Ultrasound-Guided Vascular Access

Ultrasound-guided central venous access is now considered an expected standard of care.

Central venous access is associated with both significant complications and a reported failure rate of up to 20% that may be even higher in the acute setting using the traditional landmark technique.

The literature supporting the use of ultrasound for central venous access is compelling. In 2006 in Critical Care Karakitsos and coworkers reported a prospective, randomised study of 900 patients comparing the traditional landmark based approach to central venous catheter placement with ultrasound guidance. Significant key benefits with ultrasound guidance included an increased overall success rate of 100%, dramatic reduction in the frequency of carotid artery puncture (1% versus 11%), reduction in carotid haematoma (0.4% versus 8.4%), reduction in haemothorax (0% versus 1.7%), decreased pneumothorax (0% versus 2.4%), and a reduction in central venous catheter related sepsis (10% versus 16%)1.

National guidelines from the USA and UK support the use of ultrasound-guidance for all central venous access.

The benefits in the use of ultrasound for peripheral vascular access, both venous and arterial, has also been demonstrated. Basilic vein cannulation has been shown to be very successful in the emergency department setting in patients in whom it was difficult to obtain other peripheral access2.

This ½-day course describes the technique of ultrasound guided vascular access with an emphasis on small group practical workshops identifying normal central and peripheral vascular anatomy and hands-on ultrasound-guided vascular access using state-of-art vascular access training phantoms.

1. Karakitsos D, Labropoulos N, De Groot E, Patrianakos AP, Kouraklis G, Poularas J, Samonis G, Tsoutsos DA, Konstadoulakis MM, Andreas Karabinis A. Real-time ultrasound guided catheterization of the internal jugular vein: a prospective comparison to the landmark technique in critical care. Crit Care. 2006;10:R162.

2. Keyes LE, Frazee BW, Snoey ER, Simon BC, Christy D. Ultrasound-guided brachial and basilic vein cannulation in emergency department patients with difficult intravenous access. Ann Emnerg Med. 2000 Oct;36(4):399

 

     

 

    
  ½-Day Course  
 
 
  Ultrasound-Guided Vascular Access  
     
  Practical Workshop  
 
Normal Sonographic Vascular Anatomy
Ultrasound-Guided Vascular Access using Vascular Access Training Phantoms
 
     
 
Cost: Aus ½-Day Course: $345/person (Group Rates Negotiable)  
 
 
 
     
     
 
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