keyword
https://read.qxmd.com/read/38389210/central-venous-catheter-tip-positioning-using-ultrasound-in-pediatric-patients-a-prospective-observational-study
#21
JOURNAL ARTICLE
Claudia Neumann, Martin Breil, Amelie Schild, Alina Schenk, Patrick Jakobs, Marian Mikus, Ehrenfried Schindler
BACKGROUND: In children, central venous catheter (CVC) placement is usually performed under ultrasound guidance for optimal visualization of vessels and reduction of puncture-related complications. Nevertheless, in many cases, additional radiographic examinations are performed to check the position of the catheter tip. AIM: The primary objective of this observational feasibility study was to determine the number of ultrasound-guided central venous catheter tips that can be identified in a subsequent position check using ultrasonography...
February 22, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38383304/operator-gender-differences-in-major-mechanical-complications-after-central-line-insertions-a-subgroup-analysis-of-a-prospective-multicentre-cohort-study
#22
MULTICENTER STUDY
Leila Naddi, Janna Hübinette, Thomas Kander, Ola Borgquist, Maria Adrian
BACKGROUND: A previous study on mechanical complications after central venous catheterisation demonstrated differences in complication rates between male and female operators. The objective of this subgroup analysis was to further investigate these differences. The hypothesis was that differences in distribution of predefined variables between operator genders could be identified. METHODS: This was a subgroup analysis of a prospective, multicentre, observational cohort study conducted between March 2019 and December 2020 including 8 586 patients ≥ 16 years receiving central venous catheters at four emergency care hospitals...
February 21, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38379277/challenges-of-post-venipuncture-jugular-venous-thrombosis-in-patients-with-secondary-hyperparathyroidism-a-case-report
#23
JOURNAL ARTICLE
Jian Zeng, Li Zhao, Hui Jiang, Xiongtiao Yang, Lin Liao, Yanli Zhang, Hongyi Lei
BACKGROUND Hyperparathyroidism is a common issue in patients on long-term hemodialysis, necessitating parathyroidectomy with deep venipuncture. These patients frequently exhibit a heightened incidence of vascular calcification, complicating deep venipuncture and increasing the risk of associated complications. Therefore, a crucial aspect of preoperative assessment in this population involves identifying vascular calcification, with a preference for ultrasound-guided intraplane puncture. Special care is required to prevent blood vessel injuries and postoperative complications such as deep vein thrombosis...
February 21, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38374167/coexistence-of-a-fluid-responsive-state-and-venous-congestion-signals-in-critically-ill-patients-a-multicenter-observational-proof-of-concept-study
#24
MULTICENTER STUDY
Felipe Muñoz, Pablo Born, Mario Bruna, Rodrigo Ulloa, Cecilia González, Valerie Philp, Roberto Mondaca, Juan Pablo Blanco, Emilio Daniel Valenzuela, Jaime Retamal, Francisco Miralles, Pedro D Wendel-Garcia, Gustavo A Ospina-Tascón, Ricardo Castro, Philippe Rola, Jan Bakker, Glenn Hernández, Eduardo Kattan
BACKGROUND: Current recommendations support guiding fluid resuscitation through the assessment of fluid responsiveness. Recently, the concept of fluid tolerance and the prevention of venous congestion (VC) have emerged as relevant aspects to be considered to avoid potentially deleterious side effects of fluid resuscitation. However, there is paucity of data on the relationship of fluid responsiveness and VC. This study aims to compare the prevalence of venous congestion in fluid responsive and fluid unresponsive critically ill patients after intensive care (ICU) admission...
February 19, 2024: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/38372249/nurse-focused-ultrasound-guided-iv-program-improves-core-emergency-department-process-measures
#25
JOURNAL ARTICLE
Ross Kessler, Jane Hall, Anne K Chipman, Michael Kennedy Hall, Ashley Amick
INTRODUCTION: Ultrasound-guided peripheral IV catheter (USGIV) insertion is as an effective procedure to establish access in patients with difficult intravenous access (DIVA), a condition frequently encountered in the Emergency Department (ED). This study describes a DIVA quality improvement program focusing on rapid identification of DIVA patients and emergency nurse USGIV training and evaluates its impact on overall frequency of USGIV use and process measures related to quality of patient care...
