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Keywords Ultrasound guided central veno...

Ultrasound guided central venous catheter

https://read.qxmd.com/read/37953715/a-gavecelt-bundle-for-picc-port-insertion-the-sip-port-protocol
#21
JOURNAL ARTICLE
Fabrizio Brescia, Maria Giuseppina Annetta, Fulvio Pinelli, Mauro Pittiruti
In the last decade, a new type of brachial port has been introduced in clinical practice, the so-called "PICC-port." This is a brachial port, but inserted according to the methodologies and technologies currently adopted for the insertion of peripherally inserted central catheters (PICCs). Several studies have shown that PICC-port insertion is safe, not associated with any relevant immediate or early complication, and that the expected incidence of late complications is significantly lower if compared to "traditional" brachial ports (i...
November 13, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37953601/femoral-venous-access-state-of-the-art-and-future-perspectives
#22
EDITORIAL
Maria Giuseppina Annetta, Stefano Elli, Bruno Marche, Fulvio Pinelli, Mauro Pittiruti
In the past 5 years, non-dialysis femoral venous access has changed in terms of indications, techniques of insertion, and expected incidence of complications. To the traditional non-emergency indication for femoral catheters-obstruction of the superior vena cava-many other indications have been added, both in intensive and non-intensive care. The insertion technique has evolved, thanks to ultrasound guided venipuncture, tunneling, and ultrasound based intraprocedural tip location. Insertion of femorally inserted central catheters may be today regarded as a procedure with an extremely low intraprocedural and post-procedural risk...
November 13, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37883312/foundation-for-implementing-a-comprehensive-vascular-access-excellence-initiative-organization-wide-to-improve-vascular-access-device-insertion-and-standardize-care-best-practice-for-an-acute-care-hospital
#23
JOURNAL ARTICLE
Cheryl Campos, Megan Lopez, Vanessa Irwin-Nieto, Randy Richards, Melissa R Deen, Agnes Lalata
INTRODUCTION: In 2016, a 263-bed public district hospital in California trialed a peripheral intravenous catheter (PIVC) inserted using ultrasound, with the potential to increase first attempt success in difficult intravenous access (DIVA) patients. This led to the implementation of a hospital-wide initiative to improve nursing vascular access skills and expedite vascular access device (VAD) placement. METHODS: To trial a PIVC and ultrasound-guided (USG) insertion, a training program was developed and led to a doctoral Capstone project piloting an evidence-based nurse-driven protocol for the identification of DIVA patients...
October 26, 2023: British Journal of Nursing: BJN
https://read.qxmd.com/read/37861576/comparison-of-success-rate-of-abducted-and-neutral-arm-position-for-right-infraclavicular-subclavian-vein-cannulation-under-real-time-ultrasound-guidance-in-patients-undergoing-elective-neurosurgery-under-general-anesthesia
#24
JOURNAL ARTICLE
Nirmala Choudhary, Neerja Banerjee, Jyoti Singh, Meena Kumari, Mohandeep Kaur
BACKGROUND: Classically subclavian vein catheterization is done in neutral arm position; recently, it has been done in different arm positions to compare success rate and catheter misplacement. There is a paucity of literature for comparing abducted and neutral arm position for right infraclavicular subclavian vein cannulation. AIM: Comparison of success rate of abducted and neutral arm position for right infraclavicular subclavian vein cannulation under real-time ultrasound guidance in patients undergoing elective neurosurgery under general anesthesia...
2023: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/37849990/feasibility-analysis-of-ultrasound-guided-placement-of-tunneled-hemodialysis-catheters
#25
JOURNAL ARTICLE
Martin Kächele, Lucas Bettac, Christopher Hofmann, Hannes Herrmann, Amelie Brandt, Bernd Schröppel, Lena Schulte-Kemna
INTRODUCTION: Radiographic fluoroscopy is the current standard for placement of tunneled central venous catheters (CVCs) for hemodialysis. Radiographic fluoroscopy requires structural and personnel infrastructure and exposes the patient to ionizing radiation. Here, we investigate the feasibility of solely ultrasound-guided placement of tunneled central venous dialysis catheters (USCVCs). METHODS: We evaluated prospectively collected single-center data regarding safety and catheter function of 134 consecutive patients who underwent USCVC implantation between 2020 and 2021...
