keyword
https://read.qxmd.com/read/38187975/short-axis-versus-long-axis-approach-for-ultrasound-guided-vascular-access-an-updated-systematic-review-and-meta-analysis-of-randomised-controlled-trials
#21
JOURNAL ARTICLE
Aparna Mishra, Mohan Kumar, Niraj Kumar, Keshav Goyal, Kapil Dev Soni, Anuradha Yadav
BACKGROUND AND AIMS: There are two approaches for ultrasound (US)-guided vessel cannulation: the short axis (SA) approach and the long axis (LA) approach. However, it remains to be seen which approach is better. Therefore, we performed the present updated systematic review and meta-analysis to assess the effectiveness and safety of US-guided vascular cannulation between the SA and LA techniques. METHODS: We performed a comprehensive electronic database search in PubMed, Embase, Cochrane Library and Web of Science for the relevant studies from inception to June 2022...
November 2023: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38169831/treating-deep-venous-thrombosis-in-a-background-of-crohn-s-disease-a-clinical-conundrum
#22
Gurinder Singh, Keerthana Panchagnula, Paavan Desai, Dhruvish Mistry, Aakash Baskar, Ashima Gupta, Kamya Mehta, Yashash Pathak
Deep venous thrombosis (DVT) commonly affects the lower extremities, often as a result of prolonged immobilization. However, upper limb DVT is an atypical presentation, typically associated with risk factors such as the use of a peripherally inserted central catheter (PICC) line. This case report describes an uncommon case of DVT management in a patient with Crohn's disease, a condition more frequently characterized by painful lower gastrointestinal symptoms and chronic diarrhea. A 22-year-old male with a history of Crohn's disease developed swelling and purplish discoloration at the brachial site of a PICC line site...
December 2023: Curēus
https://read.qxmd.com/read/38130359/open-repair-of-a-proximal-left-subclavian-artery-mycotic-aneurysm-with-median-claviculectomy
#23
Ahmad Tabatabaeishoorijeh, Paul Haddad, Yusuf Chauhan, Marvin D Atkins, Maham Rahimi
Surgical repair of a subclavian artery mycotic aneurysm is dependent on aneurysm-specific characteristics and anatomic exposures could require sternotomy, thoracotomy, or supraclavicular incisions. Alternatively, a median claviculectomy can be used. We successfully performed a subclavian artery to axillary artery bypass with median claviculectomy in a 23-year-old man with multiple comorbidities. Postoperative Doppler ultrasound showed a patent left axillary artery with a palpable left radial artery, and the patient demonstrated full left shoulder range of motion without any significant deformities...
February 2024: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/38114277/ultrasound-guided-subclavian-vein-catheterisation-with-a-needle-guide-elusive-protocol-for-a-randomised-controlled-study
#24
JOURNAL ARTICLE
Leila Naddi, Ola Borgquist, Maria Adrian, Björn P Bark, Thomas Kander
INTRODUCTION: Central venous catheters are indispensable in modern healthcare. Unfortunately, they are accompanied by minor as well as major complications, leading to increased morbidity, mortality and costs. Immediate insertion-related complications (mechanical complications) have decreased due to the implementation of real-time ultrasound guidance, but they still occur and additional efforts to enhance patient safety are warranted. This study aims to investigate whether the use of a needle guide mounted on the ultrasound probe in subclavian catheterisations may decrease the number of catheterisations with >1 skin puncture (primary outcome)...
December 19, 2023: BMJ Open
https://read.qxmd.com/read/38111430/comparison-of-usg-guided-supraclavicular-brachial-plexus-block-by-single-point-versus-multiple-point-injection-technique-a-prospective-randomized-trial
#25
JOURNAL ARTICLE
Vandana Mangal, Chandrashekhar Meena, Khushboo Meena, Chitra Singh, Tuhin Mistry, Monika Rathore
Background This study investigated the success rate of ultrasonography (USG)-guided supraclavicular block using a single-point injection technique comparing it with multiple-point injection technique, in terms of nerve sparing, time taken to perform the procedure, time taken to onset of sensory and motor block. Materials and methods A total of 204 patients of American Society of Anesthesiologists (ASA) Status I and II, aged 18-60 years, with body mass index (BMI) ≤30 kg/m2 , posted for upper limb surgeries were given USG-guided supraclavicular brachial plexus block with 15 mL of 0...
November 2023: Curēus
https://read.qxmd.com/read/38028367/comparing-the-utility-of-landmark-palpation-guided-to-ultrasound-guided-teaching-methodologies-for-subclavian-central-venous-access-using-a-formalin-embalmed-cadaver-model
#26
JOURNAL ARTICLE
Nena Lundgreen Mason, Rebecca Thomas, Chad Skidmore, Bosten Loveless, Maxton Muir, Abigail Limov, Alexa Fritsch, Taylor Yancey, Isain Zapata, Andrew Nigh
BACKGROUND: Low-risk and realistic simulation strategies are needed to train clinical learners to perform hands-on invasive procedures. This follow-up study compares the utility of landmark-guided palpation-based to ultrasound-guided teaching techniques for subclavian central venous access using formalin-embalmed cadavers. METHODS: The subclavian veins of 3 cadavers were imaged with ultrasound to evaluate vein patency before palpation-based venous access was attempted...