February 19, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38351546/central-venous-catheter-tip-misplacement-a-multicentre-cohort-study-of-8556-thoracocervical-central-venous-catheterisations
#26
JOURNAL ARTICLE
Emilia Ängeby, Maria Adrian, Gracijela Bozovic, Ola Borgquist, Thomas Kander
BACKGROUND: There is a paucity of data on the incidence of central venous catheter tip misplacements after the implementation of ultrasound guidance during insertion. The aims of the present study were to determine the incidence of tip misplacements and to identify independent variables associated with tip misplacement. METHODS: All jugular and subclavian central venous catheter insertions in patients ≥16 years with a post-procedural chest radiography at four hospitals were included...
February 13, 2024: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/38330835/ultrasound-guided-central-venous-catheterization-around-the-neck-systematic-review-and-network-meta-analysis
#27
JOURNAL ARTICLE
Eriya Imai, Yuki Kataoka, Jun Watanabe, Hiromu Okano, Motoki Namekawa, Gen Owada, Yuko Matsui, Motoi Yokozuka
BACKGROUND: Ultrasound-guided central venous catheterization (CVC) has become the standard of care. However, providers use a variety of approaches, encompassing the internal jugular vein (IJV), supraclavicular subclavian vein (SupraSCV), infraclavicular subclavian vein (InfraSCV), proximal axillary vein (ProxiAV), distal axillary vein (DistalAV), and femoral vein. OBJECTIVE: This review aimed to compare the first-pass success rate and arterial puncture rate for different approaches to ultrasound-guided CVC above the diaphragm...
April 2024: American Journal of Emergency Medicine
https://read.qxmd.com/read/38322689/multiple-paradoxical-embolisms-caused-by-central-venous-catheter-thrombus-passing-through-a-patent-foramen-ovale-a-case-report
#28
Jian-Duan Li, Nian Xu, Qiang Zhao, Biao Li, Li Li
BACKGROUND: To date, this is the first case of a paradoxical embolism (PDE) that concurrently manifested in the coronary and lower limb arteries and was secondary to a central venous catheter (CVC) thrombus via a patent foramen ovale (PFO). CASE SUMMARY: Here, we report a case of simultaneous coronary and lower limb artery embolism in a PFO patient carrier of a CVC. The patient presented to the hospital with acute chest pain and lower limb fatigue. Doppler ultrasound showed a large thrombus in the right internal jugular vein, precisely at the tip of the CVC...
February 6, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38316624/safety-and-efficacy-of-a-new-covered-stent-in-hemodialysis-vascular-access-outflow-stenosis-a-brazilian-multicenter-retrospective-study
#29
JOURNAL ARTICLE
Leonardo de Oliveira Harduin, Thiago Almeida Barroso, Julia Bandeira Guerra, Márcio Gomes Filippo, Leonardo Cortizo de Almeida, Brunno Ribeiro Vieira, Renata Silveira Mello, Adriano Martins Galhardo, Guilherme de Castro-Santos, Carlos Eduardo Virgini-Magalhães, Jorge Paulo Strogoff-de-Matos
BACKGROUND: Vascular stenosis commonly leads to dysfunction in hemodialysis vascular access. Although percutaneous transluminal angioplasty is an established treatment, stent utilization has increased in the last decade as an alternative solution to extend the access function. This study evaluated the safety and initial results of a new impermeable covered stent for treating vascular access outflow stenosis. METHODS: Investigators retrospectively analyzed 114 hemodialysis patients treated with polytetrafluorethylene-covered stents from September 2018 to September 2022 across four centers...
February 5, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38299348/estimation-of-right-atrial-pressure-by-ultrasound-assessed-jugular-vein-distensibility-in-patients-with-heart-failure
#30
JOURNAL ARTICLE
Enrico Ammirati, Davide Marchetti, Giada Colombo, Pierpaolo Pellicori, Piero Gentile, Luciana D'Angelo, Gabriella Masciocco, Alessandro Verde, Francesca Macera, Dario Brunelli, Lucia Occhi, Francesco Musca, Enrico Perna, Davide P Bernasconi, Antonella Moreo, Paolo G Camici, Marco Metra, Fabrizio Oliva, Andrea Garascia
BACKGROUND: Clinical evaluation of central venous pressure is difficult, depends on experience, and is often inaccurate in patients with chronic advanced heart failure. We assessed the ultrasound-assessed internal jugular vein (JV) distensibility by ultrasound as a noninvasive tool to identify patients with normal right atrial pressure (RAP ≤7 mm Hg) in this population. METHODS: We measured JV distensibility as the Valsalva-to-rest ratio of the vein diameter in a calibration cohort (N=100) and a validation cohort (N=101) of consecutive patients with chronic heart failure with reduced ejection fraction who underwent pulmonary artery catheterization for advanced heart failure therapies workup...
