Ultrasound-guided vascular access in critical illness

Publication Date

2019

Journal Title

Intensive Care Med

Abstract

© 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Over the past two decades, ultrasound (US) has become widely accepted to guide safe and accurate insertion of vascular devices in critically ill patients. We emphasize central venous catheter insertion, given its broad application in critically ill patients, but also review the use of US for accessing peripheral veins, arteries, the medullary canal, and vessels for institution of extracorporeal life support. To ensure procedural safety and high cannulation success rates we recommend using a systematic protocolized approach for US-guided vascular access in elective clinical situations. A standardized approach minimizes variability in clinical practice, provides a framework for education and training, facilitates implementation, and enables quality analysis. This review will address the state of US-guided vascular access, including current practice and future directions.

Volume Number

45

Issue Number

4

Pages

434 - 446

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Pulmonary, Critical Care, and Sleep Medicine

Additional Departments

Cardiovascular and Thoracic Surgery

PMID

30778648

DOI

10.1007/s00134-019-05564-7

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