2023: Advances in Medical Education and Practice
https://read.qxmd.com/read/37992947/duplex-ultrasound-and-cross-sectional-imaging-in-carotid-artery-occlusion-diagnosis
#27
JOURNAL ARTICLE
Giancarlo Speranza, Keerthi Harish, Caron Rockman, Mikel Sadek, Glenn Jacobowitz, Karan Garg, Heepeel Chang, Katherine Teter, Thomas S Maldonado
OBJECTIVES: Investigations into imaging modalities in the diagnosis of extracranial carotid artery occlusion (CAO) have raised questions about the inter-modality comparability of duplex ultrasound (DUS) and cross-sectional imaging. This study examines the relationship between DUS and cross sectional imaging diagnoses of extracranial CAO. METHODS: This single-institution retrospective analysis studied patients with CAO diagnosed by DUS from 2010-2021. Patients were identified in our office-based accredited vascular laboratory database...
November 20, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37963572/ultrasound-assessment-of-brain-supplying-arteries%C3%A2-extracranial
#28
JOURNAL ARTICLE
Klaus Gröschel, Judith U Harrer, Ulf Schminke, Emilia Stegemann, Jens Allendörfer
Ultrasonography of the brain-supplying arteries is a non-invasive and highly efficient technique for the assessment of a stenosis or a vessel occlusion in patients with cerebrovascular diseases. This article reviews the examination technique for a standardized ultrasound assessment of the extracranial carotid and vertebral arteries. It further describes the multiparametric grading criteria of internal carotid artery stenosis and it gives recommendations for a standardised documentation of findings. Additionally, it proposes recommendations for intima-media thickness measurement and for classifying atherosclerotic plaques with B-mode ultrasonography...
November 14, 2023: Ultraschall in der Medizin
https://read.qxmd.com/read/37946778/emphysematous-thrombophlebitis-caused-by-a-misplaced-central-venous-catheter-a-case-report
#29
Ni Chen, Hua-Jun Chen, Tao Chen, Wen Zhang, Xiao-Yun Fu, Zhou-Xiong Xing
BACKGROUND: Central venous catheters (CVCs) often cause life-threatening complications, especially CVC-related bloodstream infection (CVC-BSI) and catheter-related thrombosis (CRT). Here, we report an unusual case of misplaced CVC-induced emphysematous thrombophlebitis, a rare but potentially lethal form of CRT and CVC-BSI characterized by both thrombosis and gas formation. CASE SUMMARY: A 48-year-old male presented to the emergency room of a local hospital with sudden-onset headache and coma for 4 h...
October 16, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/37928077/ultrasound-guided-infraclavicular-cannulation-of-the-subclavian-vein-still-an-ongoing-misconception
#30
JOURNAL ARTICLE
Ryszard Gawda, Tomasz Czarnik
No abstract text is available yet for this article.
November 2023: Journal of the Intensive Care Society
https://read.qxmd.com/read/37928072/reply-to-letter-ultrasound-guided-infraclavicular-cannulation-of-the-subclavian-vein-still-an-ongoing-misconception
#31
JOURNAL ARTICLE
Edward Gilbert-Kawai, Thomas W Davies, Hugh Montgomery
No abstract text is available yet for this article.
November 2023: Journal of the Intensive Care Society
https://read.qxmd.com/read/37915939/inferior-vena-cava-ultrasound-and-other-techniques-for-assessment-of-intravascular-and-extravascular-volume-an-update
#32
REVIEW
Elaine M Kaptein, Matthew J Kaptein
Goals of volume management are to accurately assess intravascular and extravascular volume and predict response to volume administration, vasopressor support or volume removal. Data are reviewed that support the following: (i) Dynamic parameters reliably guide volume administration and may improve clinical outcomes compared with static parameters, but some are invasive or only validated with mechanical ventilation without spontaneous breathing. (ii) Ultrasound visualization of inferior vena cava (IVC) diameter variations with respiration reliably assesses intravascular volume and predicts volume responsiveness...
November 2023: Clinical Kidney Journal
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
#33
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/37832512/intra-pocket-ultrasound-guided-axillary-vein-puncture-vs-cephalic-vein-cutdown-for-cardiac-electronic-device-implantation-the-access-trial
#34
JOURNAL ARTICLE
Paul Charles, Geoffroy Ditac, Mathieu Montoy, Thibaut Thenard, Pierre-Yves Courand, Pierre Lantelme, Brahim Harbaoui, Samir Fareh
BACKGROUND AND AIMS: Intra-pocket ultrasound-guided axillary vein puncture (IPUS-AVP) for venous access in implantation of transvenous cardiac implantable electronic devices (CIED) is uncommon due to the lack of clinical evidence supporting this technique. This study investigated the efficacy and early complications of IPUS-AVP compared to the standard method using cephalic vein cutdown (CVC) for CIED implantation. METHODS: ACCESS was an investigator-led, interventional, randomized (1:1 ratio), monocentric, controlled superiority trial...