February 2024: Circulation. Heart Failure
https://read.qxmd.com/read/38278722/clinical-outcomes-of-standardized-central-venous-catheterization-simulation-training-a-comparative-analysis
#31
JOURNAL ARTICLE
Jessica M Gonzalez-Vargas, Elizabeth Sinz, Jason Z Moore, Scarlett R Miller
OBJECTIVE: A standardized ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) using online- and simulation-based training was first designed and then large-scale deployed at a teaching hospital institution to improve CVC surgical education. To understand the impact that the standardized training might have on patient complications, this study focuses on identifying the impact of the integration of an iteratively designed US-IJCVC training on clinical complications at a teaching hospital...
January 25, 2024: Journal of Surgical Education
https://read.qxmd.com/read/38267828/major-immediate-insertion-related-complications-after-central-venous-catheterisation-and-associations-with-mortality-length-of-hospital-stay-and-costs-a-prospective-observational-study
#32
JOURNAL ARTICLE
Sofia Ingefors, Maria Adrian, Gawain Heckley, Ola Borgquist, Thomas Kander
BACKGROUND: It is well-known that infectious complications after central venous catheterisation are associated with increased mortality, length of hospital stay and costs. However, there are limited data regarding such associations for immediate insertion-related complications. Therefore, the aim of this study was to investigate whether major immediate insertion-related complications are associated with mortality, length of hospital stay and costs. METHODS: This was a preplanned substudy to the CVC-MECH trial on immediate insertion-related complications after central venous catheterisation in the ultrasound-guided era...
January 24, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38263923/-not-available
#33
JOURNAL ARTICLE
Mahmoud Marzouk, Oussama Nasri, Rabeb Hammami, Chadha Ben Messaoud, Saber Thamlaoui, Nader Baffoun, Olfa Kaabachi, Chokri Kaddour
INTRODUCTION: The placement of central venous catheters (CVC) is a frequent procedure in intensive care. It is not devoid of complications, the diagnosis of which relied for a long time on the chest X-ray. Currently, ultrasound appears to be an interesting alternative. AIM: To report the impact of the use of ultrasound on the time to exclusion of mechanical complications after CVC placement. METHODS: This is a prospective, multicenter, comparative, double-blind study...
March 5, 2023: La Tunisie Médicale
https://read.qxmd.com/read/38256289/precise-terminology-and-specified-catheter-insertion-length-in-ultrasound-guided-infraclavicular-central-vein-catheterization
#34
JOURNAL ARTICLE
Ainius Žarskus, Dalia Zykutė, Saulius Lukoševičius, Antanas Jankauskas, Darius Trepenaitis, Andrius Macas
Background and Objectives : As the latest research encourages the ultrasound-guided infraclavicular central venous approach, due to the lateral puncture site displacement, in comparison to the anatomical landmark technique based on subclavian vein catheterization, the need to re-calculate the optimal catheter insertion length and possibly to rename the punctuated vessel emerges. Although naming a particular anatomical structure is a nomenclature issue, a suboptimal catheter position can be associated with multiple life-threatening complications and must be avoided...
December 23, 2023: Medicina
https://read.qxmd.com/read/38239602/-not-available
#35
REVIEW
Prasanna Udupi Bidkar, Narmadhalakshmi Kannabiran, Protiti Chatterjee
Ultrasonography (USG) has become an invaluable tool in the assessment of neurocritical patients in the operating theaters and critical care units. Due to its easy availability, reliability, safety, and repeatability, neuro-intensivists and neuro-anesthesiologists utilize USG to make a diagnosis, assess prognosis, and decide upon treatment. In neurocritical care units, USG has myriad indications for use, both systemic and neurologic. The neurological indications include the assessment of stroke, vasospasm, traumatic brain injury, brain death, acute brain damage, optic nerve sheath diameter, and pupillary reflexes to name a few...
