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https://www.readbyqxmd.com/read/27168888/an-assessment-tool-for-the-placement-of-ultrasound-guided-peripheral-intravenous-access
#1
Julie Rice, Amanda Crichlow, Marrissa Baker, Linda Regan, Adam Dodson, Yu-Hsiang Hsieh, Rodney Omron
Background Ultrasound-guided peripheral intravenous line (USGPIV) placement is becoming an important tool in current clinical practice. Many residency programs utilize unstructured clinical observation to evaluate residents in this and other procedural skills. Simulation-based assessment permits educators to make objective, standardized observations, and may be ideal for assessment of important procedural competencies. Objective We created a simulation-based assessment tool for the skill of USGPIV placement...
May 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/22795988/decrease-in-central-venous-catheter-placement-due-to-use-of-ultrasound-guidance-for-peripheral-intravenous-catheters
#2
MULTICENTER STUDY
Arthur K Au, Masashi J Rotte, Robert J Grzybowski, Bon S Ku, J Matthew Fields
STUDY OBJECTIVES: Obtaining intravenous (IV) access in the emergency department (ED) can be especially challenging, and physicians often resort to placement of central venous catheters (CVCs). Use of ultrasound-guided peripheral IV catheters (USGPIVs) can prevent many "unnecessary" CVCs, but the true impact of USGPIVs has never been quantified. This study set out to determine the reduction in CVCs by USGPIV placement. METHODS: This was a prospective, observational study conducted in 2 urban EDs...
November 2012: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/22078967/the-effect-of-vessel-depth-diameter-and-location-on-ultrasound-guided-peripheral-intravenous-catheter-longevity
#3
J Matthew Fields, Anthony J Dean, Raleigh W Todman, Arthur K Au, Kenton L Anderson, Bon S Ku, Jesse M Pines, Nova L Panebianco
INTRODUCTION: Ultrasound-guided peripheral intravenous catheters (USGPIVs) have been observed to have poor durability. The current study sets out to determine whether vessel characteristics (depth, diameter, and location) predict USGPIV longevity. METHODS: A secondary analysis was performed on a prospectively gathered database of patients who underwent USGPIV placement in an urban, tertiary care emergency department. All patients in the database had a 20-gauge, 48-mm-long catheter placed under ultrasound guidance...
September 2012: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/21867495/can-we-make-the-basilic-vein-larger-maneuvers-to-facilitate-ultrasound-guided-peripheral-intravenous-access-a-prospective-cross-sectional-study
#4
Simon A Mahler, Greta Massey, Liliana Meskill, Hao Wang, Thomas C Arnold
BACKGROUND: Studies have shown that vein size is an important predictor of successful ultrasound-guided vascular access. The objective of this study is to evaluate maneuvers designed to increase basilic vein size, which could be used to facilitate ultrasound-guided peripheral intravenous access (USGPIV) in the Emergency Department (ED) setting. METHODS: This was a prospective non-randomized trial. Healthy volunteers aged 18-65 were enrolled. Basilic veins were identified and the cross-sectional area measured sonographically...
2011: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/20951527/short-vs-long-axis-approach-to-ultrasound-guided-peripheral-intravenous-access-a-prospective-randomized-study
#5
RANDOMIZED CONTROLLED TRIAL
Simon A Mahler, Hao Wang, Chadwick Lester, Janice Skinner, Thomas C Arnold, Steven A Conrad
OBJECTIVE: The objective of the study was to determine if the short-axis approach and long-axis approach to ultrasound-guided peripheral intravenous access (USGPIV) differ in success rate, catheter insertion time, and number of needle sticks. METHODS: A convenience sample of emergency department patients aged 18 to 65 years with difficult IV access (2 or more failed landmark attempts) was prospectively randomized to short-axis or long-axis USGPIV. Time from skin puncture to catheter insertion (insertion time) and number of needle sticks were recorded...
November 2011: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/19303241/ultrasound-guided-peripheral-intravenous-access-in-the-emergency-department-using-a-modified-seldinger-technique
#6
Simon A Mahler, Hao Wang, Chad Lester, Steven A Conrad
BACKGROUND: The utility of ultrasound-guided peripheral intravenous access (USGPIV) has been well described. However, few studies have investigated USGPIV techniques. OBJECTIVES: To describe a modified Seldinger technique for USGPIV. METHODS: Emergency Department patients with difficult i.v. access (three or more failed landmark attempts) were prospectively enrolled. USGPIV was attempted using modified Seldinger technique. A 20-gauge, 3.81-cm catheter with integral wire was used for all procedures...
September 2010: Journal of Emergency Medicine
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