Search
"This article reviews data collected from observational studies that have performed bedside duplex ultrasound for surveillance of CCRT and discuss if we should routinely screen for CCRT" Shepherd and Carle (2024).
Should ICU patients be screened for UEDVT

Abstract:

There are many studies on central catheter related thrombosis (CCRT), however, there are significantly fewer studies focusing on the incidence and evolution of CCRT in the adult critical care population. This article reviews data collected from observational studies that have performed bedside duplex ultrasound for surveillance of CCRT and discuss if we should routinely screen for CCRT. The reported CCRT incidence is 17-38%, with most thrombus being detectable on ultrasound within seven days of line placement. Nearly all CCRT are designated as asymptomatic (no associated pulmonary embolism (PE) or deep vein thrombosis (DVT)) and no significant changes in mortality rates amongst patients that develop CCRT were reported. Based on the evidence reviewed, we do not recommend screening routinely for CCRT in the adult critical care population.

Reference:

Shepherd NM, Carle C. Should all critical care patients with a central venous catheter in situ be screened for central catheter related thrombosis? Br J Hosp Med (Lond). 2024 May 30;85(5):1-3. doi: 10.12968/hmed.2024.0017. PMID: 38815963.

Register for free citation alerts

Supporting your vascular access and infusion therapy learning journey