Simplified point-of-care ultrasound protocol to confirm central venous catheter placement: A prospective study

Se, Wilson; Assaf, Samer; Lahham, Shadi; Subeh, Mohammad; Chiem, Alan; Anderson, Craig L.; Shwe, Samantha; Nguyen, Ruby H.N.; Fox, J. Christian

doi:10.5847/wjem.j.1920-8642.2017.01.004

Cited by 21 publications

(22 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In conclusion, in any case of acute abdomen with a femoral venous catheter in place, evaluation of catheter misplacement by the means of contrast injection through it could be helpful for better diagnosis, and maybe of help in avoiding an unnecessary surgical intervention. Additionally, confirmation of the proper placement of femoral central venous catheter by the use of a simple point-of-care ultrasound (POCUS) is recommended, as it has been mentioned for correct supra-diaphragmatic central venous catheter placement instead of plain film chest radiography (CXR) by Wilson et al ( 12 )the flush the line and ultrasound the heart (FLUSH) test that was described by Horowitz et al could accurately confirm the proper placement of femoral venous line as well ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneally Located Tip of Femoral Vein Catheter; Clinical Suspicion for Avoidance of Unnecessary Laparotomy

2017

View full text Add to dashboard Cite

Central venous catheterization is a common procedure in critical care and trauma patients. Complications are not rare and in some studies more than 15% incidence has been reported (1). Femoral vein is one of the commonest site for this purpose yet it carries complications, such as infection and misplacement. The current study reports an unexpected secondary malposition of right femoral CVC in the peritoneal cavity. It was concluded that in any case of acute abdominal issues, following insertion of femoral venous catheter, evaluation of catheter misplacement by the means of contrast injection through it can be helpful for better diagnosis, and may help avoid unnecessary surgical interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Intraperitoneally Located Tip of Femoral Vein Catheter; Clinical Suspicion for Avoidance of Unnecessary Laparotomy

2017

View full text Add to dashboard Cite

show abstract

“…Fox et al showed that the use of POCUS may be advantageous in the screening of certain clinical conditions in a dedicated patient population, e.g., hypertrophic cardiomyopathy in young athletes, since such conditions may not be readily identified by physical examination alone [80]. In a prospective study involving 78 patients (in the ED and intensive care unit) POCUS was useful in providing confirmation of correct supra-diaphragmatic central venous catheter placement (sensitivity: 86.8% and specificity: 100%) in less time (median time: 16 minutes) relative to chest radiography (median time: 32 minutes) [81]. In another study of 2683 patients presenting with dyspnea and admitted after ED evaluation, the performance of POCUS and standard ED workup for diagnosis of clinical conditions were compared [82].…”

Section: Point Of Care Ultrasoundmentioning

confidence: 99%

Recent technological advancements in cardiac ultrasound imaging

et al. 2018

View full text Add to dashboard Cite

About 92.1 million Americans suffer from at least one type of cardiovascular disease. Worldwide, cardiovascular diseases are the number one cause of death (about 31% of all global deaths). Recent technological advancements in cardiac ultrasound imaging are expected to aid in the clinical diagnosis of many cardiovascular diseases. This article provides an overview of such recent technological advancements, specifically focusing on tissue Doppler imaging, strain imaging, contrast echocardiography, 3D echocardiography, point-of-care echocardiography, 3D volumetric flow assessments, and elastography. With these advancements ultrasound imaging is rapidly changing the domain of cardiac imaging. The advantages offered by ultrasound imaging include real-time imaging, imaging at patient bed-side, cost-effectiveness and ionizing-radiation-free imaging. Along with these advantages, the steps taken towards standardization of ultrasound based quantitative markers, reviewed here, will play a major role in addressing the healthcare burden associated with cardiovascular diseases.

show abstract

“…Point-of-care ultrasound (PoCUS) has been used frequently and variously in emergency clinical practice because it can reduce cost [ 1 ] and can be used as an additional diagnostic test [ 2 ] that provides important clinical information in a very short time. Procedures have also been proven to benefit from PoCUS, e.g., both guidance and confirmation [ 3 , 4 ]. Because ultrasound performance depends on the physician’s ability, PoCUS training should be a core component in the education of emergency physicians, especially those who are in residency programs [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Operating bedside cardiac ultrasound program in emergency medicine residency: A retrospective observation study from the perspective of performance improvement

et al. 2021

View full text Add to dashboard Cite

Background Point-of-care ultrasound is one of useful diagnostic tools in emergency medicine practice and considerably depends on physician’s performance. This study was performed to evaluate performance improvements and favorable attitudes through structured cardiac ultrasound program for emergency medicine residents. Methods Retrospective observational study using the point-of-care ultrasound (PoCUS) database in one tertiary academic-teaching hospital emergency department has been conducted. Cardiac ultrasound education and rotation program has been implemented in emergency medicine residency program. Structured evaluation sheet for cardiac ultrasound and questionnaire toward PoCUS have been developed. An early-phase and a late-phase case were selected randomly for each participant. Two emergency medicine specialists with expertise in PoCUS evaluated saved images independently. We used a paired t-test to compare the performance score of each phase and the results of the questionnaire. Multivariable linear regression analysis was conducted to evaluate the association between the characteristics of participants and performance improvements. Results During the study period, a total of 1,652 bedside cardiac ultrasounds were administered. Forty-six examinations conducted by 23 emergency medicine residents were randomly selected for analysis. The performance score increased from 39.5 to 56.1 according to expert A and 45.3 to 62.9 according to expert B (p-value <0.01 for both). The average questionnaire score, which was analyzed for 17 participants, showed improvement from 18.9 to 20.7 (p-value <0.01). In multivariable linear regression analysis, younger age, higher early-phase score and higher confidence had a negative association with a greater improvement of performance, while the number of examinations had a positive association. Conclusions Bedside cardiac ultrasound performance and attitudes toward PoCUS have been improved through structured residency program.

show abstract

Simplified point-of-care ultrasound protocol to confirm central venous catheter placement: A prospective study

Cited by 21 publications

References 14 publications

Intraperitoneally Located Tip of Femoral Vein Catheter; Clinical Suspicion for Avoidance of Unnecessary Laparotomy

Intraperitoneally Located Tip of Femoral Vein Catheter; Clinical Suspicion for Avoidance of Unnecessary Laparotomy

Recent technological advancements in cardiac ultrasound imaging

Operating bedside cardiac ultrasound program in emergency medicine residency: A retrospective observation study from the perspective of performance improvement

Contact Info

Product

Resources

About