An ultrasound training program's effect on central venous catheter locations and complications

• Published in: The American journal of emergency medicine Vol. 32; no. 10; pp. 1290 - 1293
• Main Authors: Tolbert, Tahisha Nicole, MD, Haines, Lawrence E., MD, MPH, Terentiev, Victoria, BA, McArthur, Lucas, MD, Likourezos, Antonios, MA, MPH, Homel, Peter, PhD, Weiner, Corey, MD, Dickman, Eitan, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-10-2014; Elsevier Limited
• Subjects: Adult; Aged; Catheterization, Central Venous - adverse effects; Catheterization, Central Venous - methods; Catheters; Confidence intervals; Emergency; Emergency medical care; Emergency Medicine - education; Femoral Vein - diagnostic imaging; Hospitals; Humans; Internship and Residency - methods; Jugular Veins - diagnostic imaging; Medical instruments; Middle Aged; Pneumothorax - etiology; Retrospective Studies; Site selection; Studies; Subclavian Vein - diagnostic imaging; Surgery, Computer-Assisted - education; Ultrasonic imaging; Ultrasonography
• ISSN: 0735-6757; 1532-8171
• DOI: 10.1016/j.ajem.2014.07.025

Multiple studies have shown that ultrasound-guided (USG) central venous catheter (CVC) placement decreases overall mechanical complication rate, number of attempts, and time to cannulation for the internal jugular (IJ) and femoral vein locations [1-9]. CVC site July 2004 to June 2007 July 2007 to June 2010 Absolute % difference 95% CI P Subclavian 37.0% 17.3% 19.7% 17.1%-22.8% <.0001 IJ 12.2% 40.2% 28.0% 25.0%-30.8% <.0001 Femoral 50.8% 42.5% 8.3% 4.7%-11.3% <.0001 Table 2 Central venous catheter site selection patterns Abbreviation: CI, confidence interval.