Landmark technique versus ultrasonography guidance for jugular vein catheterization
The purpose of this study was to evaluate the effectiveness of needle-guiding ultrasound for internal jugular venous cannulation” Kayir et al (2019). Abstract: Background: Central venous catheterization is an invasive procedure that must be performed during cardiovascular surgery. The addition of ultrasound guidance to the catheterization technique has shown effectiveness in reducing complications because it […]
Ultrasound-guided cannulation of the right internal jugular vein in infants
The aim of this study was to share our observations pertaining to the anatomy and position of the right internal jugular vein with respect to carotid artery using ultrasound and our experience with ultrasound-guided right internal jugular vein access in neonates and small infants” Uzumcugil et al (2019). Abstract: BACKGROUND: The commonly preferred right internal […]
Cost-effectiveness-analysis of ultrasound guidance for central venous catheterization
Because from the German perspective, the cost-effectiveness of ultrasound guidance is unclear, this study examined the cost-effectiveness of ultrasound guidance versus the landmark method for adults undergoing a central venous catheterization” Seleznova et al (2019). Abstract: BACKGROUND: Ultrasound guidance for central venous catheterization is a commonly used alternative to the conventional landmark method. Because from […]
Ultrasound probe contamination investigated in this study
In this study, nearly 80% of Staphylococcus aureus placed on US heads in gel survived for 1 hour, with survival of 3 days possible in other types of organic matter” Spratt et al (2019). Abstract: Therapeutic ultrasound (US) is commonly used in the rehabilitation of soft tissue injuries including wounds. US heads and coupling gel […]
Ultrasonographic assessment of an induration caused by extravasation
Induration may occur after an anticancer drug extravasation in patients who recurrently receive chemotherapy because of reduced choice of an appropriate vein for inserting a peripheral intravenous catheter, resulting in catheter placement difficulty” Abe-Doi et al (2019). Abstract: RATIONALE: Induration may occur after an anticancer drug extravasation in patients who recurrently receive chemotherapy because of […]
Modified approach for ultrasound-guided axillary venipuncture in the infraclavicular area
The ultrasound-guided oblique-axis/in-plane approach is a safe and reliable alternative to the routine ultrasound-guided approach for axillary venous catheterization” Yao et al (2019). Abstract: BACKGROUND: Catheterization of the axillary vein in the infraclavicular area has important advantages in patients with long-term, indwelling central venous catheters. The two most commonly used ultrasound-guided approaches for catheterization of […]
Review of ultrasound-guided vascular access in critical illness
Over the past two decades, ultrasound (US) has become widely accepted to guide safe and accurate insertion of vascular devices in critically ill patients. We emphasize central venous catheter insertion, given its broad application in critically ill patients, but also review the use of US for accessing peripheral veins, arteries, the medullary canal, and vessels […]
How to determine correct depth of central venous catheter insertion
This study aimed to determine a simple and practical method to predict the ideal CVC insertion depth after ultrasound-guided right internal jugular, or left or right supraclavicular puncture in pediatric patients” Yamamoto and Schindler (2019). Abstract: BACKGROUND: Several formulae or methods are reported to predict the ideal central venous catheter (CVC) insertion depth. However, they […]
AIUM practice parameter for the use of ultrasound to guide vascular access procedures
Ultrasound should be used to aid in central venous, peripheral venous, and arterial access procedures. When used appropriately by qualified personnel, there are no absolute contraindications to using ultrasound as a procedural adjunct for vascular guidance” No authors listed (2019). Extract: Ultrasound should be used to aid in central venous, peripheral venous, and arterial access […]
Ultrasound-guided right brachiocephalic and right subclavian vein cannulation
To compare ultrasound-guided right brachiocephalic vein (BCV) central venous catheter (CVC) placement to right subclavian vein (SCV) CVC insertion in terms of the puncture success rate and complications” Sun et al (2019). Abstract: OBJECTIVES: To compare ultrasound-guided right brachiocephalic vein (BCV) central venous catheter (CVC) placement to right subclavian vein (SCV) CVC insertion in terms […]
