Increasingly common in daily practice, this is the first guideline update since 2011, aimed to improve success rates and cut complications.
“ Ultrasound guidance is currently not a standard of care for all vascular access , but it is becoming increasingly common in daily clinical practice due to its ability to enhance success rates and reduce complications,” Guidelines Cochair Annette Vegas, MD, an anesthesiologist and director of perioperative echocardiography at Toronto General Hospital, Toronto, Ontario, Canada, said in a
However, the availability of the equipment and the comfort clinicians feel when using it will likely be more important in driving practice than new research, said Bryan Wells, MD, guidelines cochair and a cardiologist at Emory Healthcare in Atlanta.The previous guidelines, published in 2011, focused on venous cannulation, whereas the updated guidelines include sections on arterial cannulation and pediatric vascular access, Wells explained.
“This is of particular benefit in neonates, infants, and small children, permitting an increase in first-attempt success rates while reducing the number of failed attempts and decreasing the rate of complications,” the authors wrote. Although small studies were published over the subsequent 10-15 years, there was no centralized collection of best practices before these guidelines, Wells said.
Cardiac Imaging CV Imaging Clinical Guidelines Guidelines Ultrasonography Ultrasound Sonogram Hemodialysis Vascular Access Kidney Dialysis Renal Dialysis Haemodialysis Cannulation Children Child Childhood Pediatrics Kids Echocardiography Echocardiogram Echo Hemodynamics Hemodynamic Monitoring Blood Vessels
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