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Ultrasound venipuncture

Francisco Matias, Edgar Semedo, Cláudia Carreira, Paula Pereira
BACKGROUND AND OBJECTIVES: Central venous catheterization of the internal jugular vein is a commonly performed invasive procedure associated with a significant morbidity and even mortality. Ultrasound-guided methods have shown to improve significantly the success of the technique and are recommended by various scientific societies, including the American Society of Anesthesiologists. The aim of this report is to describe an innovative ultrasound-guided central line placement of the internal jugular vein...
September 17, 2016: Revista Brasileira de Anestesiologia
Masatoshi Shiono, Shin Takahashi, Masanobu Takahashi, Takuhiro Yamaguchi, Chikashi Ishioka
BACKGROUND: We conducted a nationwide questionnaire-based survey to understand the current situation regarding central venous port implantation in order to identify the ideal procedure. METHODS: Questionnaire sheets concerning the number of implantation procedures and the incidence of complications for all procedures completed in 2012 were sent to 397 nationwide designated cancer care hospitals in Japan in June 2013. Venipuncture sites were categorized as chest, neck, upper arm, forearm, and others...
June 21, 2016: International Journal of Clinical Oncology
Sofie Thorn, Nigopan Gopalasingam, Thomas Fichtner Bendtsen, Lars Knudsen, Erik Sloth
PURPOSE: Vein punctures are performed daily to sample blood. Ultrasound (US) offers an alternative to the blind landmark technique for difficult vascular access. A challenge for this procedure is the presence of US gel in the puncture area. We present a technique for US-guided puncture from extremity veins not palpable or visible to the human eye, while keeping the puncture area dry and gel-free. METHODS: Ten healthy volunteers underwent two US-guided vein punctures from veins that were neither palpable nor visible...
May 7, 2016: Journal of Vascular Access
Se-Chan Kim, Ingo Gräff, Alexandra Sommer, Andreas Hoeft, Stefan Weber
PURPOSE: The ultrasound-guided central venous catheter (CVC) guidewire tip positioning has been demonstrated for catheterization of the right internal jugular vein. We explored the feasibility of an ultrasound-guided right subclavian vein (RScV) CVC tip positioning via a right supraclavicular approach using a microconvex probe. METHODS: Twenty patients scheduled for elective surgery were consecutively included in this observational feasibility study following written informed consent...
September 21, 2016: Journal of Vascular Access
Tomasz Czarnik, Ryszard Gawda, Jakub Nowotarski
PURPOSE: The main purpose of this study was to define the venipuncture and catheterization success rates and early mechanical complication rates of ultrasound-guided infraclavicular axillary vein cannulation. MATERIALS AND METHODS: We performed in-plane, real-time, ultrasound-guided infraclavicular axillary vein catheterizations under emergency and nonemergency conditions in mechanically ventilated, critically ill patients. RESULTS: We performed 202 cannulation attempts...
June 2016: Journal of Critical Care
S U Weber, A Breuer, S-C Kim
BACKGROUND: The ultrasound-guided venipuncture of the internal jugular vein for placement of a central venous catheter is well established. For verification of the catheter tip position mostly intracardiac ECG or chest radiography are used. Previously, we established the right supraclavicular fossa view for ultrasound based verification of the catheter placement in the superior vena cava utilizing a microconvex probe. The microconvex probe has a small footprint. However, not all ultrasound systems used in the operating theater are equipped with a microconvex transducer...
March 2016: Der Anaesthesist
Abdullah Esmaiel, Jeremy Hassan, Fay Blenkhorn, Vartan Mardigyan
BACKGROUND: The Agency for Healthcare Research and Quality in the United States recommends the use of ultrasound (US) for central venous access to improve patient outcomes. However, in a recent publication, US is still underutilized for axillary vein access during pacemaker implantation. OBJECTIVE: We sought to describe a technique for US-guided axillary vein access during pacemaker implantation and to report complication rates and success rate. METHODS: Retrospective data collection included success rate and complications on all pacemaker implants by one operator since implementing the systematic use of US at our institution, from November 2012 to January 2015...