Article describes novel ultrasound-guided approach to the axillary vein
We propose a novel ultrasound-guided puncture technique of axillary vein for centrally inserted central catheter placement, which consists in the oblique-axis view of the axillary vein coupled with the in-plane puncture. The main objectives of this study were feasibility and safety of this approach. The primary endpoints were the success rate and early complications; the […]
Ultrasound-guided placement of a midline catheter
The midline catheter is a viable choice in patients with difficult vascular access due to extensive postburn scar contractures” Yokota et al (2019). Abstract: RATIONALE: Obtaining venous access in a patient with extensive postburn scar contractures is a challenge. PATIENT CONCERNS: A 39-year-old woman suffered a burn 2 years previously with a total body surface […]
Barriers to ultrasound guidance for central venous access
The goal of this study was to investigate current practice for central venous catheterization in anaesthesiology and intensive care in the Netherlands, identify barriers for further implementation of US guidance and to evaluate whether personality traits are associated with the choice of technique” Scholten et al (2019). Abstract: Accumulating evidence shows that ultrasound (US) guidance […]
Ultrasound assisted subclavian central venous catheter insertion
The use of ultrasound for procedural guidance has been demonstrated to further increase the rate of success and reduce the risk of specific mechanical complications, especially in patients with difficult surface anatomy” Millington et al (2019). Abstract: The insertion of a subclavian central venous catheter is generally associated with a high rate of success and […]
Accuracy of duplex ultrasound vein mapping for dialysis access
Duplex ultrasound vein mapping (DUVM) may increase autogenous dialysis access procedures but has not been universally adopted by surgeons” Sharma et al (2018). Abstract: BACKGROUND: Duplex ultrasound vein mapping (DUVM) may increase autogenous dialysis access procedures but has not been universally adopted by surgeons. METHODS: We determined reliability and accuracy of arm vein measurements on […]
Faculty opinions concerning ultrasound utilization in the emergency department
As point-of-care ultrasound (POCUS) is becoming increasingly pervasive in the emergency department (ED), ultrasound is being incorporated into medical education targeting every stage of training: medical school, residency, and fellowship [1-4]” Graglia et al (2018). Abstract: As point-of-care ultrasound (POCUS) is becoming increasingly pervasive in the emergency department (ED), ultrasound is being incorporated into medical […]
Point-of-care ultrasound evaluation and puncture simulation of the internal jugular vein
To show that medical students can evaluate the internal jugular vein (IJV) and its anatomical variations after rapid and focused training. We also aimed to evaluate the success rate of IJV puncture in simulation following traditional techniques (TTs) and monitored via ultrasound (US)” Pazeli et al (2018). Abstract: OBJECTIVES: To show that medical students can […]
Efficacy and safety of ultrasound-guided cannulation via the right brachiocephalic vein
Central venous catheter (CVC) insertion is difficult to perform and is a high-risk operation; ultrasound (US)-guided cannulation helps increase the odds of success while reducing the associated complications” Xia et al (2018). Abstract: Central venous catheter (CVC) insertion is difficult to perform and is a high-risk operation; ultrasound (US)-guided cannulation helps increase the odds of […]
Needle insertion skill in central venous catheterization training
Training for ultrasound-guided central venous catheterization (CVC) is typically conducted on static manikin simulators with real-time feedback from a skilled observer. Dynamic haptic robotic trainers (DHRTs) are an alternative method that simulates various patient anatomies and provides consistent feedback for each insertion” Chen et al (2018). Abstract; BACKGROUND: Training for ultrasound-guided central venous catheterization (CVC) […]
Risk of bleeding after ultrasound-guided jugular central venous catheter insertion
We sought to assess the incidence and risk factors of bleeding after ultrasound-guided internal jugular (USGIJ) catheter insertion in severely thrombocytopenic cancer patients, as safe platelet (PLT) count threshold remains controversial” AlRstum et al (2019). Abstract: INTRODUCTION: We sought to assess the incidence and risk factors of bleeding after ultrasound-guided internal jugular (USGIJ) catheter insertion […]
