Use of real-time ultrasound during central venous catheter placement

Results of an APSA survey

Melvin S. Dassinger, Elizabeth J. Renaud, Adam Goldin, Eunice Huang, Robert T. Russell, Christian J. Streck, Xinyu Tang, Martin L. Blakely

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose The purpose of this study was to document the attitudes and practice patterns of pediatric surgeons regarding use of RTUS with CVC placement. Methods An analytic survey composed of 20 questions was sent via APSA headquarters to all practicing members. Answers were summarized as frequency and percentage. Distributions of answers were compared using the chi-square tests. P-values ≤ 0.05 were considered statistically significant. Results 361 of 1072 members chose to participate for a response rate of 34%. Most placed CVCs into the subclavian veins (SCV) of patients without coagulopathy, with the left SCV chosen approximately four times more often than the right. Conversely, RTUS use at the internal jugular vein (IJV) was significantly greater than that for the SCV (p < 0.001). Coagulopathy, multiple previous catheters, and morbid obesity were identified as patient characteristics that would encourage RTUS use. The most commonly cited potential barriers to RTUS use were lack of formal ultrasound training and the belief that ultrasound is not necessary. Conclusions Variability exists among pediatric surgeons regarding use of RTUS during CVC placement. Additional studies are needed to document actual frequency of use, how RTUS is implemented, and its efficacy of preventing adverse events in children.

Original languageEnglish (US)
Pages (from-to)1162-1167
Number of pages6
JournalJournal of pediatric surgery
Volume50
Issue number7
DOIs
StatePublished - Jan 1 2015

Fingerprint

Subclavian Vein
Central Venous Catheters
Pediatrics
Morbid Obesity
Jugular Veins
Chi-Square Distribution
Catheters
Surveys and Questionnaires
Surgeons

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Dassinger, M. S., Renaud, E. J., Goldin, A., Huang, E., Russell, R. T., Streck, C. J., ... Blakely, M. L. (2015). Use of real-time ultrasound during central venous catheter placement: Results of an APSA survey. Journal of pediatric surgery, 50(7), 1162-1167. https://doi.org/10.1016/j.jpedsurg.2015.03.003

Use of real-time ultrasound during central venous catheter placement : Results of an APSA survey. / Dassinger, Melvin S.; Renaud, Elizabeth J.; Goldin, Adam; Huang, Eunice; Russell, Robert T.; Streck, Christian J.; Tang, Xinyu; Blakely, Martin L.

In: Journal of pediatric surgery, Vol. 50, No. 7, 01.01.2015, p. 1162-1167.

Research output: Contribution to journalArticle

Dassinger, MS, Renaud, EJ, Goldin, A, Huang, E, Russell, RT, Streck, CJ, Tang, X & Blakely, ML 2015, 'Use of real-time ultrasound during central venous catheter placement: Results of an APSA survey', Journal of pediatric surgery, vol. 50, no. 7, pp. 1162-1167. https://doi.org/10.1016/j.jpedsurg.2015.03.003
Dassinger, Melvin S. ; Renaud, Elizabeth J. ; Goldin, Adam ; Huang, Eunice ; Russell, Robert T. ; Streck, Christian J. ; Tang, Xinyu ; Blakely, Martin L. / Use of real-time ultrasound during central venous catheter placement : Results of an APSA survey. In: Journal of pediatric surgery. 2015 ; Vol. 50, No. 7. pp. 1162-1167.
@article{8722f2b3d41b429db7d0166c524c299c,
title = "Use of real-time ultrasound during central venous catheter placement: Results of an APSA survey",
abstract = "Purpose The purpose of this study was to document the attitudes and practice patterns of pediatric surgeons regarding use of RTUS with CVC placement. Methods An analytic survey composed of 20 questions was sent via APSA headquarters to all practicing members. Answers were summarized as frequency and percentage. Distributions of answers were compared using the chi-square tests. P-values ≤ 0.05 were considered statistically significant. Results 361 of 1072 members chose to participate for a response rate of 34{\%}. Most placed CVCs into the subclavian veins (SCV) of patients without coagulopathy, with the left SCV chosen approximately four times more often than the right. Conversely, RTUS use at the internal jugular vein (IJV) was significantly greater than that for the SCV (p < 0.001). Coagulopathy, multiple previous catheters, and morbid obesity were identified as patient characteristics that would encourage RTUS use. The most commonly cited potential barriers to RTUS use were lack of formal ultrasound training and the belief that ultrasound is not necessary. Conclusions Variability exists among pediatric surgeons regarding use of RTUS during CVC placement. Additional studies are needed to document actual frequency of use, how RTUS is implemented, and its efficacy of preventing adverse events in children.",
author = "Dassinger, {Melvin S.} and Renaud, {Elizabeth J.} and Adam Goldin and Eunice Huang and Russell, {Robert T.} and Streck, {Christian J.} and Xinyu Tang and Blakely, {Martin L.}",
year = "2015",
month = "1",
day = "1",
doi = "10.1016/j.jpedsurg.2015.03.003",
language = "English (US)",
volume = "50",
pages = "1162--1167",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "7",

