Abstract
Background
Point-of-care ultrasound guidance using a linear probe is well established as a tool
to increase safety when performing a supradiaphragmatic cannulation of the internal
jugular central vein. However, little data exist on which probe is best for performing
a supradiaphragmatic cannulation of the subclavian vein.
Methods
This was a prospective, observational study at a single-site emergency department,
where 5 different physician sonologists evaluate individual practice preference for
visualization of the subclavian vein using a supraclavicular approach with 2 different
linear probes and 1 endocavitary probe.
Results
Of 155 patients enrolled, there was no clear preference any of the probes (P= .03). After pooling linear probe preference, there was a preference for either linear
probe over the alternative endocavitary probe (76.8% vs 23.1%, P< .05).
Conclusion
We observed a preference for a linear probe over an endocavitary probe. Further investigation
is necessary to determine which probe is optimal for this application.
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Article Info
Publication History
Published online: June 07, 2016
Accepted:
June 1,
2016
Received:
May 6,
2016
Footnotes
☆Funding sources/disclosures: Dr. Fox provides consulting services for SonoSim Inc, for which he is provided stock options. No SonoSim products were used in this article. No other authors have any disclosures.
☆☆Ethical approval: This study was conducted in compliance with the rules and regulations of the Health Insurance Portability and Accountability Act as well as in adherence to the Declaration of Helsinki and all other relevant federal and state laws. This study was approved by the University of California, Irvine, institutional review board.
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
