Guidelines for Performing Ultrasound Guided Vascular Cannulation: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists


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TABLE OF CONTENTS PAGEIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . .46Methodology and Evidence Review . . . . . . .46Ultrasound-Guided Vascular Cannulation . . . . . . . . . . . . . . . . . . . . . . . . . . . .47Ultrasound Principles for Needle-Guided Catheter Placement . . . . . . . . . . . . . . . . . . . . .48Real-Time Imaging Versus Static Imaging . . . . .50Vessel Identification . . . . . . . . . . . . . . . . . . . .50Internal Jugular Vein Cannulation . . . . . . . .527.1. Anatomic Considerations . . . . . . . . . . .527.2. Cannulation Technique . . . . . . . . . . . . .527.3. Complications . . . . . . . . . . . . . . . . . . . . .537.4. Recommendation for IJ Vein Cannulation . . . . . . . . . . . . . . . . . . . . . . .54Subclavian Vein Cannulation . . . . . . . . . . . .548.1. Anatomic Considerations . . . . . . . . . . .548.2. Cannulation Technique . . . . . . . . . . . . .548.3. Complications . . . . . . . . . . . . . . . . . . . . .568.4. Recommendation for SC Vein Cannulation . . . . . . . . . . . . . . . . . . . . . . .56Femoral Vein Cannulation . . . . . . . . . . . . . . .579.1. Anatomic Considerations . . . . . . . . . . .579.2. Cannulation Technique . . . . . . . . . . . . .579.3. Complications . . . . . . . . . . . . . . . . . . . . .579.4. Recommendation for FV Cannulation . . . . . . . . . . . . . . . . . . . . . . .57Pediatric Ultrasound Guidance . . . . . . . . . . .5810.1. Cannulation Technique for pediatric patients . . . . . . . . . . . . . . . . . . .5810.1.1. IJ Vein . . . . . . . . . . . . . . . . . . . . .5810.1.2. Femoral Vessels . . . . . . . . . . . . .5910.2. Recommendations for Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . .60Ultrasound-Guided Arterial Cannulation . . . . . . . . . . . . . . . . . . . . . . . . . . . .6011.1. Cannulation Technique . . . . . . . . . . . . .6111.2.

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