Document Detail

Ultrasound-guided arterial catheterization: a narrative review.
MedLine Citation:
PMID:  19882140     Owner:  NLM     Status:  MEDLINE    
Arterial catheterization is the second most common invasive procedure performed in the intensive care unit. Despite the ubiquity of the procedure, complications including failure to place the catheter occur. While many clinicians are familiar with the use of ultrasound (US) guidance to decrease complication rates of central venous catheter insertion, fewer are familiar with the use of ultrasound to guide arterial catheterization. This manuscript reviews the evidence for the utility of ultrasound for this indication. Technical aspects of the procedure and limitations of the existing evidence are reviewed. A description of the procedure is provided, along with an online supplemental video. Most studies indicate that first-pass success will be improved with US-guided (USG) arterial catheterization. The technique is easy to learn, particularly if one is already familiar with USG for central venous catheter placement. More research, including formal analyses of cost effectiveness, is needed.
Ariel L Shiloh; Lewis A Eisen
Publication Detail:
Type:  Journal Article; Review     Date:  2009-10-31
Journal Detail:
Title:  Intensive care medicine     Volume:  36     ISSN:  1432-1238     ISO Abbreviation:  Intensive Care Med     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  214-21     Citation Subset:  IM    
Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Jay B. Langner Critical Care Service, Montefiore Medical Center, Bronx, NY 10467, USA.
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MeSH Terms
Catheterization / instrumentation*
Intensive Care Units / statistics & numerical data
Ultrasonography / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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