Document Detail


Ultrasound imaging in vascular access.
MedLine Citation:
PMID:  17446777     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Physicians spend a considerable amount of time and effort inserting catheters and needles into patients. Central venous catheters are the mainstay of measuring hemodynamic variables that cannot be assessed by noninvasive procedures. These catheters also allow hemodialysis, parenteral nutritional support, delivery of medications, and catecholamine administration. Arterial pressure catheters are frequently used for hemodynamic monitoring and for obtaining arterial blood gases in critically ill patients. Such use of arterial and central venous catheters, however, is potentially associated with severe complications that can be injurious to patients and expensive to treat. Techniques involving the use of anatomic landmarks have been the traditional mainstay of accessing the central venous system for decades. With the development and refinement of portable and affordable high-resolution ultrasound devices, imaging vascular access has changed the role of the traditional landmark techniques. In this article, we explain the use of ultrasound for vascular access to reduce complications associated with cannulation of veins and arteries. We will also provide a brief overview of the current literature regarding ultrasound-guided vascular access.
Authors:
Tim Maecken; Thomas Grau
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care medicine     Volume:  35     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-20     Completed Date:  2007-06-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S178-85     Citation Subset:  AIM; IM    
Affiliation:
BG University Hospital Bergmannsheil, Clinic of Anaesthesiology, Intensive Care, Palliative Care and Pain Therapy, Ruhr-University Bochum, Buerkle-de-la-Camp-Platz 1, Bochum, Germany. maecken@anaesthesia.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheterization, Central Venous / adverse effects,  methods*
Catheterization, Peripheral / adverse effects,  methods*
Child
Critical Care
Humans
Jugular Veins / ultrasonography
Ultrasonography*

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


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