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Anaesth Crit Care Pain Med. 2015 Feb;34(1):65-9. doi: 10.1016/j.accpm.2015.01.004. Epub 2015 Mar 5.

Guidelines on the use of ultrasound guidance for vascular access.

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Department of Anaesthesia and Intensive Care, Hôpital Central, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy cedex, France. Electronic address:
Department of Anaesthesia and Intensive Care, Hôpital de Bicêtre, 78, Rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
Department of Anaesthesia, Institut Universitaire du Cancer Toulouse-Oncopole, 31059 Toulouse, France.
Department of Anaesthesia, Institut Gustave-Roussy, 94805 Villejuif, France.
Department of Anaesthesia and Intensive Care, Hôpital d'Instruction des Armées Robert-Picqué, 33140 Villenave d'Ornon, France.
Department of Anaesthesia and Intensive Care, Groupe Hospitalier du Centre Alsace (GHCA), Hôpital Albert-Schweitzer, 68003 Colmar, France.
Samu 93 - UF Research-Teaching-Quality, Université Paris 13, Sorbonne Paris Cité, EA 3509, Hôpital Avicenne, 93009 Bobigny, France.
Department of Anaesthesia, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, 1348 Bruxelles, Belgium.
Department of Anaesthesia and Intensive Care, Hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris cedex 10, France.


Insertion of vascular access is a common procedure with potential for iatrogenic events, some of which can be serious. The spread of ultrasound scanners in operating rooms, intensive care units and emergency departments has made ultrasound-guided catheterisation possible. The first guidelines were published a decade ago but are not always followed in France. The French Society of Anaesthesia and Intensive Care has decided to adopt a position on this issue through its Guidelines Committee in order to propose a limited number of simple guidelines. The method used was the GRADE(®) method using the most recently published meta-analyses as the source of references. The level of evidence found ranged from low to high and all the positive aspects associated with ultrasound guidance, i.e. fewer traumatic complications at puncture, probably or definitely outweigh the potential adverse consequences regardless of whether an adult or child is involved and regardless of the site of insertion.

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