title: The Ultrasound-Only Central Venous Catheter Placement and Confirmation Procedure.
abstract: The placement of a central venous catheter remains an important intervention in the care of critically ill patients in the emergency department. We propose an ultrasound-first protocol for 3 aspects of central venous catheter placement above the diaphragm: dynamic procedural guidance, evaluation for pneumothorax, and confirmation of the catheter tip location.
authors.affiliation: Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai-St Luke's Hospital, Mount Sinai-Roosevelt Hospital, New York, New York USA (T.S., M.D., N.L.K, N.C.A., S.D.S.); and Department of Emergency Medicine, University of Colorado Hospital, Aurora, Colorado USA (R.E.L.). turan@joshsaul.com.
authors.forename: Turandot
authors.initials: T
authors.lastname: Saul
authors.affiliation: Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai-St Luke's Hospital, Mount Sinai-Roosevelt Hospital, New York, New York USA (T.S., M.D., N.L.K, N.C.A., S.D.S.); and Department of Emergency Medicine, University of Colorado Hospital, Aurora, Colorado USA (R.E.L.).
authors.forename: Michael
authors.initials: M
authors.lastname: Doctor
authors.affiliation: Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai-St Luke's Hospital, Mount Sinai-Roosevelt Hospital, New York, New York USA (T.S., M.D., N.L.K, N.C.A., S.D.S.); and Department of Emergency Medicine, University of Colorado Hospital, Aurora, Colorado USA (R.E.L.).
authors.forename: Nicole L
authors.initials: NL
authors.lastname: Kaban
authors.affiliation: Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai-St Luke's Hospital, Mount Sinai-Roosevelt Hospital, New York, New York USA (T.S., M.D., N.L.K, N.C.A., S.D.S.); and Department of Emergency Medicine, University of Colorado Hospital, Aurora, Colorado USA (R.E.L.).
authors.forename: Nicholas C
authors.initials: NC
authors.lastname: Avitabile
authors.affiliation: Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai-St Luke's Hospital, Mount Sinai-Roosevelt Hospital, New York, New York USA (T.S., M.D., N.L.K, N.C.A., S.D.S.); and Department of Emergency Medicine, University of Colorado Hospital, Aurora, Colorado USA (R.E.L.).
authors.forename: Sebastian D
authors.initials: SD
authors.lastname: Siadecki
authors.affiliation: Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai-St Luke's Hospital, Mount Sinai-Roosevelt Hospital, New York, New York USA (T.S., M.D., N.L.K, N.C.A., S.D.S.); and Department of Emergency Medicine, University of Colorado Hospital, Aurora, Colorado USA (R.E.L.).
authors.forename: Resa E
authors.initials: RE
authors.lastname: Lewiss
mesh_terms: D002405:Catheterization, Central Venous / Q000379:methods*; D062905:Central Venous Catheters; D003422:Critical Care / Q000379:methods; D004636:Emergency Service, Hospital; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D011030:Pneumothorax / Q000000981:diagnostic imaging; D013350:Subclavian Vein / Q000000981:diagnostic imaging*; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: central venous access; central venous catheter placement; contrast-enhanced ultrasound; emergency ultrasound; iatrogenic pneumothorax