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Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice

Overview of attention for article published in Critical Care, August 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#40 of 5,851)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

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Title
Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice
Published in
Critical Care, August 2017
DOI 10.1186/s13054-017-1814-y
Pubmed ID
Authors

Bernd Saugel, Thomas W. L. Scheeren, Jean-Louis Teboul

Abstract

The use of ultrasound (US) has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this review, we describe the rationale for the use of US during CVC placement, the basic principles of this technique, and the current evidence and existing guidelines for its use. In addition, we recommend a structured approach for US-guided central venous access for clinical practice. Static and real-time US can be used to visualize the anatomy and patency of the target vein in a short-axis and a long-axis view. US-guided needle advancement can be performed in an "out-of-plane" and an "in-plane" technique. There is clear evidence that US offers gains in safety and quality during CVC placement in the internal jugular vein. For the subclavian and femoral veins, US offers small gains in safety and quality. Based on the available evidence from clinical studies, several guidelines from medical societies strongly recommend the use of US for CVC placement in the internal jugular vein. Data from survey studies show that there is still a gap between the existing evidence and guidelines and the use of US in clinical practice. For clinical practice, we recommend a six-step systematic approach for US-guided central venous access that includes assessing the target vein (anatomy and vessel localization, vessel patency), using real-time US guidance for puncture of the vein, and confirming the correct needle, wire, and catheter position in the vein. To achieve the best skill level for CVC placement the knowledge from anatomic landmark techniques and the knowledge from US-guided CVC placement need to be combined and integrated.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 541 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 541 100%

Demographic breakdown

Readers by professional status Count As %
Other 95 18%
Student > Postgraduate 60 11%
Student > Master 50 9%
Researcher 49 9%
Student > Doctoral Student 40 7%
Other 144 27%
Unknown 103 19%
Readers by discipline Count As %
Medicine and Dentistry 329 61%
Nursing and Health Professions 16 3%
Engineering 11 2%
Biochemistry, Genetics and Molecular Biology 7 1%
Unspecified 7 1%
Other 41 8%
Unknown 130 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 254. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 February 2022.
All research outputs
#106,597
of 21,615,008 outputs
Outputs from Critical Care
#40
of 5,851 outputs
Outputs of similar age
#2,816
of 290,552 outputs
Outputs of similar age from Critical Care
#1
of 26 outputs
Altmetric has tracked 21,615,008 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,851 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.8. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 290,552 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 99% of its contemporaries.