}

TY - JOUR

T1 - Use of real-time ultrasound during central venous catheter placement

T2 - Results of an APSA survey

AU - Dassinger, Melvin S.

AU - Renaud, Elizabeth J.

AU - Goldin, Adam

AU - Huang, Eunice

AU - Russell, Robert T.

AU - Streck, Christian J.

AU - Tang, Xinyu

AU - Blakely, Martin L.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Purpose The purpose of this study was to document the attitudes and practice patterns of pediatric surgeons regarding use of RTUS with CVC placement. Methods An analytic survey composed of 20 questions was sent via APSA headquarters to all practicing members. Answers were summarized as frequency and percentage. Distributions of answers were compared using the chi-square tests. P-values ≤ 0.05 were considered statistically significant. Results 361 of 1072 members chose to participate for a response rate of 34%. Most placed CVCs into the subclavian veins (SCV) of patients without coagulopathy, with the left SCV chosen approximately four times more often than the right. Conversely, RTUS use at the internal jugular vein (IJV) was significantly greater than that for the SCV (p < 0.001). Coagulopathy, multiple previous catheters, and morbid obesity were identified as patient characteristics that would encourage RTUS use. The most commonly cited potential barriers to RTUS use were lack of formal ultrasound training and the belief that ultrasound is not necessary. Conclusions Variability exists among pediatric surgeons regarding use of RTUS during CVC placement. Additional studies are needed to document actual frequency of use, how RTUS is implemented, and its efficacy of preventing adverse events in children.

AB - Purpose The purpose of this study was to document the attitudes and practice patterns of pediatric surgeons regarding use of RTUS with CVC placement. Methods An analytic survey composed of 20 questions was sent via APSA headquarters to all practicing members. Answers were summarized as frequency and percentage. Distributions of answers were compared using the chi-square tests. P-values ≤ 0.05 were considered statistically significant. Results 361 of 1072 members chose to participate for a response rate of 34%. Most placed CVCs into the subclavian veins (SCV) of patients without coagulopathy, with the left SCV chosen approximately four times more often than the right. Conversely, RTUS use at the internal jugular vein (IJV) was significantly greater than that for the SCV (p < 0.001). Coagulopathy, multiple previous catheters, and morbid obesity were identified as patient characteristics that would encourage RTUS use. The most commonly cited potential barriers to RTUS use were lack of formal ultrasound training and the belief that ultrasound is not necessary. Conclusions Variability exists among pediatric surgeons regarding use of RTUS during CVC placement. Additional studies are needed to document actual frequency of use, how RTUS is implemented, and its efficacy of preventing adverse events in children.

UR - http://www.scopus.com/inward/record.url?scp=84952628330&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952628330&partnerID=8YFLogxK

U2 - 10.1016/j.jpedsurg.2015.03.003

DO - 10.1016/j.jpedsurg.2015.03.003

M3 - Article

VL - 50

SP - 1162

EP - 1167

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 7

ER -