Comparison of central venous catheterization with and without ultrasound guide
Purpose: To compare the effectiveness, safety and time needed to perform central venous catheterization (CVC) in the presence or absence of an ultrasound (US) guide. Methods: Between January 1999 and February 2002 we performed CVCs in 196 patients: 105 patients received US guided CVC (group I) and 9...
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Published in | Transfusion and apheresis science Vol. 31; no. 3; pp. 199 - 202 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Ltd
01.12.2004
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Subjects | |
Online Access | Get full text |
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Summary: | Purpose: To compare the effectiveness, safety and time needed to perform central venous catheterization (CVC) in the presence or absence of an ultrasound (US) guide.
Methods: Between January 1999 and February 2002 we performed CVCs in 196 patients: 105 patients received US guided CVC (group I) and 91 patients had CVC without US guide (group II).
Results: The average time to perform CVC was shorter with US guide (4 vs 7
min). The utilization of the US guide was also associated with improved success (98.09% vs 91.2%,
p
<
0.025) and lack of major complications (0% vs 9.8%,
p
<
0.001).
Conclusions: US-guided CVC affords an easier, safer and more rapid cannulation of a central vein. It is especially helpful in those patients with anatomical variation or difficult veins (small or not visible, non-palpable landmarks) and in those with coagulative disorders. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1473-0502 1878-1683 |
DOI: | 10.1016/j.transci.2004.05.006 |