Critical Skills and Procedures in Emergency Medicine

Lewis, G; Crapo, Stephanie A.; Williams, Jeffrey M.

doi:10.1016/j.emc.2012.09.006

Cited by 18 publications

(9 citation statements)

References 28 publications

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“…Therefore, the umbilical vein can be used as a substitute in infants. The umbilical vein is an accessible vein with sufficient diameter and easy access to central arteries, which make it an appropriate alternative in terms of time and risk (2). Its biggest limitation is time because umbilical vein can be closed and unusable one week after birth.…”

Section: Introductionmentioning

confidence: 99%

Umbilical Vein Cutdown in Infants with no Other Vascular Access Admitted to Mohammad Kermanshahi Hospital

Amanollahi

Doosti

Samadzadegan

2019

J Kermanshah Univ Med Sci

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Background: Umbilical vein cutdown in neonates as an important method of accessing vascular is very important in cases in which peripheral vein is not available and it is not possible to cut down another vein. The umbilical vein is believed to become thrombotic and lumen is closed and unusable one week postpartum. Methods: In this cross-sectional study, all neonates who were admitted to the surgical ward of Mohammad Kermanshahi Hospital in Kermanshah, who needed emergency vein access and who were unable to have vein cutdown elsewhere during 2012-2014 were enrolled. The participants were divided to four age groups (one week to four weeks) and the possibility of umbilical vein cutdown was assessed in each group. Results: Of all participants, 25 infants were girls and 20 were boys. The umbilical vein cutdown was successful in 39 patients (86.7%), and failed in 6 patients (13.3%). The procedure was successful in all infants younger than 3 weeks old except for one case, while the success rate rapidly decreased after 3 weeks old. Conclusions: Umbilical vein cutdown was successful in infants under three weeks old and it was not possible afterward due to umbilical vein thrombosis. One-week age restriction for umbilical vein cutdown is questionable and requires further randomized trials with a control group to reach definitive conclusions.

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Section: Introductionmentioning

confidence: 99%

Umbilical Vein Cutdown in Infants with no Other Vascular Access Admitted to Mohammad Kermanshahi Hospital

Amanollahi

Doosti

Samadzadegan

2019

J Kermanshah Univ Med Sci

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“…1,2 In the 1980s, a resurgence in IO use occurred primarily for pediatric resuscitation. With the introduction of plastic intravenous (IV) catheters in the 1950s, IO access fell into disfavor.…”

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confidence: 99%

Intraosseous infusion rates under high pressure

Pasley

Miller

DuBose

et al. 2015

Journal of Trauma and Acute Care Surgery

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This is the first study comparing the rate of flow at the three most clinically used adult IO infusion sites in an adult human cadaver model. Our results showed that the sternal site for IO access provided the most consistent and highest flow rate compared with the humeral and tibial insertion sites. The average flow rate in the sternum was 1.6 times greater than in the humerus and 3.1 times greater than in the tibia.

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“…Approximately one billion vascular access procedures are performed annually in the United States (and approximately four billion procedures worldwide) 13 . We focused on cannulation of upper-extremity peripheral vessels, which are the most common targets for cannulation (>95% of total procedures 8 ) and considered particularly challenging due to their small size (typically 2 to 3 mm in adults and <1 mm in children) and tendency to roll or collapse 44 . In our studies, autonomous robotic cannulation reduced the mean number of failed access attempts by sixfold (1.8 per trial to 0.3 per trial) and increased first-stick success rates from 53% to 88% compared to blind manual access, with the largest gains seen in the most difficult physiological conditions (Fig.…”

Section: Discussionmentioning

confidence: 99%