Skip to main content

Central Venous Catheterization With and Without Ultrasound Guidance

  • Chapter
  • First Online:
Interventional Critical Care

Abstract

Central venous catheters are the most ubiquitously placed device in the critical care environment. With an estimated 500,000 catheters placed per year in the United States alone, this procedure is an integral part of the practice of the competent critical care clinician. With known complications such as bleeding, vascular injury, or pneumothorax, there has been a push in recent times to more safely conduct placement of central venous catheters in an expeditious manner. Procedural ultrasound is a key modality in clinical practice which has mitigated these risks and improved quality of care. In this chapter, we explore the history of the central venous catheter, indications, complications, and the use of ultrasound in clinical applications.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hermosura BVL. Measurement of pressure during intravenous therapy. JAMA. 1966;195:181.

    Article  Google Scholar 

  2. Gourlay D. Central venous cannulation. Br J Nurs. 1996;5(1):8–15.

    Article  CAS  PubMed  Google Scholar 

  3. Legler D, Nugent M. Doppler localization of the internal jugular vein facilitates central venous catheterization. Anesthesiology. 1984;60:481–2.

    Article  CAS  PubMed  Google Scholar 

  4. Nomura J, Sierzenski P. Cross sectional survey of ultrasound use for central venous catheter insertion among resident physicians. Del Med J. 2007;80(7):255–9.

    Google Scholar 

  5. Denys B, Uretsky B. Ultrasound-assisted cannulation of the internal jugular vein. A prospective comparison to the external landmark-guided technique. Circulation. 1993;87(5):1557–62.

    Article  CAS  PubMed  Google Scholar 

  6. Schummer W, Schummer C, Rose N, et al. Mechanical complications and malpositions of central venous cannulations by experienced operators: a prospective study of 1794 catheterizations in critically ill patients. Intensive Care Med. 2007;33:1055–9.

    Article  PubMed  Google Scholar 

  7. Gibbs F, Murphy M. Ultrasound guidance for central venous catheter placement. Hosp Physician. 2006;42(3):23–31.

    Google Scholar 

  8. Mahler S, Wang H. Short vs. long-axis approach to ultrasound guided peripheral intravenous access: a prospective randomized study. Am J Emerg Med. 2011;29:1194–7.

    Article  PubMed  Google Scholar 

  9. Karakitsos D, Labropoulos N. Real -time ultrasound-guided catheterisation of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients. Crit Care. 2006;10(6):1–8.

    Article  Google Scholar 

  10. Cowl C, Weinstock J. Complications and cost associated with parenteral nutrition delivered to hospitalized patients through either subclavian or peripherally-inserted central catheters. Clin Nutr. 2000;19(4):237–43.

    Article  CAS  PubMed  Google Scholar 

  11. Yeum C, Kim SW. Percutaneous catheterization of the internal jugular vein for hemodialysis. Korean J Intern Med. 2001;16(4):243–6.

    Article  Google Scholar 

  12. Geddes C, Walbaum J. Insertion of internal jugular temporary hemodialysis cannulae by direct ultrasound guidance-a prospective comparison of experienced and inexperienced operators. Clin Nephrol. 1998;50(5):320–5.

    CAS  PubMed  Google Scholar 

  13. Pervez A, Abreo K. Central vein cannulation for hemodialysis. Semin Dial. 2007;20(6):621–5.

    Article  PubMed  Google Scholar 

  14. Leung J, Duffy M. Real-time ultrasonagraphically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Ann Emerg Med. 2006;84(5):540–7.

    Article  Google Scholar 

  15. Theodoro D, Bausano B. A descriptive comparison of ultrasound-guided central venous cannulation of the internal jugular vein to landmark-based subclavian vein cannulation. Acad Emerg Med. 2010;17(4):416–22.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Lampert M, Cortelazzi P. An outcome study on complications using routine ultrasound assistance for internal jugular vein cannulation. Acta Anaesthesiol Scand. 2007;51:1327–30.

    Article  Google Scholar 

  17. Leung J, Duffy M. Real-time ultrasonagraphically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Ann Emerg Med. 2006;48(5):540–7.

