Bilateral Internal Jugular Veins Ultrasound Scanning Prior to CVC Placement

Launched by VANDERBILT UNIVERSITY MEDICAL CENTER · Apr 14, 2016

Keywords

ClinConnect Summary

Central venous catheter placement is a common procedure in the intensive care unit and is a required skill for all residents working in the critical care setting. Central venous catheters (CVC) are placed for a variety of reasons including administration of caustic medications, administration of fluids or blood products for rapid resuscitation, access for hemodynamic monitoring or transvenous pacing, temporary vascular access for dialysis, or inability to obtain peripheral IV access.

The 2011 CDC Guidelines for Prevention of Intravascular Catheter-Related Infections recommends placement of...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patient admitted to the medical intensive care unit on the 8th floor
• • Central venous catheter placed by a resident or nurse practitioner working in the medical intensive care unit
• • Central venous catheter placed in the right or left internal jugular vein
• • Central venous catheter placed with ultrasound guidance
• Exclusion Criteria:
• • Line placed outside the MICU
• • Placed in the subclavian or femoral vein
• • Placed by a fellow in training or attending physician
• • Placed under emergent or time-sensitive conditions
• • Placed during a code
• • Placed under non-sterile conditions