ArticleIndian journal of anaesthesia2026
Right supraclavicular fossa ultrasound view for real-time central venous catheter tip positioning in adult patients: A systematic review.
Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Background and Aims: Central venous catheter (CVC) tip placement within the lower third of the superior vena cava or at the cavo-atrial junction is vital to avoid complications. Chest radiograph (CXR), the standard for post-procedural confirmation, has limitations, including radiation exposure and delay in malposition diagnosis. Ultrasonography (USG) enables real-time tip confirmation. This review aimed to consolidate evidence on the use of right supraclavicular fossa ultrasound view in CVC tip position confirmation in adult patients using radiographic imaging as a reference. Methods: A systematic literature search of Medline via Pubmed, Scopus, Google Scholar, and ResearchGate was conducted from database inception until 14 May 2024. Eligible studies included adults undergoing USG-guided CVC insertion, comparing real-time right supraclavicular fossa ultrasonographic view with CXR or fluoroscopy for optimum CVC tip positioning. Outcomes included correct CVC placement, malposition detection, malposition correction, and complications. Results: From 1,865 records, five observational studies met the inclusion criteria (sample size: 252). Correct CVC tip positioning was confirmed radiographically in 99.16% of the cases. Three studies reported a pooled malposition rate of 7.89% using the right supraclavicular fossa ultrasound view. Among the pooled malpositions, 87.33% were corrected intra-procedurally using the right supraclavicular fossa ultrasonographic view. No complications occurred during repositioning. Conclusion: The right supraclavicular fossa ultrasound view appears to be useful in real-time confirmation of CVC tip position and facilitates intra-procedural correction of malposition. However, the findings are limited by the small overall sample size, heterogeneity among included studies, and the absence of diagnostic accuracy.
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