May 2016: Pacing and Clinical Electrophysiology: PACE
Mauro Pittiruti, Daniele Guerino Biasucci, Antonio La Greca, Alessandro Pizza, Giancarlo Scoppettuolo
PURPOSE: Placement of central venous catheters by the infraclavicular route can be achieved by ultrasound-guided puncture of the axillary vein. However, in some cases, the axillary vein may be difficult to puncture because it is too deep or too small or because it is collapsing significantly during breathing. The objective of this observational study was to determine the effect of 90° abduction of the arm associated with forward position of the shoulder on axillary vein diameters. MATERIAL AND METHODS: In a group of 30 healthy volunteers and in a group of 40 patients during spontaneous breathing, we used ultrasound to examine the axillary vein, visualizing it in short axis, with the arm at 0° and at 90° abduction, pushing the shoulder forward...
June 2016: Journal of Critical Care
Alvin I Chen, Max L Balter, Timothy J Maguire, Martin L Yarmush
Venipuncture is the most common invasive medical procedure performed in the United States and the number one cause of hospital injury. Failure rates are particularly high in pediatric and elderly patients, whose veins tend to deform, move, or roll as the needle is introduced. To improve venipuncture accuracy in challenging patient populations, we have developed a portable device that autonomously servos a needle into a suitable vein under image guidance. The device operates in real time, combining near-infrared and ultrasound imaging, computer vision software, and a 9 degrees-of-freedom robot that servos the needle...
September 2015: Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems
Ariane Ferreira Machado Avelar, Maria Angélica Sorgini Peterlini, Mavilde da Luz Gonçalves Pedreira
A prospective, randomized controlled trial compared the success of peripheral venipuncture in pediatric patients using vascular ultrasound and standard landmark methods and the occurrence of infiltration and phlebitis. The sample was composed of 382 venipunctures; 188 (49.2%) were performed with vascular ultrasound, and 194 (50.8%) were performed using the standard landmark method. No significant difference (P = .059) was found between either method in the success of peripheral venipuncture. A higher frequency of infiltration was found (P = ...
September 2015: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
A A Akintola, S W Jansen, R B P Wilde, G Hultzer, R Rodenburg, D van Heemst
Repeated 24 h blood sampling, which is required for time series analyses of metabolites and/or hormones that show strong fluctuations in blood concentration over time, has a higher failure rate in older adults. We tailored existing venipuncture protocols toward use for 24 h blood sampling (sampling frequency of 10 min) in older adults. The following modifications were made: •Pre-sampling: evidence based risk assessment of older adults.•During sampling:•Ultrasound-guided identification and characterisation of veins...
2015: MethodsX
Maria Sobolev, David P Slovut, Alfredo Lee Chang, Ariel L Shiloh, Lewis A Eisen
OBJECTIVES: The goal of this meta-analysis was to determine the utility of real-time two-dimensional (2D) ultrasound guidance for femoral artery catheterization. BACKGROUND: Despite the shift toward establishing vascular access via the radial artery rather than the femoral artery, femoral artery cannulation is still frequent in cardiac catheterization. Since vascular complications related to femoral artery cannulation can be quite devastating, preventing these complications is vital...
July 2015: Journal of Invasive Cardiology
Laia Salleras-Duran, Concepció Fuentes-Pumarola
BACKGROUND: Peripheral catheterization is a technique that can be difficult in some patients. Some studies have recently described the use of ultrasound to guide the venous catheterization. OBJECTIVE: To describe the success rate, time required, complications of ultrasound-guided peripheral venous catheterization. and patients and professionals satisfaction METHODS: The search was performed in databases (Medline-PubMed, Cochrane Library, CINAHL and Cuiden Plus) for studies published about ultrasound-guided peripheral venous catheterization performed on patients that provided results on the success of the technique, complications, time used, patient satisfaction and the type of professional who performed the technique...
