Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-28T06:51:30.209Z Has data issue: false hasContentIssue false
  • English
  • Français

Identification and correction of guide wire malposition during internal jugular cannulation with ultrasound

Published online by Cambridge University Press:  21 May 2015

Michael B. Stone
Michael B. Stone*
Affiliation:
Division of Emergency Medicine, University of Medicine and Dentistry of New Jersey, Newark, NJ
*
Division of Emergency Medicine, University of Medicine and Dentistry of New Jersey, 150 Bergen Street, Newark NJ 07103; drmikestone@gmail.com

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Real-time ultrasound guidance for central venous catheterization increases success and reduces procedural complications. I describe a case in which guide wire resistance was encountered and real-time ultrasound visualization of the guide wire facilitated correction of guide wire malposition. No additional passes of the introducer needle were necessary and the chances of inadvertent carotid artery puncture or pneumothorax were therefore reduced. The technique described here may prove valuable when guide wire resistance is encountered while placing a central venous catheter.

Keywords

ultrasoundultrasonographyguidewirecentral venous catheterization
Type
Case Reports • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 2 , March 2007 , pp. 131 - 132
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

References

1.Milling, TJ Jr, Rose, J, Briggs, WM, et al. Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation: the Third Sonography Outcomes Assessment Program (SOAP-3) Trial. Crit Care Med 2005;33: 1764–9.CrossRefGoogle ScholarPubMed
2.Atkinson, P, Boyle, A, Robinson, S, et al. Should ultrasound guidance be used for central venous catheterisation in the emergency department? Emerg Med J 2005;22:158–64.Google Scholar
3.Martin, MJ, Husain, FA, Piesman, M, et al. Is routine ultrasound guidance for central line placement beneficial? A prospective analysis. Curr Surg 2004;61:71–4.Google Scholar
4.Miller, AH, Roth, BA, Mills, TJ, et al. Ultrasound guidance versus the landmark technique for the placement of central venous catheters in the emergency department. Acad Emerg Med 2002;9:800–5.CrossRefGoogle ScholarPubMed
5.Eisen, LA, Narasimhan, M, Berger, JS, et al. Mechanical complications of central venous catheters. J Intensive Care Med 2006; 21:40–6.CrossRefGoogle ScholarPubMed