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Two-dimensional ultrasound (2DUS) guidance for central venous cannulation is a best-practice for patient safety identified by the Agency for Healthcare Research and Quality and the American College of Emergency Physician” Broder et al (2019).

Abstract:

Two-dimensional ultrasound (2DUS) guidance for central venous cannulation is a best-practice for patient safety identified by the Agency for Healthcare Research and Quality and the American College of Emergency Physicians. 2DUS has been shown to reduce mechanical complications of insertion (e.g. arterial puncture, pneumothorax) by up to 71% and improves procedure performance (e.g. reduced total procedure time, reduced number of skin punctures, decreased number of needle redirection events), but complications remain in the setting of ultrasound guidance, including pneumothorax and arterial puncture.

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Reference:

Broder, J.S., Morgan, M.R., Jaffa, E. and Theophanous, R. (2019) Oriented 3D Ultrasound for Central Venous Cannulation Using an Augmented 2D Ultrasound System. Academic Emergency Medicine. 2019 Jul 15. doi: 10.1111/acem.13831. [Epub ahead of print].