Association of Anaesthetists of Great Britain and Ireland: Safe vascular access 2016†

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Summary

Safe vascular access is integral to anaesthetic and critical care practice, but procedures are a frequent source of patient adverse events. Ensuring safe and effective approaches to vascular catheter insertion should be a priority for all practitioners. New technology such as ultrasound and other imaging has increased the number of tools available. This guidance was created using review of current practice and literature, as well as expert opinion. The result is a consensus document which provides practical advice on the safe insertion and removal of vascular access devices.

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Most cited references 31

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International evidence-based recommendations on ultrasound-guided vascular access.

Jack LeDonne, Dimitrios Karakitsos, Mauro Pittiruti … (2012)

To provide clinicians with an evidence-based overview of all topics related to ultrasound vascular access. An international evidence-based consensus provided definitions and recommendations. Medical literature on ultrasound vascular access was reviewed from January 1985 to October 2010. The GRADE and the GRADE-RAND methods were utilised to develop recommendations. The recommendations following the conference suggest the advantage of 2D vascular screening prior to cannulation and that real-time ultrasound needle guidance with an in-plane/long-axis technique optimises the probability of needle placement. Ultrasound guidance can be used not only for central venous cannulation but also in peripheral and arterial cannulation. Ultrasound can be used in order to check for immediate and life-threatening complications as well as the catheter's tip position. Educational courses and training are required to achieve competence and minimal skills when cannulation is performed with ultrasound guidance. A recommendation to create an ultrasound curriculum on vascular access is proposed. This technique allows the reduction of infectious and mechanical complications. These definitions and recommendations based on a critical evidence review and expert consensus are proposed to assist clinicians in ultrasound-guided vascular access and as a reference for future clinical research.

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Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.

S Rupp, C Blitt, Karen Domino … (2012)

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Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization.

Patrick Brass, Martin Hellmich, Laurentius Kolodziej … (2015)

Central venous catheters (CVCs) can help with diagnosis and treatment of the critically ill. The catheter may be placed in a large vein in the neck (internal jugular vein), upper chest (subclavian vein) or groin (femoral vein). Whilst this is beneficial overall, inserting the catheter risks arterial puncture and other complications and should be performed with as few attempts as possible. Traditionally, anatomical 'landmarks' on the body surface were used to find the correct place in which to insert catheters, but ultrasound imaging is now available. A Doppler mode is sometimes used to supplement plain 'two-dimensional' ultrasound.

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Author and article information

Contributors

A. Bodenham (Chair): Role: Consultant

S. Babu: Role: Specialty Doctor

J. Bennett: Role: Consultant

R. Binks: Role: Nurse Consultant

P. Fee: Role: Locum Consultant

B. Fox: Role: Specialist Registrar

A. J. Johnston: Role: Consultant

A. A. Klein: Role: Consultant

J. A. Langton: Role: Consultant

H. Mclure: Role: Consultant

S. Q. M. Tighe: Role: Consultant

Journal

Journal ID (nlm-ta): Anaesthesia

Journal ID (iso-abbrev): Anaesthesia

Journal ID (doi): 10.1111/(ISSN)1365-2044

Journal ID (publisher-id): ANAE

Title: Anaesthesia

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Print): 0003-2409

ISSN (Electronic): 1365-2044

Publication date (Electronic): 17 February 2016

Publication date (Print): May 2016

Volume: 71

Issue: 5 ( doiID: 10.1111/anae.2016.71.issue-5 )

Pages: 573-585

Affiliations

[ ¹ ]Anaesthesia and Intensive Care Leeds Teaching Hospitals LeedsUK

[ ² ]Anaesthesia North Manchester General Hospital ManchesterUK

[ ³ ]Anaesthesia Birmingham Children's Hospital BirminhamUK

[ ⁴ ]Airedale Hospital and Faculty of Intensive Care Medicine West YorkshireUK

[ ⁵ ]Anaesthesia Belfast Health and Social Care Trust BelfastUK

[ ⁶ ]Anaesthesia, East Anglia, and Group of Anaesthetists in Training AAGBI LondonUK

[ ⁷ ]Anaesthesia and Intensive Care Addenbrooke's Hospital CambridgeUK

[ ⁸ ]Anaesthesia Papworth Hospital CambridgeUK

[ ⁹ ]Anaesthesia, Plymouth Hospitals Plymouth, and Royal College of Anaesthetists UK

[ ¹⁰ ]Anaesthesia Leeds Teaching Hospitals LeedsUK

[ ¹¹ ]Anaesthesia and Intensive Care Countess of Chester Hospital and AAGBI Council ChesterUK

Article

Publisher ID: ANAE13360

DOI: 10.1111/anae.13360

PMC ID: 5067617

PubMed ID: 26888253

SO-VID: e73484ea-5e59-40ae-a606-0d8381b8d50f

License:

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

History

Date accepted : 05 September 2015

Page count

Pages: 13

Custom metadata

source-schema-version-number 2.0

component-id anae13360

cover-date May 2016

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.5 mode:remove_FC converted:18.10.2016

ScienceOpen disciplines: Anesthesiology & Pain management

Keywords: arterial cannulation,central venous catheterization,complication management,peripheral venous catheters,vascular access

Data availability:

ScienceOpen disciplines: Anesthesiology & Pain management

Keywords: arterial cannulation, central venous catheterization, complication management, peripheral venous catheters, vascular access

Association of Anaesthetists of Great Britain and Ireland: Safe vascular access 2016†

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Summary

Related collections

Irish Journal of Paramedicine

Most cited references 31

International evidence-based recommendations on ultrasound-guided vascular access.

Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.

Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization.

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Article

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