October 13, 2023: European Heart Journal
https://read.qxmd.com/read/37815136/variability-of-measurement-and-feasibility-of-assessing-changes-in-brachiocepahlic-atherosclerotic-plaque-after-acute-coronary-syndrome
#35
JOURNAL ARTICLE
L L Bershtein, S A Boldueva, I N Kochanov, M D Lunina, T V Naiden, D S Evdokimov, B M Tandelov, P S Podmetin, E V Zbyshevskaya, V E Gumerova, E B Savinova, V H Piltakyan, S A Sayganov
Aim      Analysis of inter- and intra-study variability of changes in the atherosclerotic plaque (ASP) total height and total area, the main quantitative indexes that were planned to be used in the present study for assessment of the atherosclerotic load of carotid arteries.Material and methods  The incidence of recurrent cardiovascular complications (CVC) within 1 year after acute coronary syndrome (ACS) ranges from 7-9 % (in studies) to 34 % (in clinical practice). This indicates insufficient efficacy of traditional approaches to secondary prevention of coronary heart disease...
September 30, 2023: Kardiologiia
https://read.qxmd.com/read/37801208/advantages-of-the-use-of-ultrasound-in-newborn-vascular-access-a-systematic-review
#36
REVIEW
Valentina Brusciano, Miriam Lecce
Vascular access in neonates and small infants is often challenging. Ultrasound (US) screening and guidance improves its safety and efficacy. The advantages of a pre-implantation ultrasound examination are intuitive; it is a practical and safe technique that doesn't use radiation, allowing static and dynamic evaluations to be carried out and identifying anatomical variations, the caliber and depth of the vessel, the patency of the entire course and attached structures (nerves, etc.). Optimization of the image is a crucial aspect in achieving a clear view of all anatomical structures while avoiding complications...
October 6, 2023: Journal of Ultrasound
https://read.qxmd.com/read/37795109/use-of-a-novel-three-dimensional-model-to-teach-ultrasound-guided-subclavian-vein-cannulation
#37
JOURNAL ARTICLE
Jaya Tanwani, Sabine Nabecker, Joshua Qua Hiansen, Azad Mashari, Naveed Siddiqui, Cristian Arzola, Alberto Goffi, Sharon Peacock
BACKGROUND: Central venous cannulation is an essential skill in perioperative and critical care medicine. Ultrasound guidance is the standard of care for femoral and internal jugular vein access, with the subclavian vein being perceived to be less amenable to ultrasound-guided (UG) insertion, resulting in a lack of procedural competency and low cannulation rate. There is a paucity of resources and a lack of experience among staff physicians to effectively instruct trainees. Simulation-based medical education has the potential to help maintain high-stakes, infrequently performed skills and counteract possible unrecognized skill decline...
September 2023: ATS scholar
https://read.qxmd.com/read/37791118/a-case-of-postnatal-aortic-arch-atresia
#38
Zi-Xin Yang, Ying Han, Jie Zhang, Yong-Hui Yu, Mei Zhu
BACKGROUND: Aortic arch atresia is a rare congenital cardiac defect that may occur after birth. Pregnant women with gestational diabetes mellitus may increase the risk of aortic arch atresia in newborns after birth. CASE DESCRIPTION: A 16-day-old infant was referred to our hospital on the 15th postnatal day after an interrupted or atretic aortic arch was discovered. No obvious abnormality was detected in the infant during the prenatal ultrasound. Laboratory tests showed elevated inflammatory marker levels...
2023: Journal of Inflammation Research
https://read.qxmd.com/read/37777778/improvement-of-central-vein-ultrasound-guided-puncture-success-using-a-homemade-needle-guide-a-simulation-study
#39
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/37727497/ultrasound-guided-carotid-angioplasty-and-stenting-in-a-patient-with-iodinated-contrast-allergy-a-case-report
#40
Le Li, Zi-Yan Wang, Bo Liu
BACKGROUND: Ischemic stroke is an entity with high incidence, morbidity, and mortality rates. Carotid artery stenosis is an important and independent risk factor for ischemic stroke. The three current approaches for treating carotid artery stenosis are drug treatment, carotid endarterectomy (CEA), carotid angioplasty and stenting (CAS). The approach is chosen based on the degree of stenosis. CEA or CAS could have been chosen for the current patient, who had severe carotid stenosis and an iodinated contrast allergy...
September 6, 2023: World Journal of Clinical Cases
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