Is Bedside Ultrasonography Rapid and Accurate for Confirmation of Central Venous Catheter Position and Exclusion of Pneumothorax Compared With Chest Radiograph?

The authors identified 15 articles (13 full studies and 2 abstracts) reporting 1,553 central venous catheter insertions (subclavian or internal jugular) among 1,511 patients and included 1,469 central venous catheter insertions with 258 cases of catheter malposition in the meta-analysis. No studies demonstrated low risk of bias, with 9 studies demonstrating high risk of bias because of inconsistent data reporting. Ten studies reported central venous catheter malposition and pneumothorax, whereas 5 reported only central venous catheter malposition.

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