October 2023: KI Reports
https://read.qxmd.com/read/37791552/the-outcome-of-ultrasound-guided-insertion-of-central-hemodialysis-catheter
#26
JOURNAL ARTICLE
Ehab M Abdo, Tamer A Abouelgreed, Waleed E Elshinawy, Nehal Farouk, Hassan Ismail, Amal H Ibrahim, Samar A Kasem, Lobna Kh Sakr, Naglaa M Aboelsoud, Nermeen M Abdelmonem, Salma F Abdelkader, Ahmed A Abdelwahed, Anas A Qasem, Mosab F Alassal, Ahmed A Aboomar
OBJECTIVE: To point out our experience and assess the efficacy and safety of real-time ultrasound-guided central internal jugular vein (IJV) catheterization in the treatment of hemodialysis patients. METHODS: This retrospective study comprised 150 patients with end-stage renal disease (ESRD) who had real-time ultrasonography (US)-guided IJV HD catheters placed in our hospital between March 2019 and March 2021. Patients were examined for their demographic data, etiology, site of catheter insertion, type (acute or chronic) of renal failure, technical success, operative time, number of needle punctures, and procedure-related complications...
September 27, 2023: Archivio Italiano di Urologia, Andrologia
https://read.qxmd.com/read/37781431/the-development-of-an-innovative-crowdsourced-resident-procedure-team-model-to-improve-bedside-procedural-proficiency-in-the-inpatient-setting
#27
JOURNAL ARTICLE
Ysabel C Ilagan-Ying, Robert Cotter, Chang Su, Benjamin A Rodwin, John C Huston
Background Bedside procedures are a necessary skill for many residents. Practice changes, including the discontinuation of a minimum number of procedures required by the American Board of Internal Medicine, may have resulted in decreased incentive for residents to seek procedural opportunities. Objective To improve residents' procedural output and confidence in abdominal paracentesis, arterial and central venous line placement, nasogastric intubation, and ultrasound-guided peripheral intravenous catheter insertions (USPIV)...
October 2023: Journal of Graduate Medical Education
https://read.qxmd.com/read/37777778/improvement-of-central-vein-ultrasound-guided-puncture-success-using-a-homemade-needle-guide-a-simulation-study
#28
RANDOMIZED CONTROLLED TRIAL
Antoine Villa, Vladimir Hermand, Vincent Bonny, Gabriel Preda, Tomas Urbina, Maxime Gasperment, Paul Gabarre, Louai Missri, Jean-Luc Baudel, Daniel Zafimahazo, Jérémie Joffre, Hafid Ait-Oufella, Eric Maury
BACKGROUND: Out-of-plane (OOP) approach is frequently used for ultrasound-guided insertion of central venous catheter (CVC) owing to its simplicity but does not avoid mechanical complication. In-plane (IP) approach might improve safety of insertion; however, it is less easy to master. We assessed, a homemade needle guide device aimed to improve CVC insertion using IP approach. METHOD: We evaluated in a randomized simulation trial, the impact of a homemade needle guide on internal jugular, subclavian and femoral vein puncture, using three approaches: out-of-plane free hand (OOP-FH), in-plane free hand (IP-FH), and in-plane needle guided (IP-NG)...
September 30, 2023: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/37716948/implementation-of-a-vascular-access-specialist-team-in-a-tertiary-hospital-a-cost-benefit-analysis
#29
JOURNAL ARTICLE
Laura Ricou Ríos, Candela Esposito Català, Arnau Pons Calsapeu, Cristina Adroher Mas, Isabel Andrés Martínez, Isaac Nuño Ruiz, Mònica Castellà Creus, Laia Castellà Fàbregas, Maria José García Quesada, Oriol Estrada Cuxart, Jordi Ara Del Rey, Francesc López Seguí
BACKGROUND: The use of peripherally inserted central catheters and midline catheters is growing due to their potential benefits. These devices can increase patient safety and satisfaction while reducing the use of resources. As a result, many hospitals are establishing vascular access specialist teams staffed by nurses who are trained in the insertion and maintenance of these catheters. The objective of the study is to evaluate previously to the implementation whether the benefits of introducing ultrasound-guided peripheral venous catheters, midline catheters and peripherally inserted central catheters compared to current practice by a vascular access specialist team outweigh their costs...
September 16, 2023: Cost Effectiveness and Resource Allocation: C/E
https://read.qxmd.com/read/37672125/inadvertent-catheter-misplacement-into-the-subclavian-artery-during-ultrasound-guided-internal-jugular-venous-catheterization-a-case-report
#30
JOURNAL ARTICLE
Tomoki Kohyama, Keisuke Fujimaki, Hiroki Sasamori, Joho Tokumine, Kiyoshi Moriyama, Tomoko Yorozu
BACKGROUND: Ultrasound-guided central venous catheterization has become a standard procedure. However, mechanical complications are still reported. CASE PRESENTATION: An 85-year-old woman presented with coagulopathic bladder tamponade. Ultrasound-guided right internal jugular venous catheterization was planned because of difficult peripheral venous access. A guidewire was advanced through a needle inserted at the midpoint of the right carotid triangle. The guidewire was identified in the short axis, but not in the long-axis ultrasound view, leading to inadvertent insertion of the catheter into the right subclavian artery through the internal jugular vein...
September 6, 2023: JA Clinical Reports
https://read.qxmd.com/read/37658020/steps-to-improve-umbilical-vein-catheterization-in-neonatal-care
#31
JOURNAL ARTICLE
Marta Torres Del Pino, Elisabet Gómez Santos, María Luisa Domínguez Quintero, Beatriz Mendoza Murillo, José Antonio Millán Zamorano, Gloria Toledo Muñoz-Cobo, David Mora Navarrocor
INTRODUCTION: In neonatal units, umbilical vessel catheterization is the preferred method to gain vascular access in the initial management of the newborn because it is quick and easy. The failure rate ranges from to 50%, as the catheter can be found in the portal system in up to 40% of cases, leading to complications. This failure rate warrants the investigation of different methods to reduce the frequency of catheter malposition. We describe different techniques to improve the success rate in umbilical vein catheterization, such as the double catheter technique, positioning the newborn in right lateral decubitus for insertion, liver compression, and ultrasound-guided catheter insertion...
September 2023: Anales de pediatría
https://read.qxmd.com/read/37601500/obstacles-to-ultrasound-guided-internal-jugular-vein-central-venous-catheter-insertion
#32
JOURNAL ARTICLE
Jun Honda, Shinju Obara, Satoki Inoue
No abstract text is available yet for this article.
2023: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/37587734/ultrasound-guided-selective-supraclavicular-nerve-block-for-postoperative-pain-control-in-children-receiving-hickman-catheter-or-chemoport-insertion-a-randomized-controlled-trial
#33
JOURNAL ARTICLE
Jung-Bin Park, In-Sun Song, Pyo-Yoon Kang, Sang-Hwan Ji, Young-Eun Jang, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim
BACKGROUND: Optimal pain management after insertion of a central venous catheter in children remains unclear. AIM: This study aimed to evaluate the effects of a selective supraclavicular nerve block on postoperative analgesia in pediatric patients undergoing hickman catheter or chemoport insertion. METHODS: Fifty patients aged 3-18 years scheduled for elective Hickman or chemoport insertion were randomized into two groups of 25 each: one group received an ultrasound-guided selective supraclavicular nerve block with 0...
August 16, 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/37495414/evaluation-of-extended-length-cannula-inserted-using-ultrasound-guidance-in-patients-with-difficult-iv-access
#34
JOURNAL ARTICLE
Emily Smith, Valentin Irimia
Historically, gaining peripheral intravenous (IV) access for patients with difficult intravenous access (DIVA) has been problematic and associated with increased complications, central venous access device insertion and reduced patient satisfaction. Consequently, extended-length peripheral intravenous catheters (PIVCs) have been developed, but to date no real-world data exploring their effectiveness with NHS patients has been published. This article reports on the results of introducing extended-length PIVCs, inserted using ultrasound guidance in patients with DIVA by a vascular access team...
July 27, 2023: British Journal of Nursing: BJN
https://read.qxmd.com/read/37464777/assessing-the-educational-value-and-content-of-youtube-videos-for-ultrasound-guided-subclavian-vein-catheterization
#35
JOURNAL ARTICLE
Tulin Satilmis, Betul Basaran
BACKGROUND: The European Society of Anaesthesiology (ESA) published a guideline regarding continuous ultrasound guidance for central venous catheters in 2020. YouTube has been a popular educational platform since its inception. The purpose of the present study was to evaluate the adequacy of videos on ultrasound-guided subclavian vein catheterization posted on YouTube based on this guideline. METHOD: YouTube was scanned using the keywords associated with ultrasound-guided subclavian vein catheterization and 46 of the 106 most-watched videos were included in the study...
July 18, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37439213/sonographic-diagnosis-and-evaluation-in-patients-with-superficial-radial-arteries
#36
JOURNAL ARTICLE
Tetsuya Uchino, Masahiro Miura, Shigekiyo Matsumoto, Chihiro Shingu, Takaaki Kitano
BACKGROUND: The superficial radial artery (SRA) is a rare congenital anomaly in the forearm. However, it can be detected incidentally via trauma, intraoperative findings, angiography, or ultrasonography. In addition, intra-arterial infusion of intravenous medications and difficulties in radial artery catheterization may occur in cases of the SRA. METHODS: Between December 2016 and July 2020, anomalous branches of radial arteries were found incidentally in nine patients at the preoperative visit and identified during ultrasound-guided radial artery puncture in 21 patients when radial artery catheterization using the palpation method proved difficult...
July 13, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37434535/elaboration-and-development-of-a-realistic-3d-printed-model-for-training-in-ultrasound-guided-placement-of-peripheral-central-venous-catheter-in-children
#37
JOURNAL ARTICLE
Alessandro Raffaele, Valeria Mauri, Mattia Negrini, Erika Negrello, Gian Battista Parigi, Luigi Avolio, Andrea Pietrabissa, Ferdinando Auricchio, Stefania Marconi
BACKGROUND: Simulation for training is becoming a trend topic worldwide, even if its applications are commonly limited to adulthood. Ultrasound-guided procedures require practice and experience-especially in the pediatric field, where the small size of the involved anatomical structures poses major problems. In this context, a realistic 3D printed pediatric phantom for training of the ultrasound-guided placement of peripheral central venous catheters in children was developed. MATERIALS AND METHODS: Starting from Computed Tomography scans of an 8 years-old girl, her left arm was virtually reconstructed-including bones, arteries, and veins-through a semi-automatic segmentation process...
July 12, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37431346/pilot-study-exploring-if-an-augmented-reality-needletrainer-device-improves-novice-performance-of-a-simulated-central-venous-catheter-insertion-on-a-phantom
#38
JOURNAL ARTICLE
Annie Evans, Sean Shevlin, David Burckett-St Laurent, James Bowness, Rachel J Kearns, Alan MacFarlane
Introduction Needle insertion and visualisation skills needed for ultrasound (US)-guided procedures can be challenging to acquire. The novel NeedleTrainer device superimposes a digital holographic needle on a real-time US image display without puncturing a surface. The aim of this randomised control study was to compare the success of trainees performing a simulated central venous catheter insertion on a phantom either with or without prior NeedleTrainer device practice. Methods West of Scotland junior trainees who had not performed insertion of a central venous catheter were randomised into two groups (n=20)...
June 2023: Curēus
https://read.qxmd.com/read/37265235/safe-insertion-of-arterial-catheters-sia-an-ultrasound-guided-protocol-to-minimize-complications-for-arterial-cannulation
#39
REVIEW
Timothy R Spencer, Guglielmo Imbriaco, Amy Bardin-Spencer, Keegan J Mahoney, Fabrizio Brescia, Massimo Lamperti, Mauro Pittiruti
Direct puncture and cannulation of peripheral arteries is frequently performed in critical care and in emergency settings, mainly for hemodynamic monitoring and blood sampling. While there is abundant literature on peripheral arterial cannulation in children and adults, there is still scope for clinical improvements which may impact on patient safety. Although the radial artery is the most frequently utilized access site today, due to its superficial proximity, ease of access, and low risk of adverse events, other sites are sometimes chosen...
June 2, 2023: Journal of Vascular Access
https://read.qxmd.com/read/37250511/comparison-of-conventional-needle-holding-technique-and-pen-holding-method-of-needle-holding-for-real-time-ultrasound-guided-internal-jugular-venous-cannulation-a-randomised-parallel-group-study
#40
JOURNAL ARTICLE
Srinivasan Ramachandran, Savitri Velayudhan, Krishna Prabu Ramaraj, Dilip Chandar Desingh, Sureshkumar Kuppusamy, Balasubramanian Shanmugam
BACKGROUND AND AIMS: Ultrasound-guided central venous (CV) cannulation is the standard of care for inserting CV catheter in the right internal jugular vein (RIJV). However, mechanical complications can still occur. The primary objective of this study was to compare the incidence of posterior vessel wall puncture (PVWP) using conventional needle holding technique with pen holding method of needle holding technique for IJV cannulation. Secondary objectives were comparison of other mechanical complications, access time and ease of the procedure...
March 2023: Indian Journal of Anaesthesia
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