Featured Research

from universities, journals, and other organizations

Ultrasound Makes Central Venous Catheterisation Safer, Quicker And Easier

Date:
November 20, 2006
Source:
BioMed Central
Summary:
Ultrasound-guided central venous catheterisation is easier, quicker and safer than the traditional method using landmarks, and should be the method of choice when treating critical care patients. In an article published today in the journal Critical Care, researchers report the results of a prospective randomised controlled trial comparing the use of ultrasound to guide catheterisation to the traditional method using physical landmarks.

Ultrasound-guided central venous catheterisation is easier, quicker and safer than the traditional method using landmarks, and should be the method of choice when treating critical care patients.

In an article published in the journal Critical Care, researchers report the results of a prospective randomised controlled trial comparing the use of ultrasound to guide catheterisation to the traditional method using physical landmarks. The researchers report a success rate of 100% for ultrasound-guided catheterisation of the internal jugular vein. They show that the method is less likely to result in blood stream infections or complications, such as puncture of an artery, than the normal catheterisation procedure.

Dimitrios Karakitsos, from the Intensive Care Unit of the General State Hospital of Athens in Greece (the echolabicu team), and colleagues from other institutions in Greece, The Netherlands and the USA, compared the outcome of internal jugular vein catheterisation in 450 patients for whom the procedure was guided by ultrasound and in 450 patients for whom physical landmarks were used for guidance. During the ultrasound-guided catheterisation, the physician is helped by ultrasound-generated, real-time, two-dimensional images of the jugular vein. The patients were matched between the two groups for age, gender, BMI and risk factors for complications following catheterisation.

Karakitsos et al.'s results show an overall success rate of 100% for ultrasound-guided catheterisation and a 94% success rate for the standard procedure. Very few cases of carotid puncture or hematoma, and no cases of hemothorax or pneumothorax, were reported following ultrasound-guided catheterisation. By contrast, hematoma occurred in 8.4% of patients who had a standard catheterization. Hemothorax occurred in 1.7% and carotid artery puncture occurred in 10.6% of the patients undergoing standard catheterisation. Karakitsos et al.'s results also show that 16% of patients who received the standard procedure had a central venous catheter associated blood stream infection, compared to 10.4% of patients who had the ultrasound-guided procedure. The time taken to insert the catheter and the number of attempts were also greatly reduced for patients who received the ultrasound-guided procedure.

The authors conclude: "Ultrasound imaging is a readily available technology and may be employed by inexperienced operators to facilitate the placement of a central venous catheter as well as by experienced operators in order to improve the safety of the procedure."

In an accompanying commentary, Andrew Bodenham from Leeds General Infirmary in the UK adds: "In the past, it was possible to defend clinicians not using ultrasound on the basis that it was not yet routine practice but I think this position will become increasingly untenable in the future."


Story Source:

The above story is based on materials provided by BioMed Central. Note: Materials may be edited for content and length.


Cite This Page:

BioMed Central. "Ultrasound Makes Central Venous Catheterisation Safer, Quicker And Easier." ScienceDaily. ScienceDaily, 20 November 2006. <www.sciencedaily.com/releases/2006/11/061120060423.htm>.
BioMed Central. (2006, November 20). Ultrasound Makes Central Venous Catheterisation Safer, Quicker And Easier. ScienceDaily. Retrieved July 28, 2014 from www.sciencedaily.com/releases/2006/11/061120060423.htm
BioMed Central. "Ultrasound Makes Central Venous Catheterisation Safer, Quicker And Easier." ScienceDaily. www.sciencedaily.com/releases/2006/11/061120060423.htm (accessed July 28, 2014).

Share This




More Matter & Energy News

Monday, July 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Carbon Trap: US Exports Global Warming

The Carbon Trap: US Exports Global Warming

AP (July 28, 2014) AP Investigation: As the Obama administration weans the country off dirty fuels, energy companies are ramping-up overseas coal exports at a heavy price. (July 28) Video provided by AP
Powered by NewsLook.com
Europe's Highest Train Turns 80 in French Pyrenees

Europe's Highest Train Turns 80 in French Pyrenees

AFP (July 25, 2014) Europe's highest train, the little train of Artouste in the French Pyrenees, celebrates its 80th birthday. Duration: 01:05 Video provided by AFP
Powered by NewsLook.com
TSA Administrator on Politics and Flight Bans

TSA Administrator on Politics and Flight Bans

AP (July 24, 2014) TSA administrator, John Pistole's took part in the Aspen Security Forum 2014, where he answered questions on lifting of the ban on flights into Israel's Tel Aviv airport and whether politics played a role in lifting the ban. (July 24) Video provided by AP
Powered by NewsLook.com
Creative Makeovers for Ugly Cellphone Towers

Creative Makeovers for Ugly Cellphone Towers

AP (July 24, 2014) Mobile phone companies and communities across the country are going to new lengths to disguise those unsightly cellphone towers. From a church bell tower to a flagpole, even a pencil, some towers are trying to make a point. (July 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins