Apport de l'échographie pour la mise en place des cathéters veineux centraux

The use of central venous catheters (CVC) is common in intensive care. Traditionally, they are inserted by using surface anatomical landmarks. In recent years, two-dimensional imaging ultrasound guidance has become the reference of adult and child internal jugular CVC insertion, and could become the reference for subclavian and femoral veins, as well as, in children little weight. The ultrasound guided puncture should be considered in most clinical circumstances where CVC insertion is necessary. Given these developments, the operator must maintain their ability to use landmark method (for all situations where the equipment is unavailable, emergencies…) and acquired ultrasound-guided technique.