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

31634448

DOI

10.1016/j.chest.2019.08.2209

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