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Ultrasound guided vascular access

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https://www.readbyqxmd.com/read/30085854/comparison-of-ultrasound-guided-and-landmark-based-techniques-for-central-venous-catheterization-via-the-external-jugular-vein-in-healthy-anesthetized-dogs
#1
Danielle M Hundley, Aimee C Brooks, Elizabeth J Thomovsky, Paula A Johnson, Lynetta J Freeman, Ryan M Schafbuch, Hock Gan Heng, George E Moore
OBJECTIVE To compare time to achieve vascular access (TTVA) between an ultrasound-guided technique (UST) and landmark-based technique (LMT) for central venous catheter (CVC) placement in healthy anesthetized dogs. ANIMALS 39 purpose-bred hounds. PROCEDURES Anesthetized dogs that were hemodynamically stable following completion of a terminal surgical exercise were enrolled in the study during 2 phases, with a 45-day intermission between phases. For each dog, a UST and LMT were used for CVC placement via each external jugular vein by 2 operators (criticalist and resident)...
June 2018: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/30053886/point-of-care-ultrasonography-in-the-pediatric-emergency-department
#2
REVIEW
Julien Le Coz, Silvia Orlandini, Luigi Titomanlio, Victoria Elisa Rinaldi
IMPORTANCE: Point-of-care ultrasonography (POCUS) allows to obtain real-time images to correlate with the patient's presenting signs and symptoms. It can be used by various specialties and may be broadly divided into diagnostic and procedural applications. OBJECTIVE: We aimed at reviewing current knowledge on the use of POCUS in Pediatric Emergency Departments (PEDs). FINDINGS: US diagnostic capacity in paediatric patients with suspected pneumonia has been studied and debated whereas literature regarding the usefulness of point-of-care echocardiography in the pediatric setting is still limited...
July 27, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/30037560/standard-long-iv-catheters-versus-extended-dwell-catheters-a-randomized-comparison-of-ultrasound-guided-catheter-survival
#3
Amit Bahl, Bophal Hang, Abigail Brackney, Steven Joseph, Patrick Karabon, Ammanee Mohammad, Ijeoma Nnanabu, Paul Shotkin
INTRODUCTION: Establishing peripheral intravenous (IV) access is a vital step in providing emergency care. Ten to 30% of Emergency Department (ED) patients have difficult vascular access (DVA). Even after cannulation, early failure of US-guided IV catheters is a common complication. The primary goal of this study was to compare survival of a standard long IV catheter to a longer extended dwell catheter. METHODS: This study was a prospective, randomized comparative evaluation of catheter longevity...
July 19, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30027548/evaluating-the-long-short-and-oblique-axis-approaches-for-ultrasound-guided-vascular-access-cannulation
#4
Yanji Lv, Haitao Liu, Pulin Yu, Guiyue Wang, Miao Liu, Yuhang Li, Hongliang Wang, Kaijiang Yu, Changsong Wang
BACKGROUND: Our goal was to conduct a network meta-analysis of randomized controlled trials to compare the effects of the long-axis (LAX), short-axis (SAX), and oblique-axis (OAX) ultrasound guidance approaches for vascular access cannulation. METHODS: We searched 5 databases, including the Cochrane Central Register of Controlled Trials in the Cochrane Library, Embase, MEDLINE, CINAHL, and Web of Science. Seven randomized clinical trials assessing ultrasound guidance for vascular access cannulation via the LAX, SAX, or OAX approach were included...
July 19, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/30017501/lightly-embalmed-cadavers-as-a-training-tool-for-ultrasound-guided-procedures-commonly-used-in-interventional-radiology
#5
Mary E Mollie Meek, James C Meek, Blake Hollowoa, Ruizong Li, Linda A Deloney, Kevin D Phelan
RATIONALE AND OBJECTIVES: Competency in ultrasound (US) imaging and US-guided procedures is often difficult for medical students and residents to master. The use of simulation training has been strongly encouraged but the quality of phantom models available for US-guided procedures is limited. As a feasible alternative, we describe the innovative use of a lightly embalmed cadaver for realistic practice of common interventional radiology (IR) procedures prior to direct patient care. MATERIALS AND METHODS: Lightly embalmed cadavers were positioned as patients would be in the IR suite: supine, prone, and erect seated position...
July 14, 2018: Academic Radiology
https://www.readbyqxmd.com/read/30010776/value-of-ultrasound-for-access-guidance-and-detection-of-subclinical-vascular-complications-in-the-setting-of-atrial-fibrillation-cryoballoon-ablation
#6
Erwin Ströker, Carlo de Asmundis, Kaspars Kupics, Ken Takarada, Giacomo Mugnai, Jeroen De Cocker, Dirk Stockman, Juan Sieira, Bruno Schwagten, Pedro Brugada, Yves De Greef, Gian Battista Chierchia
Aims: Vascular complications are the most common complications of atrial fibrillation (AF) ablation. Cryoballoon (CB) ablation for AF needs the insertion of a large 15 Fr sheath in the femoral vein. Our aim was to investigate the impact of vascular ultrasound (US) in guiding access and evaluating post-procedural subclinical complications in a large, multi-centre patient cohort that underwent CB ablation. Methods and results: A total cohort of 1435 consecutive patients were subdivided in 870 US -/-, 265 US -/+, and 300 US +/+ patients depending on US performance for: venipuncture guidance/post-procedural evaluation...
