OBJECTIVES: The purpose of this meta-analysis was to determine the sensitivity, specificity, and positive and negative predictive values of contrast-enhanced ultrasound (US) for confirming the tip location and placement of central venous catheters in adult patients. METHODS: A systematic review was performed using electronic databases, including MEDLINE, ClinicalTrials.gov, Cochrane, Embase, PubMed, and Scopus. Inclusion criteria were studies conducted on adult patients receiving an internal jugular or a subclavian central venous catheter in the emergency department or intensive care unit. Furthermore, the catheter tip location had to be checked with the use of the agitated saline contrast-enhanced US technique. RESULTS: A total of 2245 articles were screened by title and abstract. Seventeen articles were retrieved and assessed for the predefined inclusion criteria. Four articles and 1 abstract were used in the final analysis. Contrast-enhanced US showed pooled sensitivity of 72% (95% confidence interval, 44%-91%), pooled specificity of 100% (95% confidence interval, 99%-100%), a positive predictive value of 92.1%, and a negative predictive value of 98.5% compared with chest radiography for confirming the placement of central venous catheters. CONCLUSIONS: In the setting of central venous catheter placement, postprocedural contrast-enhanced US imaging is a safe, efficient, and highly specific confirmatory test for the catheter tip location compared with chest radiography.
OBJECTIVES: The purpose of this meta-analysis was to determine the sensitivity, specificity, and positive and negative predictive values of contrast-enhanced ultrasound (US) for confirming the tip location and placement of central venous catheters in adult patients. METHODS: A systematic review was performed using electronic databases, including MEDLINE, ClinicalTrials.gov, Cochrane, Embase, PubMed, and Scopus. Inclusion criteria were studies conducted on adult patients receiving an internal jugular or a subclavian central venous catheter in the emergency department or intensive care unit. Furthermore, the catheter tip location had to be checked with the use of the agitated saline contrast-enhanced US technique. RESULTS: A total of 2245 articles were screened by title and abstract. Seventeen articles were retrieved and assessed for the predefined inclusion criteria. Four articles and 1 abstract were used in the final analysis. Contrast-enhanced US showed pooled sensitivity of 72% (95% confidence interval, 44%-91%), pooled specificity of 100% (95% confidence interval, 99%-100%), a positive predictive value of 92.1%, and a negative predictive value of 98.5% compared with chest radiography for confirming the placement of central venous catheters. CONCLUSIONS: In the setting of central venous catheter placement, postprocedural contrast-enhanced US imaging is a safe, efficient, and highly specific confirmatory test for the catheter tip location compared with chest radiography.
Authors: Enyo A Ablordeppey; Anne M Drewry; Daniel L Theodoro; LinLin Tian; Brian M Fuller; Richard T Griffey Journal: Shock Date: 2019-05 Impact factor: 3.454
Authors: Enyo A Ablordeppey; Adam M Koenig; Abigail R Barker; Emily E Hernandez; Suzanne M Simkovich; James G Krings; Derek S Brown; Richard T Griffey Journal: West J Emerg Med Date: 2022-09-15
Authors: Enyo A Ablordeppey; Anne M Drewry; Adam L Anderson; Diego Casali; Laura A Wallace; Deborah S Kane; LinLin Tian; Stacey L House; Brian M Fuller; Richard T Griffey; Daniel L Theodoro Journal: AEM Educ Train Date: 2020-10-13
Authors: Quincy K Tran; Mark Foster; Justin Bowler; Mia Lancaster; Jennifer Tchai; Katie Andersen; Ann Matta; Daniel J Haase Journal: Heliyon Date: 2020-01-07