Acesso venoso central guiado por ultrassom: qual a evidência?

Neto, Felippe Leopoldo Dexheimer; Teixeira, Cassiano; Oliveira, Roselaine Pinheiro de

doi:10.1590/s0103-507x2011000200015

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…Possible complications that can involve serious risk to patients include pneumothorax, arterial puncture; hematoma; and injuries to the phrenic nerve and stellate ganglion. [2][3][4] One of the most important factors influencing the success of this procedure is the experience of the professionals involved. Traditionally anatomic landmarks are used when performing central venous punctures, meaning that anatomic variations can make the procedure more difficult.…”

Section: Introductionmentioning

confidence: 99%

“…Since 2001, the Agency for Healthcare Research and Quality has recommended 11 practices to improve the safety of care provided to patients undergoing surgery and/or admitted to hospital, one of which is using ultrasound to guide central venous punctures, increasing safety and minimizing risks. [2][3][4][5][6] Training procedures should be used wisely to familiarize students with the technique, but existing models are expensive or ineffective, since an ideal training model should be similar to what will be encountered in real patients. The objective of this study was to develop an inexpensive and realistic model that is capable of simulating a routine procedure, which is a real challenge.…”

Section: Introductionmentioning

confidence: 99%

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Gelatin model for training ultrasound-guided puncture

et al. 2015

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BACKGROUND: It is indispensable that members of the medical profession receive the technical training needed to enable them to rapidly obtain effective vascular access. Training procedures should be used judiciously to familiarize students with the technique. However, existing models are expensive or ineffective, and models need to be developed that are similar to what will be encountered in real patients.OBJECTIVES: To demonstrate creation and application of a gelatin model for training ultrasound-guided puncture.METHOS: The model was made using a mixture of colorless gelatin and water in a transparent plastic receptacle with two pairs of orifices of different diameters, through which two plastic tubes were inserted, to simulate blood vessels.RESULTS: The model was a close approximation to the real medical procedure in several aspects, since gelatin has a similar consistency to human tissues, providing a more faithful reproduction of the tactile sensation at the moment when the needle reaches the interior of a vessel and its contents are aspirated.CONCLUSIONS: The method proposed here can be used to easily construct a low-cost model using everyday materials that is suitable for large-scale training of ultrasound-guided puncture.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gelatin model for training ultrasound-guided puncture

et al. 2015

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Cost and morbidity analysis of chest port insertion in adults: Outpatient clinic versus operating room placement

Feo

Ginesu

Bellini

et al. 2017

Annals of Medicine &Amp; Surgery

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BackgroundTotally implantable venous access devices (TIVADs) represent a convenient way for the administration of medications or nutrients. Traditionally, chest ports have been positioned by surgeons in the operating room, however there has been a transition over the years to port insertion by interventional radiologists in the radiology suite. The optimal method for chest port placement is still under debate.Materials and methodsData on all adult patients undergoing isolated chest port placement at our institution in a 12-year period were retrospectively reviewed. The aim of this cohort study was to compare cost and morbidity for chest port insertion in two different settings: outpatient clinic and operating room.ResultsBetween 2003 and 2015 a total of 527 chest ports were placed in adult patients. Of them, 262 procedures were performed in the operating room and 265 procedures were undertaken in the outpatient clinic. Patient characteristics were similar and there was no significant difference in early (<30 days, p = 0.54) and late complications (30–120 days, p = 0.53). The average charge for placement of a chest port was 1270 Euros in the operating room versus 620 Euros in the outpatient clinic.ConclusionOur results suggest that chest ports can be safely placed in most patients under local anesthesia in the office setting without fluoroscopy or ultrasound guidance. Future randomized controlled studies may evaluate if surgeons or interventional radiologists should routinely perform these procedures in a dedicated office setting and reserve more sophisticated facilities only for patients at high risk of technical failure.

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Potencial evocado somatossensitivo transoperatório na malformação de Chiari. Relato de caso e argumentação

Rosí¹,

Teixeira²,

Yeng³

et al. 2014

Arq Bras Neurocir

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ResumoOs autores relatam o caso uma mulher de 23 anos, sintomática pela malformação de Chiari, submetida à descompressão cirúrgica da fossa posterior do crânio, com o transoperatório monitorizado por meio de potencial evocado somatossensitivo que auxiliou no resultado satisfatório obtido. É sugerido que as cirurgias para tratamento da malformação de Chiari sejam sempre monitorizadas por esse método.

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Acesso venoso central guiado por ultrassom: qual a evidência?

Cited by 6 publications

References 19 publications

Gelatin model for training ultrasound-guided puncture

Gelatin model for training ultrasound-guided puncture

Cost and morbidity analysis of chest port insertion in adults: Outpatient clinic versus operating room placement

Potencial evocado somatossensitivo transoperatório na malformação de Chiari. Relato de caso e argumentação

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