Perifere Echo Multimodaal echo
Perifere Echo Multimodaal echo
Perifere Echo Multimodaal echo
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
NICE<br />
• http://www.nice.org.uk 2002<br />
• Guidance on the use of ultrasound<br />
locating devices for placing central venous<br />
catheters. Technology Appraisal Guidance<br />
No 49, September 2002<br />
• Hind, BMJ 2003; 227-365<br />
– Ultrasonic locating devices for central venous<br />
cannulation: meta-analysis<br />
Meta-analysis: Hind, BMJ 2003<br />
n Comparison of guidance using real-time 2-D<br />
ultrasonography vs anatomical landmark techniques : 18<br />
randomised controlled trials (1649 pts), 3 studies in infants<br />
• 2-D ultrasonography :<br />
– Internal jugular vein : significantly lower failure rate both overall<br />
(relative risk 0.14, 95% confidence interval 0.06 to 0.33) and on<br />
the first attempt (0.59, 0.39 to 0.88)<br />
– Limited evidence favoured two dimensional ultrasound guidance<br />
for subclavian vein and femoral vein procedures in adults<br />
6
Change language