• Chest · Mar 2020

    Review

    Better with Ultrasound: Arterial Line Placement.

    • Ann Wang, Ariel Hendin, Scott J Millington, Seth Koenig, Lewis A Eisen, and Ariel L Shiloh.
    • Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY.
    • Chest. 2020 Mar 1; 157 (3): 574-579.

    AbstractArterial catheterization is frequently performed in ICUs to facilitate hemodynamic monitoring and frequent blood sampling. Overall, arterial catheterization has high success and low complication rates, but in patients who are critically ill, the incidence of failure is higher because of hypotension, peripheral edema, and obesity. Ultrasound guidance significantly increases the likelihood of successful cannulation and decreases complications compared with traditional landmark-based techniques. Multiple ultrasound techniques for radial and femoral arterial catheter insertion have been described; this paper presents an approach for incorporating these tools into bedside practice, including illustrative figures and narrated video presentations to demonstrate the techniques described.Copyright © 2019 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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