Ultrasound guidance practices used for the placement of vascular accesses in intensive care units: an observational multicentre study

doi:10.1186/s40001-023-01518-4

Observational Study

. 2023 Nov 16;28(1):528.

doi: 10.1186/s40001-023-01518-4.

Ultrasound guidance practices used for the placement of vascular accesses in intensive care units: an observational multicentre study

Nathalie van der Mee-Marquet¹, Anne-Sophie Valentin², Isabelle Duflot², Mathilde Farizon², Agnès Petiteau²; collaboration group SPIADI

Collaborators, Affiliations

Collaborators

collaboration group SPIADI:
Alexandra Allaire, Elise Balestrat Sovic, Frédéric Barbut, Patrick Barthelemy, Pierre Berger, Marie-Camille Betti, Mathilde Blanié, Isabelle Cattaneo, Agnès Cecille, Hiba Chakaroun, Anne-Clémence Cholley, Marion David, Aude Davy, Joël Delhomme, Catherine Duval, Stéphanie Edouard, Laure Gabriele, Séverine Gallais, Colette Gerbier, Gilles Manquat, Valérie Goldstein, Florence Gourdon, Sylvie Joron, Anne-Marie Kayoulou-Bour, Gratienne Laethem, Florence Lemann, Martine Lemenager, Marie-Laure Lier, Malcie Mesnil, Nadine Mertel, Virginie Morange, Benoit Mottet, Stella Niot, Souad Ouzani, Christophe Perdrix, Amélie Renaud, Clémence Richaud, Catherine Rougier, Maryline Tarsac, Myriam Venelle, Isabelle Vidal

Affiliations

¹ National Network for Surveillance and Prevention of Infections Associated with Invasive Devices (SPIADI Network), Centre d'Appui Pour la Prévention des Infections Associées Aux Soins (Cpias) Centre Val de Loire, Hôpital Bretonneau, Centre Hospitalier Régional Universitaire, 37044, Tours, France. n.vandermee@chu-tours.fr.
² National Network for Surveillance and Prevention of Infections Associated with Invasive Devices (SPIADI Network), Centre d'Appui Pour la Prévention des Infections Associées Aux Soins (Cpias) Centre Val de Loire, Hôpital Bretonneau, Centre Hospitalier Régional Universitaire, 37044, Tours, France.

PMID: 37974277
PMCID: PMC10652560
DOI: 10.1186/s40001-023-01518-4

Observational Study

Ultrasound guidance practices used for the placement of vascular accesses in intensive care units: an observational multicentre study

Nathalie van der Mee-Marquet et al. Eur J Med Res. 2023.

. 2023 Nov 16;28(1):528.

doi: 10.1186/s40001-023-01518-4.

Authors

Nathalie van der Mee-Marquet¹, Anne-Sophie Valentin², Isabelle Duflot², Mathilde Farizon², Agnès Petiteau²; collaboration group SPIADI

Collaborators

collaboration group SPIADI:
Alexandra Allaire, Elise Balestrat Sovic, Frédéric Barbut, Patrick Barthelemy, Pierre Berger, Marie-Camille Betti, Mathilde Blanié, Isabelle Cattaneo, Agnès Cecille, Hiba Chakaroun, Anne-Clémence Cholley, Marion David, Aude Davy, Joël Delhomme, Catherine Duval, Stéphanie Edouard, Laure Gabriele, Séverine Gallais, Colette Gerbier, Gilles Manquat, Valérie Goldstein, Florence Gourdon, Sylvie Joron, Anne-Marie Kayoulou-Bour, Gratienne Laethem, Florence Lemann, Martine Lemenager, Marie-Laure Lier, Malcie Mesnil, Nadine Mertel, Virginie Morange, Benoit Mottet, Stella Niot, Souad Ouzani, Christophe Perdrix, Amélie Renaud, Clémence Richaud, Catherine Rougier, Maryline Tarsac, Myriam Venelle, Isabelle Vidal

Affiliations

¹ National Network for Surveillance and Prevention of Infections Associated with Invasive Devices (SPIADI Network), Centre d'Appui Pour la Prévention des Infections Associées Aux Soins (Cpias) Centre Val de Loire, Hôpital Bretonneau, Centre Hospitalier Régional Universitaire, 37044, Tours, France. n.vandermee@chu-tours.fr.
² National Network for Surveillance and Prevention of Infections Associated with Invasive Devices (SPIADI Network), Centre d'Appui Pour la Prévention des Infections Associées Aux Soins (Cpias) Centre Val de Loire, Hôpital Bretonneau, Centre Hospitalier Régional Universitaire, 37044, Tours, France.

PMID: 37974277
PMCID: PMC10652560
DOI: 10.1186/s40001-023-01518-4

Abstract

Background: Central catheters expose ICU patients at risk of catheter-related bloodstream infections. A mechanism by which these infections occur is the contamination of the catheter during its insertion if aseptic techniques are not strictly applied. Recent studies suggest that the use of ultrasound guidance (USG) may increase the risk of catheter contamination during insertion. We assessed current practices regarding the use of USG during catheter insertion, with a focus on identifying breaches of the surgical asepsis required for this invasive procedure.

