scholarly journals Safety of ultrasound-guided central venous access in critically ill patients with uncorrected coagulopathy

Critical Care ◽  
2013 ◽  
Vol 17 (S2) ◽  
Author(s):  
G Reusz ◽  
C Langer ◽  
G Egervari ◽  
P Sarkany ◽  
A Csomos
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Central Venous Access ◽  
Venous Access ◽  
Ultrasound Guided ◽  
Central Venous

scholarly journals Ultrahangvezérelt centrálisvéna-biztosítás korrigálatlan coagulopathiában

2015 ◽  
Vol 156 (27) ◽  
pp. 1085-1090
Author(s):  
Géza Reusz ◽  
Csilla Langer ◽  
Tibor Hevessy ◽  
Ákos Csomós
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Central Venous Catheterization ◽  
Central Venous Access ◽  
Venous Access ◽  
Bleeding Complications ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Venous Catheterization ◽  
Clopidogrel Therapy

Introduction: Correction of coagulopathy prior to central venous catheterization is a standard practice. Before ultrasound-guided procedures, routine correction of coagulopathy is controversial as mechanical complications are rare. Aim: To evaluate the safety of ultrasound-guided central venous access in critically ill patients with coagulopathy. Method: In this retrospective study the authors included all ultrasound-guided central venous catheterizations performed in their Intensive Care Unit between February 2011 and January 2013. They defined coagulopathy as INR or APTT ratio above 1.5, platelet count below 100 G/l, and anticoagulation or clopidogrel therapy. Data obtained from ultrasound register and patient records were used. Results: 310 ultrasound-guided central venous catheterizations were performed. Coagulopathy was observed in 134 cases (43.2%) and corrected in 10 cases prior to catheterization. There were no bleeding complications (complication rate in uncorrected coagulopathy: 0%, 95% confidence interval: 0-3.0%). Conclusions: Coagulopathy is common in critically ill patients, but its routine correction prior to ultrasound-guided central venous catheterization seems unnecessary. Orv. Hetil., 2015, 156(27), 1085–1090.

A step-by-step guide to placing a central venous jugular catheter

2020 ◽  
Vol 25 (7) ◽  
pp. 1-4
Author(s):  
Delphine Le Chevallier
Keyword(s):  
Veterinary Medicine ◽  
Parenteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Central Venous Access ◽  
Venous Access ◽  
Blood Sampling ◽  
Seldinger Technique ◽  
Peripheral Vein ◽  
Central Venous

Placing a central venous jugular catheter is a valuable technique. The method used is the modified Seldinger technique (over the wire), which is also used to place chest drains. While intravenous catheterisation of a peripheral vein is common practice in veterinary medicine, critically ill patients may require central venous access if peripheral access is not possible. This is also useful when large volumes of fluid are required, for example for administration of irritant drugs or for parenteral nutrition, or for regular blood sampling.

scholarly journals The provision of central venous access, transfer of critically ill patients and advanced airway management.: Are advanced critical care practitioners safe and effective?

2018 ◽  
Vol 20 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Gavin Denton ◽  
Lindsay Green ◽  
Marion Palmer ◽  
Anita Jones ◽  
Sarah Quinton ◽  
...  
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Central Venous Catheterisation ◽  
The United Kingdom ◽  
Advanced Airway ◽  
Critical Care Patients

Advanced critical care practitioners are a new and growing component of the critical care multidisciplinary team in the United Kingdom. This audit considers the safety profile of advanced critical care practitioners in the provision of central venous catheterisation and transfer of ventilated critical care patients without direct supervision and supervised drug assisted intubation of critically ill patients. The audit showed that advanced critical care practitioners can perform central venous cannulation, transfer of critically ill ventilated patients and intubation with parity to published UK literature.

Ultrasound-guided central venous access: what’s new?

2015 ◽  
Vol 41 (4) ◽  
pp. 705-707 ◽  
Author(s):  
Gregory A. Schmidt ◽  
Julien Maizel ◽  
Michel Slama
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Ultrasound Guided ◽  
Central Venous

ULTRASOUND GUIDED CENTRAL VENOUS ACCESS IN CHILDREN

2006 ◽  
Vol 7 (5) ◽  
pp. 520 ◽  
Author(s):  
Curt Froehlich ◽  
Jana Stockwell ◽  
Mark Rigby
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Ultrasound Guided ◽  
Central Venous

Centrally inserted central catheters in preterm neonates with weight below 1500 g by ultrasound-guided access to the brachio-cephalic vein

2020 ◽  
pp. 112972982094017
Author(s):  
Giovanni Barone ◽  
Mauro Pittiruti ◽  
Gina Ancora ◽  
Giovanni Vento ◽  
Francesca Tota ◽  
...  
Keyword(s):  
Intensive Care ◽  
Critically Ill ◽  
Neonatal Intensive Care ◽  
Central Venous Access ◽  
Venous Catheter ◽  
Cephalic Vein ◽  
Preterm Neonates ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Vein Catheterization

Objective: Central venous access in critically ill newborns can be challenging. Ultrasound-guided brachio-cephalic vein catheterization is a relatively new procedure, recently introduced in several neonatal intensive care units. The aim of this study is to evaluate the safety and feasibility of such a technique in preterm babies. Design: Retrospective analysis of prospectively collected data on ultrasound-guided central venous catheter insertion in preterm neonates. Setting: Neonatal intensive care unit. Patients: Critically ill preterm neonates with weight below 1500 g requiring a central access. Interventions: Ultrasound-guided brachio-cephalic vein catheterization. Main Results: Thirty centrally inserted catheters were placed in 30 neonates. The success rate of the procedure was 100%. No case of accidental arterial or pleural puncture was registered during the study period. Conclusion: The brachio-cephalic vein can be safely catheterized in preterm newborns requiring intensive care after appropriate training.

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