July 11, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29886442/ultrasound-guided-versus-landmark-approach-for-peripheral-intravenous-access-by-critical-care-nurses-a-randomised-controlled-study
#7
Céline Bridey, Nathalie Thilly, Thomas Lefevre, Adeline Maire-Richard, Maxime Morel, Bruno Levy, Nicolas Girerd, Antoine Kimmoun
OBJECTIVE: Establishing a peripheral intravenous catheter (PIVC) after a long intensive care unit (ICU) stay can be a challenge for nurses, as these patients may present vascular access issues. The aim of this study was to compare an ultrasound-guided method (UGM) versus the landmark method (LM) for the placement of a PIVC in ICU patients who no longer require a central intravenous catheter (CIVC). DESIGN: Randomised, controlled, prospective, open-label, single-centre study...
June 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29874904/endoscopic-ultrasound-guided-portal-pressure-measurement-and-interventions
#8
Jason B Samarasena, Kenneth J Chang
A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic intrahepatic portosystemic shunt creation and portal vein sampling for the evaluation in gastrointestinal cancer. The following article reviews the different devices and techniques employed in these applications.
May 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/29808325/use-of-ultrasound-in-male-infertility-appropriate-selection-of-men-for-scrotal-ultrasound
#9
REVIEW
Joseph M Armstrong, Sorena Keihani, James M Hotaling
PURPOSE OF REVIEW: Male factor infertility is a complex and multifaceted problem facing the modern urologist and is identified in 30-40% of infertile couples. This review focuses on the use of ultrasound, as an adjunct screening tool, in the initial evaluation of male infertility. RECENT FINDINGS: Access to male reproductive urologist for assessment of male infertility is limited and about a quarter of infertile couples do not complete the male component in their infertility assessment...
May 28, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29756705/ultrasound-guided-vascular-cannulation-experience-in-critically-ill-pediatric-patients
#10
José M López Álvarez, Olivia Pérez Quevedo, Teresa Ramírez Lorenzo, José M Limiñana Cañal, Juan F Loro Ferrer
INTRODUCTION: Central vascular cannulation in children is a highly complex technique and poses many difficulties. Vascular ultrasound can make this procedure easier. OBJECTIVE: To describe the characteristics of ultrasound-guided vascular cannulation in critically-ill pediatric patients. POPULATION AND METHODS: Outcome measures prospectively recorded were vessels most frequently cannulated, their localization, the measurement of their diameter/depth, the success rate and complications developed, among others...
June 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29683822/the-brachiocephalic-vein-as-a-safe-and-viable-alternative-to-internal-jugular-vein-for-central-venous-cannulation
#11
Paolo Federico Beccaria, Simona Silvetti, Rosalba Lembo, Giovanni Landoni, Giacomo Monti, Massimo Zambon, Daniela Mamo, Alberto Zangrillo
BACKGROUND: Although many studies have compared success and complication rates for central line insertion sites with and without ultrasound, few have examined the use of the brachiocephalic vein for central venous access. The aim of this study was to describe the brachiocephalic vein as an alternative site for elective ultrasound vascular cannulation in adults, and to compare it with the more commonly used internal jugular vein site in terms of procedural difficulties, first pass failure rate, overall failure rate, and safety...
July 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29683200/posterior-wall-punctures-between-long-and-short-axis-techniques-in-a-phantom-intravenous-model
#12
Darien Davda, David Schrift
OBJECTIVES: To determine whether a long-axis, in-plane approach to ultrasound-guided vascular access produces fewer posterior wall punctures than a short-axis, out-of-plane approach when attempted by novices without prior ultrasound-guided procedural experience. METHODS: Participants were randomized to perform either technique on a ballistic gel-based phantom in a randomized controlled trial. They were then crossed over to repeat the experiment using the alternative approach...
April 23, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29678651/post-general-anesthesia-ultrasound-guided-venous-mapping-increases-autogenous-access-placement-rates
#13
C Y Maximilian Png, Adam Korayem, David J Finlay
BACKGROUND: This study investigates the impact of introducing a post-general anesthesia ultrasound (PAUS) mapping on the type of vascular access chosen for hemodialysis in patients without previous accesses. METHODS: Two hundred three of 297 consecutive patients met inclusion criteria and were reviewed. Within-subjects analysis was performed on patients with both an outpatient ultrasound-guided vein mapping and a PAUS using sign tests and Wilcoxon signed rank tests...