Methods: In 26 intensive care units, we evaluated the use of USG during catheter insertion, using a questionnaire addressed to intensivists and direct observation of their practices.

Results: We analyzed 111 questionnaires and 36 observations of intensivists placing catheters. The questionnaires revealed that 88% of intensivists used USG for catheter insertion. Among those using USG, 56% had received specific training, 17% benefited from specific recommendations, 76% marked the insertion site before skin antisepsis, and during catheter insertion, 96% used sterile gel and 100% used a sterile sheath and sterile gloves. We identified potential deviations from strict aseptic technique, including contact between the sheath and the needle (19.4%), handling of the US system during catheter insertion (2.8%), and use of sterile devices, where they were not yet necessary (during the marking site or skin antisepsis), resulting in their contamination at the time of catheter insertion.

Conclusions: Interventions aimed at ensuring compliance with measures to prevent CRBs should be organized to prevent an increase in infections associated with US-guided catheter insertion.

Keywords: Arterial catheter; Dialysis catheter; Improvement of practices; Infectious risk; Intensive care unit; Long-lasting peripheral venous catheters; Peripheral inserted central catheter; Short-term central venous catheter; Ultrasound guidance.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Cited by

Assessing infection related to short-term central venous catheters in the perioperative setting.
Becerra-Bolaños Á, Domínguez-Díaz Y, Trujillo-Morales H, Cabrera-Doreste S, Padrón-Ruiz O, Valencia-Sola L, Ojeda-Betancor N, Rodríguez-Pérez A. Becerra-Bolaños Á, et al. Sci Rep. 2025 Jan 10;15(1):1642. doi: 10.1038/s41598-025-85836-z. Sci Rep. 2025. PMID: 39794468 Free PMC article.

References

1. Mermel LA, Farr BM, Sherertz RJ, Raad II, O'Grady N, Harris JS, Craven DE. Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis. 2001;32(9):1249–1272. doi: 10.1086/320001. - DOI - PubMed
1. Société Française d’Hygiène Hospitalière. Prévention des infections liées aux cathéters périphériques vasculaires et sous-cutanés. HygieneS 2019. XXVII;2. https://www.sf2h.net/publications/prevention-des-infections-lies-aux-cat...
1. US Centers for Disease Control and Prevention. CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections. Updated 2017. https://www.cdc.gov/infectioncontrol/guidelines/bsi/recommendations.html. Accessed 1 July 2021.
1. Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect. 2009;73(4):305–315. doi: 10.1016/j.jhin.2009.04.019. - DOI - PubMed
1. Soni NJ, Reyes LF, Keyt H, et al. Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists. J Crit Care. 2016;36:277–283. doi: 10.1016/j.jcrc.2016.07.014. - DOI - PubMed

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources

[1] Mermel LA, Farr BM, Sherertz RJ, Raad II, O'Grady N, Harris JS, Craven DE. Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis. 2001;32(9):1249–1272. doi: 10.1086/320001. - DOI - PubMed

[2] Mermel LA, Farr BM, Sherertz RJ, Raad II, O'Grady N, Harris JS, Craven DE. Guidelines for the management of intravascular catheter-related infections. Clin Infect Dis. 2001;32(9):1249–1272. doi: 10.1086/320001. - DOI - PubMed

[3] Société Française d’Hygiène Hospitalière. Prévention des infections liées aux cathéters périphériques vasculaires et sous-cutanés. HygieneS 2019. XXVII;2. https://www.sf2h.net/publications/prevention-des-infections-lies-aux-cat...

[4] Société Française d’Hygiène Hospitalière. Prévention des infections liées aux cathéters périphériques vasculaires et sous-cutanés. HygieneS 2019. XXVII;2. https://www.sf2h.net/publications/prevention-des-infections-lies-aux-cat...

[5] US Centers for Disease Control and Prevention. CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections. Updated 2017. https://www.cdc.gov/infectioncontrol/guidelines/bsi/recommendations.html. Accessed 1 July 2021.

[6] US Centers for Disease Control and Prevention. CDC Guidelines for the Prevention of Intravascular Catheter-Related Infections. Updated 2017. https://www.cdc.gov/infectioncontrol/guidelines/bsi/recommendations.html. Accessed 1 July 2021.

[7] Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect. 2009;73(4):305–315. doi: 10.1016/j.jhin.2009.04.019. - DOI - PubMed

[8] Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect. 2009;73(4):305–315. doi: 10.1016/j.jhin.2009.04.019. - DOI - PubMed

[9] Soni NJ, Reyes LF, Keyt H, et al. Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists. J Crit Care. 2016;36:277–283. doi: 10.1016/j.jcrc.2016.07.014. - DOI - PubMed

[10] Soni NJ, Reyes LF, Keyt H, et al. Use of ultrasound guidance for central venous catheterization: a national survey of intensivists and hospitalists. J Crit Care. 2016;36:277–283. doi: 10.1016/j.jcrc.2016.07.014. - DOI - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Ultrasound guidance practices used for the placement of vascular accesses in intensive care units: an observational multicentre study

Collaborators

Affiliations

Ultrasound guidance practices used for the placement of vascular accesses in intensive care units: an observational multicentre study

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources