Better With Ultrasound: Arterial Line Placement
Publication Date
2020
Journal Title
Chest
Abstract
© 2019 American College of Chest Physicians Arterial catheterization is frequently performed in ICUs to facilitate hemodynamic monitoring and frequent blood sampling. Overall, arterial catheterization has high success and low complication rates, but in patients who are critically ill, the incidence of failure is higher because of hypotension, peripheral edema, and obesity. Ultrasound guidance significantly increases the likelihood of successful cannulation and decreases complications compared with traditional landmark-based techniques. Multiple ultrasound techniques for radial and femoral arterial catheter insertion have been described; this paper presents an approach for incorporating these tools into bedside practice, including illustrative figures and narrated video presentations to demonstrate the techniques described.
Volume Number
157
Issue Number
3
Pages
574 - 579
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
General Internal Medicine
Additional Departments
Cardiovascular and Thoracic Surgery
PMID
DOI
10.1016/j.chest.2019.08.2209