Evaluation of an intraosseous needle causing compartment syndrome
We present a case where point-of-care ultrasound was used to quickly identify a malfunctioning IO needle that resulted in compartment syndrome of the lower extremity” Abramson et al (2018). Abstract: Intraosseous (IO) needles are used in critically ill patients when it is not possible to quickly obtain venous access. While they allow for immediate access, […]
Point-of-care ultrasound-guided AVF needle placement
This pilot and feasibility study will assess the feasibility of a randomised controlled trial aimed at evaluating whether POCUS-guided cannulation results in more successful and accurate AVF needle placement than the standard practice of blind cannulation” Schoch et al (2018). Abstract: BACKGROUND: Point-of-care ultrasound (POCUS) has been used in various vascular access contexts; however, to […]
Comparison of different ultrasound techniques for jugular venous catheterization
Internal jugular venous catheterization (IJVC) is performed for numerous therapeutic interventions. Although ultrasound-guided IJVC is the gold standard for this procedure, complications can still occur” Chen et al (2018). Abstract: BACKGROUND: Internal jugular venous catheterization (IJVC) is performed for numerous therapeutic interventions. Although ultrasound-guided IJVC is the gold standard for this procedure, complications can still […]
Review of a pocket-sized ultrasound device for internal jugular puncture
The aims of our study were to compare the performance of experienced emergency physicians for internal jugular vein puncture using a conventional ultrasound device versus a pocket-sized ultrasound in a training model” Chetioui et al (2018). Abstract: INTRODUCTION: The aims of our study were to compare the performance of experienced emergency physicians for internal jugular […]
Central venous occlusive disease in patients with end-stage renal disease
Central venous occlusive disease is frequently observed in patients with end-stage renal disease” McFall and Lu (2018). Abstract: Central venous occlusive disease is frequently observed in patients with end-stage renal disease. Venography remains the gold standard for diagnosis, but intravascular ultrasound is a potentially beneficial adjunct that may positively influence intervention. You may also be […]
Options for difficult central venous cannulation insertion?
A commonly encountered difficulty during US-guided cannulation is the small lumen of the vessel (especially internal jugular vein) in patients who are volume deficient or have a history of multiple cannulations” Dhiman et al (2018). Extract: “A commonly encountered difficulty during US-guided cannulation is the small lumen of the vessel (especially internal jugular vein) in […]
Ultrasound peripheral IV catheter insertion reduces central line placement
Our primary objective was to determine the proportion of patients that required CVC after USPIV. Our secondary objective was to determine if classic risk factors for difficult vascular access were predictive of future CVC placement” Pare et al (2018). Abstract: Objectives: Ultrasound guided peripheral intravenous catheters (USPIV) are frequently utilized in the Emergency Department (ED) […]
Review of ultrasonography in Italian anesthesiology
The appropriate training in the use of ultrasound in anesthesia, intensive-care medicine, and pain therapy should be implemented in south of Italy to make uniform the widespread of ultrasonography in anesthesia, in all Italian regions” Fusco et al (2018). Abstract: PURPOSE: In recent years, ultrasound has seen a rapid development with numerous applications in anesthesia, […]
Implications of head turning on central venous access
The goal of this study was to examine the anatomical relationships of the IJV and CA as a function of the degree of head rotation in order to minimize the risk for CA puncture” Merritt et al (2018). Abstract: CONTEXT: Previous studies have shown that safe venous cannulation is difficult when the internal jugular vein […]
Pythagoras and ultrasound-guided vessel puncture
Reminding about the properties of the isosceles right triangle might be of interest to teach young fellows a secure step by step technique for vessel catheterization” Piton et al (2018). Extract: “Vascular access is routinely performed by critical care physicians and the use of ultrasonography is recommended [1]. However, complications during vessel puncture are not […]