2024: Medical Journal, Armed Forces India
https://read.qxmd.com/read/38235699/vascular-access-for-hemodialysis-in-italy-what-a-national-survey-reveals
#36
JOURNAL ARTICLE
Marcello Napoli, Francesco Guzzi, Walter Morale, Carlo Lomonte, Franco Galli, Massimo Lodi, Giuseppe Bonforte, Decenzio Bonucchi, Giuliano Brunori, Laura Buzzi, Giacomo Forneris, Maurizio Gallieni, Mario Meola, Nicola Pirozzi, Concetto Sessa, Monica Spina, Luigi Tazza
BACKGROUND: Since in Italy there are no official data on vascular access (VA) for hemodialysis the Vascular Access Project Group (VAPG) of the Italian Society of Nephrology (SIN) designed a national survey. METHODS: A 35-question survey was designed and sent it to the Italian facilities through the SIN website. The basic questions were the prevalence, the location, and the surveillance of VA, the bedside use of ultrasound, the use of fluoroscopy for central venous catheter (CVC) placement, and of buttonhole technique, the role of nephrologist in the access creation...
January 18, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38214160/operation-stick-a-vascular-access-specialty-program-for-the-generalist-emergency-medicine-clinician
#37
JOURNAL ARTICLE
Amit Bahl, Nicholas Mielke, Emily DiLoreto, S Matthew Gibson
OBJECTIVE: Comprehensive education and training programs are urgently needed to improve vascular access outcomes in the emergency department (ED). This study aimed to demonstrate the success of a formalized vascular access program in developing competent ED clinicians in traditional and ultrasound-guided insertion methods. METHODS: This was a retrospective observational study exploring the success of trainees in obtaining competency in peripheral vascular access at an academic suburban ED with 120,000 annual visits...
January 12, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38197213/comparison-of-procedural-time-with-two-different-ultrasound-guided-approaches-for-dorsalis-pedis-artery-cannulation-in-adult-patients-a-randomized-trial
#38
JOURNAL ARTICLE
Priyabrat Karan, Ankur Sharma, Arun Mukesh, Shilpa Goyal, Darshna Rathod, Kamlesh Kumari, Tanvi Meshram, Nikhil Kothari, Pradeep Bhatia
BACKGROUND: In adult patients, there has never been an evaluation of short-axis out-of-plane versus long-axis in-plane approaches of ultrasound-guided dorsalis pedis artery cannulation. This research was conducted to compare these two techniques to cannulate the dorsal pedis artery. METHODS: In this trial, 128 adult patients undergoing surgery and necessitating arterial cannulation were examined. Dorsalis pedis artery cannulation was performed utilizing an ultrasound by long-axis in-plane approach (group L) or short-axis out-of-plane (group S) techniques...
January 10, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38190576/simultaneous-venous-arterial-doppler-ultrasound-during-early-fluid-resuscitation-to-characterize-a-novel-doppler-starling-curve-a-prospective-observational-pilot-study
#39
JOURNAL ARTICLE
Jon-Émile S Kenny, Ross Prager, Philippe Rola, Korbin Haycock, Stanley O Gibbs, Delaney H Johnston, Christine Horner, Joseph K Eibl, Vivian C Lau, Benjamin O Kemp
Background: The likelihood of a patient being preload responsive-a state where the cardiac output or stroke volume (SV) increases significantly in response to preload-depends on both cardiac filling and function. This relationship is described by the canonical Frank-Starling curve. Research Question : We hypothesize that a novel method for phenotyping hypoperfused patients (ie, the "Doppler Starling curve") using synchronously measured jugular venous Doppler as a marker of central venous pressure (CVP) and corrected flow time of the carotid artery (ccFT) as a surrogate for SV will refine the pretest probability of preload responsiveness/unresponsiveness...
January 8, 2024: Journal of Intensive Care Medicine
https://read.qxmd.com/read/38187971/utility-of-vexus-score-in-the-peri-operative-care-unit-intensive-care-unit-and-emergency-setting-a-systematic-review
#40
JOURNAL ARTICLE
Bhavna Gupta, Pallavi Ahluwalia, Anish Gupta, Nikhil Ranjan, Kamna Kakkar, Parag Aneja
BACKGROUND AND AIMS: The venous excess ultrasound (VExUS) score presents a prospect of valuable clinical utility. The study aimed to systematically review the effectiveness of the VExUS score in detecting venous congestion across emergency, critical care, and peri-operative contexts; assessing its utility in improved patient outcomes; and exploring its relationship with established parameters. METHODS: This systematic review was registered in the International Prospective Register of Systematic Reviews (CRD42023421034)...
November 2023: Indian Journal of Anaesthesia
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