CRITICAL CARE - ADULTS / SPECIAL ARTICLE
Central venous cannulation in critically ill patients: guidelines of the Polish Society of Anaesthesiology and Intensive Therapy
1
2nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Poland
2
Department of Anesthesiology and Intensive Care, Institute of Medical Sciences, University of Opole, Poland
3
Clinical Department of Gynecology, Gynecologic Oncology and Reproduction, National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland
4
Department of Anaesthesiology and Intensive Care, Medical University of Gdansk, Poland
5
Department of Anaesthesiology and Intensive Care, Regional Hospital in Gorzow Wielkopolski, Poland
6
Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences in Zabrze, Medical University of Silesia
in Katowice, Zabrze, Poland
7
Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
8
Department of Anaesthesiology and Intensive Care Education, Medical University of Warsaw, Poland
9
Centre for Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Krakow, Poland
10
Clinic of Intensive Care and Anesthesiology, 5th Military Clinical Hospital with Polyclinic in Krakow, Poland
Submission date: 2026-03-03
Acceptance date: 2026-04-07
Publication date: 2026-05-21
Corresponding author
Mateusz Zawadka
2nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland
2nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland
Anaesthesiol Intensive Ther 2026;58(1):84-105
KEYWORDS
catheterizationcentral venousultrasonographycritical illnessintensive care unitspractice guidelines as topicvascular access devices
TOPICS
ABSTRACT
These guidelines provide evidence-based recommendations for central venous cannulation in critically ill patients in the intensive care unit. The document was developed by the Working Group of the Polish Society of Anaesthesiology and Intensive Therapy (Polskie Towarzystwo Anestezjologii i Intensywnej Terapii – PTAiIT) based on the GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology, which encompasses systematic reviews of the literature, meta-analyses, and – in the absence of sufficient data – expert consensus. These guidelines aim to standardise the approach to central venous cannulation, increase the effectiveness of procedures, and minimise the risk of complications. The guidelines address pre-procedural ultrasound assessment, selection of the optimal vascular access site, comparison of ultrasound-guided versus landmark cannulation at different access sites, confirmation of catheter position after cannulation, and the role of positional manoeuvres.
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| eISSN: | 1731-2531 |
| ISSN: | 1642-5758 |
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