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Crit Care Med. 1996 Dec;24(12):2053-8.

Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature.

Author information

  • 1Division of Pediatric Critical Care, Primary Children's Medical Center, Salt Lake City, UT, USA.

Abstract

OBJECTIVE:

To evaluate the effect of real-time ultrasound guidance using a regular or Doppler ultrasound technique for placement of central venous catheters.

DATA SOURCES:

We searched for published and unpublished research using MEDLINE, citation review of relevant primary and review articles, conference abstracts, personal files, and contact with expert informants.

STUDY SELECTION:

From a pool of 208 randomized, controlled trials of venous and arterial catheter management, eight published randomized, controlled trials were identified.

DATA EXTRACTION:

In duplicate, independently, we abstracted data on the population, intervention, outcome, and methodologic quality.

DATA SYNTHESIS:

Ultrasound guidance significantly decreases internal jugular and subclavian catheter placement failure (relative risk 0.32; 95% confidence interval 0.18 to 0.55), decreases complications during catheter placement (relative risk 0.22; 95% confidence interval 0.10 to 0.45), and decreases the need for multiple catheter placement attempts (relative risk 0.60; 95% confidence interval 0.45 to 0.79) when compared with the standard landmark placement technique.

CONCLUSIONS:

When used for vessel location and catheter placement real-time, ultrasound guidance or Doppler ultrasound guidance improves success rates and decreases the complications associated with internal jugular and subclavian venous catheter placement.

Comment in

  • ACP J Club. 1997 May-Jun;126(3):75.
PMID:
8968276
[PubMed - indexed for MEDLINE]
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