Guidelines for Performing Ultrasound Guided Vascular Cannulation
GUIDELINES AND STANDARDS Guidelines for Performing Ultrasound Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists Christopher A. Troianos, MD, Gregg S. Hartman, MD, Kathryn E. Glas, MD, MBA, FASE, Nikolaos J. Skubas, MD, FASE, Robert T. Eberhardt, MD, Jennifer D. Walker, MD, and Scott T. Reeves, MD, MBA, FASE, for the Councils on Intraoperative Echocardiography and Vascular Ultrasound of the American Society of Echocardiography, Pittsburgh, Pennsylvania; Lebanon, New Hampshire; Atlanta, Georgia; New York, New York; Boston, Massachusetts; and Charleston, South Carolina (J Am Soc Echocardiogr 2011;24:1291-318.) Keywords: Anatomy, Artery, Cannulation, Femoral, Guidelines, Internal jugular, Pediatric, Peripheral, Subclavian, Ultrasound, Vascular, Venous TABLE OF CONTENTS 7.1. Anatomic Considerations 1297 7.2. Cannulation Technique 1298 Abbreviations 1292 7.3. Complications 1298 7.4. Recommendation for IJ Vein Cannulation 1300 1. Introduction 1291 8. Subclavian Vein Cannulation 1300 2. Methodology and Evidence Review 1292 8.1. Anatomic Considerations 1300 3. Ultrasound-Guided Vascular Cannulation 1292 8.2. Cannulation Technique 1300 4. Ultrasound Principles for Needle-Guided Catheter Placement 1292 8.3. Complications 1301 5. Real-Time Imaging Versus Static Imaging 1294 8.4. Recommendation for SC Vein Cannulation 1302 6. Vessel Identification 1297 9. Femoral Vein Cannulation 1302 7. Internal Jugular Vein Cannulation 1297 9.1. Anatomic Considerations 1302 9.2. Cannulation Technique 1302 9.3. Complications 1303 From the Department of Anesthesiology, West Penn Allegheny Health System, 9.4. Recommendation for FV Cannulation 1303 Pittsburgh, Pennsylvania (C.A.T.); the Department of Anesthesiology, 10. Pediatric Ultrasound Guidance 1303 Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire (G.S.H.); the 10.1.
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