Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists

Nilam J. Soni, Luis F. Reyes, Holly Keyt, Alejandro Arango, Jonathan A. Gelfond, Jay I. Peters, Stephanie M. Levine, Sandra G. Adams, Marcos I. Restrepo

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Purpose The purpose of the study is to evaluate the frequency and barriers to use of ultrasound guidance for central venous catheter (CVC) insertion by physicians specializing in critical care and hospital medicine. Materials and methods A national cross-sectional electronic survey of intensivists and hospitalists was administered from November 2014 to January 2015. Results The survey response rate was 5.9% (1013/17 233). Moderate to very frequent use of ultrasound guidance varied by site: internal jugular vein (80%), subclavian vein (31%), and femoral vein (45%). Nearly all physicians (99%) who insert internal jugular CVCs daily use ultrasound guidance, whereas only 46% of physicians who insert subclavian CVCs daily use ultrasound guidance. Use of real-time ultrasound guidance varied by insertion site: internal jugular vein (73%), subclavian vein (28%), and femoral vein (42%). Most physicians (59%) reported not being comfortable with real-time needle tracking at the subclavian site. The most frequently reported barriers to use of ultrasound guidance were (1) limited availability of ultrasound equipment (28%), (2) perception of increased total procedure time (22%), and (3) concern for loss of landmark skills (13%). Conclusions Most intensivists routinely use ultrasound guidance to insert internal jugular CVCs but not subclavian CVCs. The most commonly reported barrier to ultrasound use was limited access to an ultrasound machine.

Original languageEnglish (US)
Pages (from-to)277-283
Number of pages7
JournalJournal of Critical Care
Volume36
DOIs
StatePublished - Dec 1 2016

Keywords

  • Central venous catheterization
  • Central venous catheters
  • Femoral vein
  • Jugular vein
  • Subclavian vein
  • Ultrasound

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists'. Together they form a unique fingerprint.

Cite this