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array:22 [ "pii" => "S0034935614002977" "issn" => "00349356" "doi" => "10.1016/j.redar.2014.11.002" "estado" => "S300" "fechaPublicacion" => "2016-01-01" "aid" => "544" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "copyrightAnyo" => "2014" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Anestesiol Reanim. 2016;63:63-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 405 "formatos" => array:3 [ "EPUB" => 4 "HTML" => 203 "PDF" => 198 ] ] "itemAnterior" => array:18 [ "pii" => "S0034935614003387" "issn" => "00349356" "doi" => "10.1016/j.redar.2014.12.004" "estado" => "S300" "fechaPublicacion" => "2016-01-01" "aid" => "550" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Anestesiol Reanim. 2016;63:61-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 378 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 219 "PDF" => 154 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">IMAGEN DEL MES</span>" "titulo" => "Lesión en el lóbulo inferior derecho pulmonar por catéter Shaldon" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "61" "paginaFinal" => "62" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Right lower pulmonary lobe injury due to a Shaldon catheter" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figura 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 746 "Ancho" => 995 "Tamanyo" => 133334 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Catéter superpuesto a la vena ácigos, sin lesionarla.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.A. Orallo Morán, P. Aguirre Puig, M.P. Prieto Requeijo, O. Varela García" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "Orallo Morán" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Aguirre Puig" ] 2 => array:2 [ "nombre" => "M.P." "apellidos" => "Prieto Requeijo" ] 3 => array:2 [ "nombre" => "O." "apellidos" => "Varela García" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935614003387?idApp=UINPBA00004N" "url" => "/00349356/0000006300000001/v1_201512230015/S0034935614003387/v1_201512230015/es/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images of the month</span>" "titulo" => "Real-time ultrasound detection of correct intravenous placement of central venous catheters after ultrasound cannulation" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "63" "paginaFinal" => "64" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Beleña, D. Anta, E. Barrio, M. Nuñez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Beleña" "email" => array:1 [ 0 => "jmaria.belenab@salud.madrid.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "D." "apellidos" => "Anta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Barrio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "M." "apellidos" => "Nuñez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Universitario del Sureste, Arganda del Rey, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación, Hospital Universitario Ramón y Cajal, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comprobación ecográfica en tiempo real de la colocación intravenosa de catéteres venosos centrales tras canulación ecoguiada" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 673 "Ancho" => 900 "Tamanyo" => 77861 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Short axis view of the internal jugular vein and surrounding structures in the right anterior neck. Triple lumen catheter is shown, differentiating between the 3 separate lumen (arrow). IJV, internal jugular vein; CA, carotid artery; SCM, sternocleidomastoid; SA, scalenus anterior.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Ultrasound-guided technique for central venous catheterization has been a widely developed procedure during the last decade. Nowadays, it is a common technique in the anaesthesiologist's clinical practice. During the last six years, we usually have carried out central venous catheterization using the ultrasound-guided technique in our hospital. Moreover, we use to check correct intravenous placement of the catheter by using the “real-time” or “dynamic” ultrasound technique. We think this is an important part of the procedure sometimes forgotten by the anaesthetist. This simple manoeuvre has some benefits: to verify the intravenous placement of the catheter, to confirm if the catheter remains fixed to the vessel wall and also to check the potential injure and haematoma caused to the vein. This manoeuvre does not require change in the position of the probe used for cannulation, the catheter can be verified when both, long or short axis, approaches are employed. If superficial vein cannulation is performed (femoral, internal jugular), an “out of plane” approach using the short axis is recommended (<a class="elsevierStyleCrossRefs" href="#fig0010">Figs. 2–3</a>), although long axis position of the probe is also useful for intravenous placement of the catheter. In case of deeper vein catheterization (subclavia, axillary), “in plane” approach using the long axis is more commonly suggested (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and the short axis position of the probe has poor results in order to confirm the catheter's position.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In addition, “real-time” ultrasound correct catheter placement confirmation technique is recommended by the main international guidelines of ultrasound vascular access. These guidelines propose this manoeuvre to ensure appropriate placement of the catheter and to assess for possible complications.</p><p id="par0015" class="elsevierStylePara elsevierViewall">We conclude that real-time ultrasound detection of correct intravenous placement of central venous catheters after ultrasound cannulation is a simple, effective and recommended method to verify the success of the ultrasound-guided technique, as well as a good practice to assess for potential complications.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 738 "Ancho" => 900 "Tamanyo" => 83879 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Long axis view of the subclavian vein and surrounding structures in the right infraclavicular fossa. Triple lumen catheter is shown, differentiating between the 3 separate lumen (arrow heads). SV, subclavian vein; SCT, subcutaneous cellular tissue; PM, pectoralis major; pm, pectoralis minor.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 960 "Ancho" => 1583 "Tamanyo" => 130778 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Short axis view of the femoral vein and surrounding structures in the right groin. Triple lumen catheter is shown, differentiating between the 3 separate lumen (arrow). FV, femoral vein; FA, femoral artery; SCT, subcutaneous cellular tissue; IL, inguinal ligament.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 673 "Ancho" => 900 "Tamanyo" => 77861 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Short axis view of the internal jugular vein and surrounding structures in the right anterior neck. Triple lumen catheter is shown, differentiating between the 3 separate lumen (arrow). IJV, internal jugular vein; CA, carotid artery; SCM, sternocleidomastoid; SA, scalenus anterior.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/00349356/0000006300000001/v1_201512230015/S0034935614002977/v1_201512230015/en/main.assets" "Apartado" => array:4 [ "identificador" => "7638" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00349356/0000006300000001/v1_201512230015/S0034935614002977/v1_201512230015/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935614002977?idApp=UINPBA00004N" ]
