{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:50:59Z","timestamp":1793641859687,"version":"4.5.1"},"reference-count":115,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T00:00:00Z","timestamp":1565049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>Ultrasound-guided central line placement has been shown to decrease the number of needle puncture attempts, complication, and failure rates. In order to obtain successful central access, it is important to have adequate cognitive knowledge, workflow understanding, and manual dexterity to safely execute this invasive procedure. The operator should also be familiar with the anatomical variations, equipment operations, and potential complications and their prevention. In this article, we present a detailed review of ultrasound-guided central venous access. It includes a description of anatomy, operative technique, equipment operation, and techniques for specific situations. We describe the use of ultrasound guidance to avoid and identify various complications associated with this procedure. We have also reviewed recent recommendations and guidelines for the use of ultrasound for central venous access and the current evidence pertaining to the recommendations for the expected level of training, methodology, and metrics for establishing competency.<\/jats:p>","DOI":"10.1177\/0885066619868164","type":"journal-article","created":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T23:21:56Z","timestamp":1565133716000},"page":"303-321","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["Ultrasound Guidance for Central Venous Access: Current Evidence and Clinical Recommendations"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4244-1915","authenticated-orcid":false,"given":"Akiva","family":"Leibowitz","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achikam","family":"Oren-Grinberg","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robina","family":"Matyal","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,6]]},"reference":[{"key":"bibr1-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1152\/ajplung.00133.2017"},{"key":"bibr2-0885066619868164","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000018"},{"key":"bibr3-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199607000-00007"},{"issue":"85","key":"bibr4-0885066619868164","first-page":"3445","volume":"28","author":"Aubaniac R","year":"1952","journal-title":"Sem Hop"},{"key":"bibr5-0885066619868164","doi-asserted-by":"publisher","DOI":"10.3109\/00016925309136722"},{"key":"bibr6-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(82)90118-0"},{"key":"bibr7-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-198606000-00033"},{"key":"bibr8-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199612000-00020"},{"issue":"43","key":"bibr9-0885066619868164","first-page":"1","author":"Shojania KG","year":"2001","journal-title":"Evid Rep Technol Assess (Summ)"},{"key":"bibr10-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/aas.12295"},{"key":"bibr11-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001216"},{"key":"bibr12-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13360"},{"key":"bibr13-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2597-x"},{"key":"bibr14-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3182407cd8"},{"issue":"5","key":"bibr15-0885066619868164","first-page":"473","volume":"37","author":"Jenssen C","year":"2016","journal-title":"Ultraschall Med"},{"key":"bibr16-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31823c9569"},{"key":"bibr17-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12350"},{"key":"bibr18-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00003643-200701000-00012"},{"key":"bibr19-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1378\/chest.114.3.820"},{"key":"bibr20-0885066619868164","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000285"},{"key":"bibr21-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2017.09.007"},{"key":"bibr22-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2394"},{"key":"bibr23-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31828a42c5"},{"key":"bibr24-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.01.014"},{"key":"bibr25-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00277-016-2634-x"},{"key":"bibr26-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s003300101018"},{"key":"bibr27-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-001-1156-7"},{"key":"bibr28-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-001-1154-9"},{"key":"bibr29-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra011883"},{"key":"bibr30-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1177\/0885066614541407"},{"key":"bibr31-0885066619868164","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000756"},{"key":"bibr32-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2010.00703.x"},{"key":"bibr33-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2015.07.001"},{"key":"bibr34-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aei310"},{"key":"bibr35-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.87.5.1557"},{"key":"bibr36-0885066619868164","first-page":"CD011447","volume":"1","author":"Brass P","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr37-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318218a1ae"},{"key":"bibr38-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199112000-00013"},{"key":"bibr39-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e328341a492"},{"key":"bibr40-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.3.1766"},{"key":"bibr41-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.2.881"},{"key":"bibr42-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1053\/jcrc.2002.34364"},{"key":"bibr43-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000973"},{"key":"bibr44-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-017-0315-0"},{"key":"bibr45-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.08.009"},{"key":"bibr46-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62583-0"},{"key":"bibr47-0885066619868164","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9784.191568"},{"key":"bibr48-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-18-39"},{"issue":"12","key":"bibr49-0885066619868164","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1097\/EJA.0000000000000337","volume":"32","author":"Hilbert T","year":"2015","journal-title":"Eur J