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Table 4 Round 3 results

From: Canadian Internal Medicine Ultrasound (CIMUS) consensus statement: recommendations for mandatory ultrasound competencies for ultrasound-guided thoracentesis, paracentesis, and central venous catheterization

Competency

Mandatory, no. (%)

Optional, no. (%)

Superfluous, no. (%)

Thoracentesis

   

 Ruling out vasculature (e.g. intercostal vessels)

8/27 (30)

18/27 (67)

1/27(4)

 Assessing for pneumothorax pre- and post-

3/27 (11)

20/27 (74)*

4/27 (15)

 Pleural effusion size estimation

1/26 (4)

8/26 (31)

17/26 (65)

Paracentesis

   

 Assessment to include compression to ensure depth of fluid collection remains sufficient

21/27 (77)*

5/27 (19)

1/27 (4)

Central venous catheterization (CVC)

   

 Assessment to include ruling out deep vein thrombosis (in the access site vein, not thrombosis in the legs)

19/27 (70)*

8/27 (30)

0

 Subclavian CVC: real-time guidance

6/23 (26)

14/23 (61)

3/23 (13)

Subclavian CVC: indirect guidance

2/23 (9)

16/23 (69.6)

5/23 (22)

 Assessment to include confirming catheter is intra-vein with ultrasound

2/27 (7)

23/27 (85)*

2/27 (7)

 Assessing for pneumothorax pre- and post-

4/27 (15)

19/27 (70)*

4/27 (15)

  1. *Consensus achieved