    Article  PubMed  Google Scholar 

  18. Shrestha BR, Gautam B. Ultrasound versus the landmark technique: a prospective randomized comparative study of the internal jugular vein cannulation in an intensive care unit. JNMA J Nepal Med Assoc. 2011;51(182):56–61.

    CAS  PubMed  Google Scholar 

  19. Slama M, Novara A. Improvement of internal jugular vein cannulation using an ultrasound-guided technique. Intensive Care Med. 1997;23:916–9.

    Article  CAS  PubMed  Google Scholar 

  20. Sznajder J, Zveibil F. Central vein catherization. Failure and complication rates by three percutaneous approaches. Arch Intern Med. 1986;146:259–61.

    Article  CAS  PubMed  Google Scholar 

  21. Crozier J, McKee R. Is the landmark technique safe for the insertion of subclavian venous lines? Surgeon. 2005;3(4):277–9.

    Article  CAS  PubMed  Google Scholar 

  22. Mansfield P, Hohn D. Complications and failures of subclavian-vein cannulation. N Engl J Med. 1994;331(26):1735–8.

    Article  CAS  PubMed  Google Scholar 

  23. Vogel J, Haukoos J. Is long-axis view superior to short axis view in ultrasound-guided central venous catheterization? Crit Care Med. 2015;43(4):832–9.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Baltarowich O, DiSalvo D. National ultrasound curriculum for medical students. Ultrasound Q. 2014;30(1):13–9.

    Article  PubMed  Google Scholar 

  25. Grover S, Currier P. Improving residents’ knowledge of arterial and central line placement with a web-based curriculum. J Grad Med Educ. 2010;2(4):548–54.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Mosier J, Malo J. Critical care ultrasound training: a survey of US fellowship directors. J Crit Care. 2014;29:645–9.

    Article  PubMed  Google Scholar 

  27. Scott L, Wax J. Use of ultrasound to guide vascular access procedures-AIUM practice guideline. American Institute of Ultrasound in Medicine. 2012:1–23

    Google Scholar 

  28. Bold R, Winchester D. Prospective, randomized trial of doppler-assisted subclavian vein cannulation. Arch Surg. 1998;133:1089–93.

    Article  CAS  PubMed  Google Scholar 

  29. Bo-Linn G, Anderson D. Percutaneous central venous catheterization performed by medical house officers: a prospective study. Cathet Cardiovasc Diagn. 1982;8:23–9.

    Article  CAS  PubMed  Google Scholar 

  30. Kusminsky R. Complications of central venous catheterization. J Am Coll Surg. 2007;204(4):681–96.

    Article  PubMed  Google Scholar 

  31. Phy M, Neilson R. Guidewire complication with central line placement. Hosp Physician. 2004;June:41–43.

    Google Scholar 

  32. Lennon M, Zaw N. Procedural complications of central venous catheter insertion. Minerva Anestesiol. 2012;78(11):1234–40.

    CAS  PubMed  Google Scholar 

  33. Cox T, Parish T. A study of pneumothorax rates for physician assistants inserting central venous catheters at a large urban hospital. Internet J Allied Health Sci Pract. 2005;3(3):1–4.

    Google Scholar 

  34. Benham J, Culp C. Complication rate of venous access procedures performed by a radiology practitioner assistant compared with interventional radiology physicians and supervised trainees. J Vasc Interv Radiol. 2007;18:1001–04.

    Article  PubMed  Google Scholar 

  35. FAQs about Central Line Associated Bloodstream Infections [Internet]; 2010 [updated 2012 May 10; cited 2015 Mar 30]. Available from: http://www.cdc.gov/HAI/bsi/bsi.html. Accessed 25 Nov 2010.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ryan O’Gowan MBA, PA-C, FCCM .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

O’Gowan, R. (2016). Central Venous Catheterization With and Without Ultrasound Guidance. In: Taylor, D., Sherry, S., Sing, R. (eds) Interventional Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-25286-5_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-25286-5_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-25284-1

  • Online ISBN: 978-3-319-25286-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics