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Vol. 147. Issue 3.
Pages 116-120 (August 2016)
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Vol. 147. Issue 3.
Pages 116-120 (August 2016)
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DOI: 10.1016/j.medcle.2016.02.059
Application of ultrasonography in central venous catheterization; access sites and procedure techniques
Aplicación de la ecografía en la cateterización venosa central; lugares de acceso y técnicas del procedimiento
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Dorota Czyzewskaa,
Corresponding author
siskinewska@gmail.com

Corresponding author.
, Andrzej Ustymowiczb, Mark Klukowskic
a Department of Diagnostic Imaging, Independent Public Provincial Hospital of J. Sniadecki, Bialystok, Poland
b Department of Radiology, Medical University of Bialystok, Bialystok, Poland
c Department of Pediatrics, Gastroenterology, and Allergology, Medical University of Bialystok, Bialystok, Poland
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Abstract

Central venous catheterization is commonly performed in clinical practice. Traditional procedural technique is based on anatomical landmarks, but is associated with a high risk of failure and complications. To decrease their incidence European and American societies recommend application of ultrasonography. Preliminary ultrasonographic examination allows for assessment of local anatomical relations as well as vessel morphology (diameter, patency), while real-time ultrasonography increases chances of successful needle insertion.

This paper presents the most common venous access sites and procedure techniques.

Keywords:
Ultrasonography
Catheterization
Central veins
Peripheral access
Resumen

La cateterización venosa central se realiza de manera común en la práctica clínica. La técnica tradicional del procedimiento se basa en referencias anatómicas, aunque ello está asociado a un elevado riesgo de fallos y complicaciones. Para disminuir su incidencia, las sociedades europeas y americanas recomiendan la aplicación de la ecografía. El examen ecográfico preliminar permite la evaluación de las relaciones anatómicas locales, así como la morfología de los vasos (diámetro, permeabilidad), mientras que la ecografía a tiempo real incrementa las opciones de una inserción exitosa de la aguja.

Este documento presenta los lugares de acceso venoso más comunes y las técnicas del procedimiento.

Palabras clave:
Ecografía
Cateterización
Venas centrales
Acceso periférico

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