Better With Ultrasound: Arterial Line Placement

Ann Wang, Ariel Hendin, Scott J. Millington, Seth Koenig, Lewis A. Eisen, Ariel L. Shiloh

Research output: Contribution to journalReview article

Abstract

Arterial catheterization is frequently performed in ICUs to facilitate hemodynamic monitoring and frequent blood sampling. Overall, arterial catheterization has high success and low complication rates, but in patients who are critically ill, the incidence of failure is higher because of hypotension, peripheral edema, and obesity. Ultrasound guidance significantly increases the likelihood of successful cannulation and decreases complications compared with traditional landmark-based techniques. Multiple ultrasound techniques for radial and femoral arterial catheter insertion have been described; this paper presents an approach for incorporating these tools into bedside practice, including illustrative figures and narrated video presentations to demonstrate the techniques described.

Original languageEnglish (US)
Pages (from-to)574-579
Number of pages6
JournalChest
Volume157
Issue number3
DOIs
StatePublished - Mar 2020

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Keywords

  • critical care
  • medical education
  • ultrasound

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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