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Ultrasound for Vascular Access

  • Seth T. HerwayEmail author
Chapter

Abstract

Ultrasound can be employed to facilitate central and peripheral vascular access. In some cases, such as internal jugular vein cannulation, the use of ultrasound makes the procedure faster and safer while limiting the number of attempts. Complications such as carotid artery puncture or pneumothorax may be reduced. In other procedures, such as subclavian vein cannulation, the role of ultrasound in facilitating the procedure is less clear. Last, peripheral venous access may benefit from observation of patent vasculature and procedure-guidance, however, the reduction of any complications is not documented.

Keywords

Internal jugular vein cannulation Subclavian vein cannulation Femoral vein cannulation Ultrasound Vascular access 

Supplementary material

330609_1_En_15_MOESM1_ESM.avi (8.4 mb)
Video 15.1 Out of plane imaging or short axis (SAX) of the right internal jugular vein (AVI 8,649 KB)
330609_1_En_15_MOESM2_ESM.avi (7 mb)
Video 15.2 In-plane imaging or long axis (LAX) of the right internal jugular vein from the same patient in Fig. 15.1 (AVI 7,163 KB)
Video 15.3

Out of plane imaging (SAX view) of the right internal jugular vein with color flow Doppler. Color flow Doppler imaging demonstrates faster pulsatile laminar flow in the carotid artery with slower flow in the jugular vein (AVI 2,051 KB)

Video 15.4

In-plane imaging (LAX view) of the right internal jugular with color flow Doppler (AVI 2,289 KB)

Video 15.5a

Short axis imaging of right internal jugular vein with a wire within its lumen (AVI 8,955 KB)

Video 15.5b

Long axis imaging of the right internal jugular vein with a wire noted to be within its lumen (no evidence of “backwall”) (AVI 8,569 KB)

Video 15.6

Midesophageal bicaval view demonstrating the “J-tip” of the central access wire within the right atrium confirming venous access (AVI 12,831 KB)

Video 15.7

Short axis imaging of the left subclavian artery and vein (AVI 11,106 KB)

Video 15.8

Short axis imaging of the femoral artery and vein (AVI 9,954 KB)

Video 15.9a

Short axis imaging of the right radial artery (AVI 8,632 KB)

Video 15.9b

Short axis imaging of the same patient with color flow Doppler imaging (AVI 5,723 KB)

Video 15.10

Short axis imaging of the left basilic vein (AVI 8,962 KB)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity of California San DiegoSan DiegoUSA

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