September 2016: Enfermería Clínica
Travis Jones, Nicholas Stea, Uwe Stolz, Srikar Adhikari
OBJECTIVES: The objective of this study was to investigate variables that may affect sonographic cannulation of great saphenous vein and determine the ideal location for ultrasound-guided saphenous vein cannulation in adult emergency department (ED) patients. METHODS: A prospective observational study at an academic ED. The great saphenous vein was identified in adult subjects at three distinct sites after placing the tourniquet proximal to the vein: the ankle, mid-calf, and below the knee using a 10-5 MHz linear transducer...
September 2015: Journal of Vascular Access
Jinguang Ruan, Cao Zhang, Zhiyou Peng, David Yue Tang, Zhiying Feng
BACKGROUND: Central venous catheter placement is an important aspect of patient care for the administration of fluids and medications and for monitoring purposes. However, it is still associated with significant morbidity and mortality. CASE PRESENTATION: We report a case of iatrogenic inferior thyroid artery pseudoaneurysm during the central line placement due to internal jugular vein puncture. This is a rare complication of central venous cannulation. Fortunately the pseudoaneurysm was monitored closely, diagnosed promptly and obliterated by using radiological intervention...
2015: BMC Anesthesiology
Tomasz Czarnik, Ryszard Gawda, Jakub Nowotarski
PURPOSE: The cannulation of the axillary vein for renal replacement therapy is a rarely performed procedure in the critical care unit. We defined the venipuncture and catheterization success rates and early mechanical complication rates of this technique in critical care patients with acute kidney injury. MATERIALS AND METHODS: Twenty-nine mechanically ventilated patients with clinical indications for insertion of temporary hemodialysis catheters enrolled in a registered trial (NCT01919528) as a pilot cohort...
June 2015: Journal of Critical Care
Bruce I Rose, Donna Laky, Brittany Miller
OBJECTIVE: To compare in vitromaturation (IVM) to conventional in vitro fertilization (IVF) with a focus on what is required of patients in order to complete cycles, the differences in work required from the clinic providing the service, and the difference in the cost of cycles. STUDY DESIGN: This was a retrospective cohort-control study. RESULTS: With IVM as compared to IVF: office visits were reduced by an average of 3.2, the number of venipunctures was decreased by an average of 4...
November 2014: Journal of Reproductive Medicine
P Gaus, B Heß, H Müller-Breitenlohner
BACKGROUND: Compared to other access routes a central venous catheter inserted via the subclavian vein (VS) is advantageous in terms of patient comfort, care of the puncture site and the infection rate. Puncture of the VS admittedly has a higher risk of mechanical complications but ultrasound guidance can reduce this risk; however, it is technically demanding due to anatomical peculiarities and this access route is therefore used comparatively less frequently. AIM: The aim of the study was to clarify to what extent a modified puncture technique guided by sonography can reduce the risk potential...
February 2015: Der Anaesthesist
Joho Tokumine, Hisao Matsushima, Alan Kawarai Lefor, Hiroshi Igarashi, Kazuyuki Ono
PURPOSE: Both ultrasound-guided subclavian venipuncture (US-SV) and landmark-guided subclavian venipuncture (LM-SV) are important in critical care, because the clinical utility of ultrasound guidance is still debated. Education of residents and medical students should include both techniques. The aim of this study is to compare learning these two techniques in a simulation environment. METHODS: This study was approved by the research ethics review committee. Trainees included residents and medical students who were instructed using the "Videos in Clinical Medicine" for LM-SV, or a dedicated slide series for US-SV, using the long-axis in-plane with needle-guide technique...
March 2015: Journal of Vascular Access
Toshiyasu Suzuki
This article focuses mainly on precautions in performing ultrasound-guided venipuncture, as well as the selection of instruments for use in venipuncture, along with issues associated with instruments and strategies for managing these issues. Important points to consider when performing ultrasound-guided internal jugular vein catheterizations include: (1) confirming the course of blood flow in the vessels, (2) aligning the axes of the echo probe and the venipuncture needle, (3) ensuring slow venipuncture, and (4) confirming the intravenous placement of the guide wire after securing blood vessels...
September 2014: Masui. the Japanese Journal of Anesthesiology
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