The AHRQ recently published an update to its landmark 2001 report, Making Health Care Safer: A Critical Analysis of Patient Safety Practices (AHRQ Evidence Report No. 43). The updated 2013 report analyzed a growing body of patient safety research to determine the level of evidence regarding the outcomes, as well as implementation, adoption, and the context in which safety strategies have been used. After analyzing 41 patient safety practices, an international panel of patient safety experts identified 22 safety practices which were deemed ready for adoption and ten were selected as “strongly encouraged” for adoption based on the strength and quality of evidence. Number nine on that list was “Use of real-time ultrasound for central line placement.”
The transducer is positioned in a long axis over the selected vein. The vessel is visualized straight across the screen. The needle is placed at the center of the transducer in-line with the ultrasound beam and the trajectory of the vessel with the bevel up.