Intensive Care Medicine

, Volume 41, Issue 4, pp 731–733 | Cite as

What’s really new in the field of vascular access? Towards a global use of ultrasound

  • Daniele G. BiasucciEmail author
  • Antonio La Greca
  • Giancarlo Scoppettuolo
  • Mauro Pittiruti

Dear Editor,

We read with interest the paper from Schmidt and collaborators reviewing the advantages of ultrasound in central venous access (CVA) [1]. However, modern ultrasound application in the field of CVA is not limited to ultrasound-guided venipuncture but it can be extended to assist all steps of CVA: (a) rational choice of appropriate vein and proper approach; (b) prevention of malposition; (c) ruling out of respiratory complications [2].

Most benefits of ultrasound-based CVA come from a preliminary evaluation of all possible venipuncture options which allows a rational choice of the most appropriate vein to cannulate, considering such factors as vein size, pathological abnormalities, and collapse during breathing [2]. In a critical care environment, two long-term outcome determinants are of paramount importance: (a) vessel and approach should be chosen so as to obtain an exit site allowing optimal management and dressing to reduce catheter-related infections and accidental...


Superior Vena Cava Central Venous Access Lung Ultrasound Brachiocephalic Vein Catheter Dislodgement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflicts of interest

All authors confirm that there are no known conflicts of interest associated with this publication and there has been no financial support for this work that could have influenced its content.


  1. 1.
    Schmidt GA, Maizel J, Slama M (2015) Ultrasound-guided central venous access: what’s new? Intensive Care Med. doi: 10.1007/s00134-014-3628-6 PubMedGoogle Scholar
  2. 2.
    Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M, Pirotte T, Karakitsos D, Ledonne J, Doniger S, Scoppettuolo G, Feller-Kopman D, Schummer W, Biffi R, Desruennes E, Melniker LA, Verghese ST (2012) International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med 38:1105–1117CrossRefPubMedGoogle Scholar
  3. 3.
    Pittiruti M (2012) Ultrasound guided central vascular access in neonates, infants and children. Curr Drug Targets 13(7):961–969CrossRefPubMedGoogle Scholar
  4. 4.
    Kim S-C, Heinze I, Schmiedel A et al (2015) Ultrasound confirmation of central venous catheter position via a right supraclavicular fossa view using a microconvex probe. An observaional pilot study. Eur J Anesthesiol 32:29–36CrossRefGoogle Scholar
  5. 5.
    Bedel J, Vallée F, Mari A, Riu B, Planquette B, Geeraerts T, Génestal M, Fourcade O (2013) Guidewire localization by transthoracic echocardiography during central venous catheter insertion: a periprocedural method to evaluate catheter placement. Intensive Care Med 39(11):1932–1937CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg and ESICM 2015

Authors and Affiliations

  • Daniele G. Biasucci
    • 1
    • 4
    Email author
  • Antonio La Greca
    • 2
  • Giancarlo Scoppettuolo
    • 3
  • Mauro Pittiruti
    • 2
  1. 1.Cardiac Surgical Intensive Care Unit, “Agostino Gemelli” Teaching HospitalCatholic University of the Sacred Heart in RomeRomeItaly
  2. 2.Department of Surgery, “Agostino Gemelli” Teaching HospitalCatholic University of the Sacred Heart in RomeRomeItaly
  3. 3.Infectious Diseases Unit, “Agostino Gemelli” Teaching HospitalCatholic University of the Sacred Heart in RomeRomeItaly
  4. 4.Department of Anesthesia and Intensive CareCatholic University of the Sacred Heart in RomeRomeItaly

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