Abstract
Central venous access is an essential skill for critical care providers. More than 5 million central venous catheters are inserted annually in the United States, with an overall complication rate of 15%. Use of ultrasound guidance increases success and reduces complications. The use of ultrasound guidance for central venous access has been recommended by multiple medical societies and supported by several studies in the literature. The use of ultrasound guidance for central venous catheterization has significantly increased in recent years, and it has become standard of care in current clinical practice. This chapter will review the basic principles of this technique, indications, contraindications, preparation, and procedural steps for ultrasound-guided central venous catheter (CVC) placement in the internal jugular, femoral, subclavian, and axillary veins.
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