August 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29651905/the-intracavitary-electrocardiography-method-for-tip-location-of-jugular-internal-vein-access-device-in-infants-of-less-than-5-kg-a-pilot-study
#14
Rossella Mastroianni, Antonella Capasso, Gaetano Ausanio
PURPOSE: This is a prospective observational study conducted by neonatologists in neonatal intensive care unit from Sant'Anna and San Sebastiano Hospital, Caserta, Italy. The objective of the study is to verify the feasibility of intracavitary electrocardiography method for tip location of central venous access device in infants of less than 5 kg and evaluate the accuracy of the method in comparison with post-procedural echocardiographical verification of the tip position. PATIENTS AND METHODS: We enrolled 27 patients weighted between 0...
April 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29642728/tunnelling-a-midline-catheter-when-the-traffic-light-shifts-from-yellow-to-green
#15
Adam Fabiani, Lorella Dreas, Gianfranco Sanson
INTRODUCTION: A safe, largely used practice for difficult venous access patients is positioning a catheter in deeper veins under ultrasound guide. However, the risk of complications is increased when there is a high catheter-to-vein ratio or when the insertion site is in a zone with particular anatomical/physiological characteristics. CASE DESCRIPTION: A 60-year-old woman admitted to a post-operative intensive care unit after cardiac surgery had a complicated post-operative course...
April 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29583101/safety-of-percutaneous-axillary-artery-access-with-a-suture-mediated-closing-device-for-parallel-endograft-aortic-procedures-a-retrospective-pilot-study
#16
Gilbert Dominique Puippe, Adrian Kobe, Zoran Rancic, Roger Pfiffner, Mario Lachat, Thomas Pfammatter
BACKGROUND: The aim of this study was to evaluate the technical success of percutaneous ultrasound-guided access to the infraclavicular axillary artery with a suture-mediated closing device for patients requiring large-sized upper extremity access. PATIENTS AND METHODS: In 18 consecutive patients (17 male, one female, mean age 73.5 ± 9.6 years, range 52-88 years), artery accesses with the preclosing modification for chimney endografts was gained with 20 ultrasound-guided infraclavicular axillary...
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
https://www.readbyqxmd.com/read/29545458/can-we-successfully-teach-novice-junior-doctors-basic-interventional-ultrasound-in-a-single-focused-training-session
#17
Grace Frances Mary McKay, Asoka Weerasinghe
BACKGROUND: Ultrasonography is recognised as an invaluable imaging modality for assessing critically unwell patients and obtaining vascular access. Senior emergency medicine and anaesthetic clinicians will regularly use ultrasound-guided imaging to establish vascular access for unwell patients; however, junior doctors, who are routinely the first clinicians to review deteriorating patients, are not encouraged or required to develop basic ultrasound interventional skills and are therefore ill equipped to use ultrasonography...
May 2018: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29529917/ultrasound-guided-intravenous-access-in-adults-using-sonostik-%C3%A2-a-novel-encapsulated-sterile-guidewire-a-prospective-cohort-trial
#18
Keith S Boniface, Maxine A LeSaux, Sohaib Mandoorah, Amit Patel, Kai L Neander, Hamid Shokoohi
PURPOSE: We evaluated the performance of an encapsulated guidewire designed for single-handed use with ultrasound-guided vascular access (SonoStik) with Seldinger technique, as compared with conventional intravenous catheters placed under ultrasound guidance in healthy subjects. METHODS: This is a prospective cohort trial in healthy subjects in which each subject served as his/her own control by having a SonoStik ultrasound intravenous cannulation placed in one arm and a conventionally placed, standard ultrasound intravenous cannulation placed in the other arm...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29529915/combining-ultrasound-guided-vascular-access-with-ultrasound-guided-analgesia-for-single-skin-and-vessel-puncture
#19
Timothy E Murray, Damien C O'Neill, Michael J Lee
PURPOSE: To describe a single skin puncture technique combining subcutaneous injection of anesthetic to the depth of the vessel wall with venipuncture in the same movement. TECHNIQUE: Using ultrasound guidance, controlled anesthetic instillation along the needle tract and outer vessel wall with a 21-G vascular access needle can be combined with vessel puncture. This technique reduces the number of skin punctures and ensures accurate anesthetic instillation. The maximum inadvertent intravascular dose of commercial local anesthetic preparations that can be delivered with a small syringe is far below toxicity thresholds...
June 2018: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29516242/addressing-infra-popliteal-thrombus-in-iliofemoral-dvt-the-criss-cross-technique
#20
Duarte C Rego, Ahmed Khairy Sayed Ahmed, Gerard J O'Sullivan
PURPOSE: The purpose of this work was to describe the results of a technique of simultaneous antegrade and retrograde vascular access ("criss-cross") to the popliteal vein to achieve venous recanalization in patients with acute, extensive, iliofemoral DVT with concomitant popliteal and calf vein thrombosis. MATERIALS AND METHODS: Seven patients were treated using this technique, in three patients as a bailout option after failed posterior tibial vein puncture and in four as a first option...
July 2018: Cardiovascular and Interventional Radiology
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