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Procedure Evidence

POCUS Evidence Atlas - procedure central line confirmation. EBM review and resource of POCUS for procedures. Sensitivity Specificity positive and negative likelihood ratios.

The Evidence Atlas: Procedures

 
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Central Line Confirmation

This was a prospective study (n=78) in critically ill patients in the emergency department (ED) and intensive care unit (ICU) at a single academic center, evaluating the use of POCUS to identify correct placement of supra-diaphragmatic central venous catheter (CVC) placement. All CVC placements and POCUS exams were performed by resident trainees. Correct positioning of the CVC was considered if turbulent flow was visualized in the right atrium on sub-xiphoid, parasternal, or apical cardiac ultrasound after injecting 5 cc of sterile, non-agitated, normal saline through the CVC. Reference standard was confirmatory chest radiography.

PMID: 28123616

Central Line Placement Confirmation

A central venous catheter was placed in the right internal jugular under ultrasound guidance and subxiphoid view was obtained. Saline was rapidly flushed through the brown port and turbulent saline can be seen traveling through the right side of the…

A central venous catheter was placed in the right internal jugular under ultrasound guidance and subxiphoid view was obtained. Saline was rapidly flushed through the brown port and turbulent saline can be seen traveling through the right side of the heart. - Dr. Matthew Riscinti and Dr. Isaac Gordon - Kings County Emergency Medicine

For more evidence check out our friends at US G.E.L.

 
 

Perfect your Procedure POCUS Technique with 5 Minute Sono

 
 

Test Characteristics by Core Application