Ultrasound for Vascular Access

  • Abdullah Sulieman TerkawiEmail author
  • Ariel L. Shiloh
  • Mahmoud Elbarbary
  • Dimitrios Karakitsos
Part of the Respiratory Medicine book series (RM)


The use of ultrasound guidance during vascular procedures has become standard of care in intensive care units worldwide. Ultrasound-guided vascular access is associated with increased cannulation success rates and decreased complications in adults, children, and neonates compared to the blind technique. The ultrasound method aids in selecting the optimal target vessel by identifying patency, diameter, anatomical variations and ruling out associated pathologies such as thrombosis. Real-time ultrasound-guided cannulation allows continuous needle visualization, thus avoiding inadvertent trauma to adjacent arteries or puncture of the posterior venous wall. Ultrasound extends the possible targeted vessels to involve less frequently cannulated vessels such as the axillary and brachiocephalic veins, and can also be used for arterial cannulation. We advocate the implementation of a three-step technique (pre-procedural scanning, real-time ultrasound-guided cannulation, post-procedural scanning) to maximize success rates and to decrease complications.


Internal Jugular Vein Subclavian Vein Central Venous Access Peripherally Insert Central Catheter Brachiocephalic Vein 
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.

Supplementary material

Video 3.1

Applying probe pressure on the patent right femoral vein results in its total collapse (AVI 8,910 KB)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Abdullah Sulieman Terkawi
    • 1
    Email author
  • Ariel L. Shiloh
    • 2
  • Mahmoud Elbarbary
    • 3
  • Dimitrios Karakitsos
    • 4
  1. 1.Department of AnesthesiologyUniversity of VirginiaCharlottesvilleUSA
  2. 2.Jay B. Langner Critical Care ServiceMontefiore Medical Center/Albert Einstein College of MedicineBronxUSA
  3. 3.Pediatric Cardiac ICU, King Abdulaziz Cardiac CenterKing Saud Bin Abdulaziz University for Health SciencesRiyadhSaudi Arabia
  4. 4.Department of Internal MedicineUniversity of South Carolina, School of MedicineColumbiaUSA

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