound for guidewire identification and localization, while inserting CVC from all upper body sites improves accurate positioning.•This method advantages are that it is performed by a single operator and offers real time visualization and location of the CVC tip.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34717163</pmid><doi>10.1016/j.jcrc.2021.10.009</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0883-9441 |
| ispartof | Journal of critical care, 2022-02, Vol.67, p.79-84 |
| issn | 0883-9441 1557-8615 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Case-Control Studies Catheterization, Central Venous - methods Catheters Central venous catheter Central Venous Catheters Chest x-ray Humans Intensive care Patients Pneumothorax Point of care ultrasound Real time Retrospective Studies Torso Ultrasonic imaging Ultrasonography, Interventional - methods Veins & arteries Visualization Wire |
| title | Real time wire localization by ultrasound during central line insertion improves accurate positioning in all upper torso sites |
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