The PERSEUS guidelines, recently released by the European Society of Anaesthesiology and Intensive Care (ESAIC), recommend a global use of ultrasound to assist all steps of central venous...
Guidance Technologies
You can find all the articles linked to Guidance Technologies in this page.
Ultrasound in the placement of PICCs and midlines
As the GAVeCeLT group (1) stated in their manual on PICCs and midlines regarding the evolution of PICC use, the introduction of ultrasound in the 2000s has been a breakthrough in the field. In this...
Introduction of ECG tip location into practice: A testimonial of Nicola Wyllie
This article discusses the implementation of electrocardiogram tip location (ECG TLS) for the confirmation of central venous catheter tip position. The author works within a nurse led vascular...
PICC placement in patients with Atrial Fibrillation
Since the late 1980s, Dr Pittiruti and Dr LaGreca of the Fondazione Policlinico Universitario Agostino Gemelli in Rome have been researching the possibility of using ECG to locate the tip of a PICC. In 1989, they studied the feasibility of analysing the TQ segment to use this system in patients with atrial fibrillation.
How to locate the tip of a PICC
Today, the peripherally inserted central catheter, PICC, is a widely used vascular acces device. Its use is spreading, thanks to a simple and fast insertion technique. This allows nursing teams to...