Anaesthesiol"},{"key":"bibr50-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3574-2"},{"key":"bibr51-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002451"},{"key":"bibr52-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002500"},{"key":"bibr53-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200406000-00013"},{"key":"bibr54-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2005.03.007"},{"key":"bibr55-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000171533.92856.E5"},{"key":"bibr56-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199106000-00020"},{"key":"bibr57-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1186\/cc5101"},{"key":"bibr58-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2011.09.021"},{"key":"bibr59-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199504000-00018"},{"key":"bibr60-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2005.12.002"},{"key":"bibr61-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2000.01378-16.x"},{"key":"bibr62-0885066619868164","doi-asserted-by":"publisher","DOI":"10.4038\/slja.v24i1.8104"},{"key":"bibr63-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2015.05.002"},{"key":"bibr64-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00063110-200412000-00011"},{"key":"bibr65-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201311-414BC"},{"key":"bibr66-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1197\/S1069-6563(03)00534-7"},{"key":"bibr67-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2008.11.022"},{"key":"bibr68-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2006.12.016"},{"key":"bibr69-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1177\/1751143716683715"},{"key":"bibr70-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.01.016"},{"key":"bibr71-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000001446"},{"key":"bibr72-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem262"},{"key":"bibr73-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-009-9082-1"},{"key":"bibr74-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.04.046"},{"key":"bibr75-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181a7f5a4"},{"key":"bibr76-0885066619868164","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2012.62.2.198"},{"key":"bibr77-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000260629.86351.A5"},{"key":"bibr78-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1177\/0148607187011005505"},{"issue":"3","key":"bibr79-0885066619868164","first-page":"239","volume":"167","author":"Sukigara M","year":"1988","journal-title":"Surg Gynecol Obstet"},{"key":"bibr80-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200001000-00014"},{"key":"bibr81-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31821b813b"},{"key":"bibr82-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1002\/jum.14954"},{"key":"bibr83-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-007-9066-2"},{"key":"bibr84-0885066619868164","doi-asserted-by":"publisher","DOI":"10.4103\/2319-4170.113193"},{"key":"bibr85-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181e9c475"},{"key":"bibr86-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199803000-00047"},{"issue":"10","key":"bibr87-0885066619868164","first-page":"1253","volume":"47","author":"Kihara S","year":"1998","journal-title":"Masui"},{"key":"bibr88-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(79)90314-3"},{"key":"bibr89-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199104000-00016"},{"key":"bibr90-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2000.01615-2.x"},{"key":"bibr91-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2008.00087.x"},{"key":"bibr92-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2007.03.023"},{"key":"bibr93-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2009.00430.x"},{"key":"bibr94-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2006.11.030"},{"key":"bibr95-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31819b570e"},{"issue":"4","key":"bibr96-0885066619868164","first-page":"29","volume":"13","author":"Ebrahimi A","year":"2014","journal-title":"Tanaffos"},{"key":"bibr97-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-2946"},{"key":"bibr98-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1186\/cc13016"},{"key":"bibr99-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1186\/cc5668"},{"key":"bibr100-0885066619868164","doi-asserted-by":"publisher","DOI":"10.4103\/1658-354X.174906"},{"key":"bibr101-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1378\/chest.108.5.1345"},{"key":"bibr102-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2009.00628.x"},{"key":"bibr103-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31822a63f0"},{"key":"bibr104-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-013-3097-3"},{"key":"bibr105-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12386"},{"key":"bibr106-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13774"},{"key":"bibr107-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2016.329"},{"key":"bibr108-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-015-9586-0"},{"key":"bibr109-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-013-3069-7"},{"key":"bibr110-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000664"},{"key":"bibr111-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001784"},{"key":"bibr112-0885066619868164","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000112"},{"key":"bibr113-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2015.07.010"},{"key":"bibr114-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1186\/cc13741"},{"key":"bibr115-0885066619868164","doi-asserted-by":"publisher","DOI":"10.1186\/cc5079"}],"container-title":["Journal of Intensive Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0885066619868164","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0885066619868164","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0885066619868164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:56:17Z","timestamp":1777503377000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0885066619868164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,6]]},"references-count":115,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1177\/0885066619868164"],"URL":"https:\/\/doi.org\/10.1177\/0885066619868164","relation":{},"ISSN":["0885-0666","1525-1489"],"issn-type":[{"value":"0885-0666","type":"print"},{"value":"1525-1489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,6]]}}}