Applicability of precordial Doppler ultrasound to confirm the correct placement of peripheral intravenous access in children

Yamada, Ayu; Kojima, Taiki

doi:10.1016/j.jclinane.2021.110434

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…Third, the precordial Doppler machine is easily available because it is widely used for purposes, such as identifying air embolisms during brain surgery, and it is less expensive (approximately 2,000 USD per one machine with a probe [BF8M1558A, Hadeco]) than an ultrasound machine (approximately 30 000 USD [SonoSite M-Turbo, Fujifilm Sonosite, WA, USA]). 12 Finally, the precordial Doppler machine is portable; therefore, the current methodology can be used in several places (e.g., general wards, outpatient clinics).…”

Section: Discussionmentioning

confidence: 99%

“…Second, in the PICU setting, the current methodology can be applied in situations in which access to the patient is limited (e.g., the patient is covered with surgical drapes for procedures) and assessing the blood flow in extremities using ultrasound is technically difficult. Third, the precordial Doppler machine is easily available because it is widely used for purposes, such as identifying air embolisms during brain surgery, and it is less expensive (approximately 2,000 USD per one machine with a probe [BF8M1558A, Hadeco]) than an ultrasound machine (approximately 30 000 USD [SonoSite M‐Turbo, Fujifilm Sonosite, WA, USA]) 12 . Finally, the precordial Doppler machine is portable; therefore, the current methodology can be used in several places (e.g., general wards, outpatient clinics).…”

Section: Discussionmentioning

confidence: 99%

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Precordial Doppler to assess vascular access in children: A preliminary report

Hirayama¹,

Hozumi²,

Aoki³

et al. 2022

Pediatrics International

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Background Delayed identification and dysfunction of peripheral intravenous (PIV) infiltration can lead to serious injury in children. This preliminary study aimed to describe the application of precordial Doppler ultrasound to detect and confirm the correct PIV access in children with congenital heart disease (CHD). Methods This study was conducted on children (<18 years) diagnosed with CHD and admitted to the pediatric intensive care unit (PICU) of a single center after cardiac surgery or cardiac catheterization between February 2020 and May 2021. Three raters judged the precordial Doppler sound change (S test) after injection of 0.5 mL/kg of normal saline (NS) through the PIV access. Blood‐flow velocities before and after the NS injection were recorded and the accuracy of detecting PIV catheter infiltration and dysfunction was analyzed (V test). Results The overall incidence of PIV infiltration and dysfunction was in 3 out of 103 patients (2.9%). The sensitivity, specificity, positive and negative likelihood ratios, and area under the receiver operating characteristic curve were 3 out of 3 [100%, 95% confidence interval (CI): 29.2–100], 86 out of 100 (86%, 95% CI: 77.6%–92.1), 7.1, 0.0, and 0.93, respectively, in the S test and they were 2 out of 3 (66.7%, 95% CI: 9.4%–99.2), 94 out of 100 (94.0%, 95% CI: 87.4%–7.8%), 11.1, 0.36, and 0.80, respectively in the V test. Conclusions Precordial Doppler ultrasound was a feasible and accurate technique for confirming correct PIV access in children with CHD; however, a larger, prospective investigation is necessary to examine its diagnostic accuracy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%