Ultrasonography-Guided Peripheral Intravenous Access Versus Traditional Approaches in Patients With Difficult Intravenous Access

Costantino, Thomas; Parikh, Aman K.; Satz, Wayne A.; Fojtik, John P.

doi:10.1016/j.annemergmed.2004.12.026

Cited by 379 publications

(303 citation statements)

References 13 publications

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“…In obese patients, intravenous drug users, and patients who have been hospitalized for long periods of time, palpable peripheral veins may not be available. Ultrasound can be used to access veins lying deeper in the arm (e.g., basilic, cephalic) that cannot be identified by palpation [43].…”

Section: Approach To Peripheral Vascular Catheterizationmentioning

confidence: 99%

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

et al. 2013

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Vascular access used in the treatment of patients involves central and peripheral vein accesses and arterial accesses. Catheterization of central veins is widely used in clinical practice; it is a necessary part of the treatment of patients in various settings. The most commonly involved vessels are the internal jugular, subclavian, and femoral veins. The mechanical, infectious, and thrombotic complications of central venous catheterization are markedly reduced when the procedure is performed with real-time ultrasound guidance or (to a slightly lesser extent) ultrasound assistance. Ultrasound guidance is also used to create peripheral venous accesses, for catheterization of peripheral veins and for peripheral insertion of central venous catheters. In this setting, it increases the catheterization success rate, especially during difficult procedures (e.g., obese patients, children) and reduces complications such as catheter-related infections and venous thrombosis. Arterial cannulation is used for invasive monitoring of arterial pressure and for access during diagnostic or therapeutic procedures. Ultrasound guidance reduces the risk of catheterization failure and complications. It is especially useful for arterial catheterization procedures performed in the absence of a palpable pulse (e.g., patient in shock, ECMO). Imaging support is being used increasingly to facilitate the creation of vascular accesses under difficult conditions, in part because of the growing use of ultrasonography as a bedside procedure. In clinical settings where patients are becoming increasingly vulnerable as a result of advanced age and/or complex disease, the possibility to reduce the risks associated with these invasive procedures should motivate clinicians to acquire the technical skills needed for routine use of sonographic support during vascular access procedures. Keywords Vascular access Á UltrasoundRiassunto Gli accessi vascolari utilizzati nella cura dei pazienti comprendono gli accessi venosi centrali e periferici e gli accessi arteriosi. L'incannulamento di accessi venosi centrali è manovra largamente diffusa nella pratica clinica e si rende necessaria per la cura dei pazienti in molteplici contesti. I vasi centrali che usualmente vengono incannulati sono la vena giugulare interna, la vena succlavia e la vena femorale. Nell'incannulamento venoso centrale sia l'eco-assistenza che l'eco-guida real time, pur con una leggera superiorità di quest'ultima, riducono drasticamente le complicanze meccaniche, infettive e trombotiche. La guida ecografica viene utilizzata anche per l'accesso venoso periferico, per l'incannulamento di vasi periferici e di vasi centrali a inserzione periferica (PICC). In questo contesto la guida ecografica aumenta il successo della manovra di incannulamento soprattutto in condizioni di difficoltà, come avviene nei pazienti obesi o nei bambini, e diminuisce le complicanze quali le infezioni catetere correlate e le trombosi venose. L'incannulamento arterioso viene utilizzato per il monitoraggio cruent...

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Section: Approach To Peripheral Vascular Catheterizationmentioning

confidence: 99%

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

et al. 2013

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“…Thick subcutaneous fat tissue pushes the subcutaneous vein deep, causing a long needle puncture route and generating increased echo from the thick fat, causing poor visualization of the puncture needle [4,11] . In deep vein thrombus, poor visualization of the puncture needle during needle puncture of the popliteal vein is caused by the elevated echogenicity of the thrombus in the vessels and thick limb edema, with subcutaneous fat pushing the popliteal vein deep [13] . Therefore, modifications to improve visualization of the vascular puncture needle would improve safety during these procedures [17,[20][21][22][23][24][25][26] .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, venous puncture of the popliteal vein is necessary for treatment of deep venous thrombosis [13] . Ultrasound (US) guidance enables the puncture to be performed precisely and quickly, with a low incidence of complications [1][2][3][4][5][6][7][8]10,14,15] .…”

Section: Brief Articlementioning

confidence: 99%

Evaluation of vascular puncture needles with specific modifications for enhanced ultrasound visibility:In vitrostudy

Kawai

Minamiguchi²,

Sato

et al. 2012

WJR

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“…37 Airway management for obese patients is also potentially more complicated than for the non-obese. 38 'Intramuscular' injections in an obese patient's thigh or buttock are more likely to be into fat, which has a relatively poor blood supply, leading to unpredictable therapeutic effects.…”

Section: Treatment Of Obesitymentioning

confidence: 99%

Obesity and dentistry: a growing problem

2009

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Ultrasonography-Guided Peripheral Intravenous Access Versus Traditional Approaches in Patients With Difficult Intravenous Access

Cited by 379 publications

References 13 publications

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

Ultrasonography as a guide during vascular access procedures and in the diagnosis of complications

Evaluation of vascular puncture needles with specific modifications for enhanced ultrasound visibility:In vitrostudy

Obesity and dentistry: a growing problem

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