Ultrasound imaging in vascular access

@article{Maecken2007UltrasoundII,
  title={Ultrasound imaging in vascular access},
  author={Tim Maecken and Thomas Grau},
  journal={Critical Care Medicine},
  year={2007},
  volume={35},
  pages={S178-S185}
}
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… 
Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications
TLDR
In clinical settings where patients are becoming increasingly vulnerable as a result of advanced age and/or complex disease, the possibility to reduce the risks associated with these invasive procedures should motivate clinicians to acquire the technical skills needed for routine use of sonographic support during vascular access procedures.
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TLDR
It is found that, in general, US improves the success rates and reduces the risks of CVC placement, particularly for inexperienced clinicians and for patients in high-risk situations.
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TLDR
This chapter reviews ultrasound guidance for the injection of pseudoaneurysm, arterial access, midline catheter, and peripherally inserted central catheter (PICC) line placement.
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TLDR
The VascuLuminator was able to visualize blood vessels in most patients, and was clinically useful in venipunctures, but was not clinically beneficial for intravenous cannulation in a general pediatric population.
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TLDR
Peripherally inserted central venous catheters and peripherally insertedCatheters sited in a midline position (midlines) have gained increased popularity as an alternative to CVCs in the care of selected patients because of their ease of insertion, longevity, and low rate of early complications.
[Ultrasound-guided central venous access in adults and children: Procedure and pathological findings].
TLDR
In contrast to the landmark technique, ultrasound-guided punctures can significantly reduce the rate of complications and typical ultrasonographic images visualize pathological findings in order to identify dangers and complications in central venous catheterization.
Ultrasound guided vascular access: efficacy and safety.
Ultrasound-Guided Central Venous Cannulation in Bariatric Patients
TLDR
The use of ultrasound guidance may increase the success rate and decrease the incidence of complications associated with central venous cannulation in morbidly obese patients and bedside ultrasonic examination combined with intraatrial electrocardiogram as a diagnostic tool for catheter misplacement was studied.
Central Venous Access in the Pediatric Population With Emphasis on Complications and Prevention Strategies.
TLDR
Central venous catheterization is useful for hemodynamic monitoring, rapid fluid infusion, and administration of hyperosmolar medications, including vasopressors, antibiotics, chemotherapy, and parenteral nutrition.
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