Ultrasonographic guidance for all central venous catheter insertions: a 'desirable practice alternative,' or the new standard of care?

摘要

We commend Leung ec al for their randomized prospective study involving 13 physicians who performed 130 internal jugular central line insertions, demonstrating the value of ultrasonography as an adjunct to central line placement. At die same time, we are disappointed by the less than ringing endorsement in the editorial commentary by Sabbaj and Hedges, suggesting that "it is premature to universally accept the technique as the 'new standard of care.