Ultrasound-assisted peripheral line placement - Revision history

Rossdonaldson1: /* Video */

2024-04-17T20:16:50Z

Video

← Older revision		Revision as of 20:16, 17 April 2024
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	*Nerve damage		*Nerve damage
	*Bacteremia		*Bacteremia

	~~==Video==~~
	~~{{#widget:YouTube\|id= riizCYcXhRU}}~~

	==See Also==		==See Also==

Rossdonaldson1: /* External Links */

2024-04-17T20:11:59Z

External Links

← Older revision		Revision as of 20:11, 17 April 2024
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	*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]		*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]
	*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]
	*[https://www.ernursecentral.com/post/ultrasound-guided-ivs-why-and-how-to]		*[https://www.ernursecentral.com/post/ultrasound-guided-ivs-why-and-how-to ER Nurse Central]

	~~===Videos===~~
	*5 Min Sono (5:52) https://www.youtube.com/watch?v=4Znd21vJPb8

	==References==		==References==

SeanJT at 08:13, 8 January 2023

2023-01-08T08:13:19Z

← Older revision		Revision as of 08:13, 8 January 2023
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	*Tubing, Caps		*Tubing, Caps
	*Tape, Tegaderm		*Tape, Tegaderm
			*Gauze (to remove US gel)

	==Procedure==		==Procedure==
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	**An effective combination of these two techniques involves gaining access to the vein in cross-section and then changing to longitudinal section to follow the needle into the vein and avoid going through back wall		**An effective combination of these two techniques involves gaining access to the vein in cross-section and then changing to longitudinal section to follow the needle into the vein and avoid going through back wall
	***It is important to not stop once you see flash in catheter. This should be your cue to switch to longitudinal section (if not already done) and continue to advance catheter at least several millimeters up to a centimeter further under visualization. Doing so will significantly increase success rate.		***It is important to not stop once you see flash in catheter. This should be your cue to switch to longitudinal section (if not already done) and continue to advance catheter at least several millimeters up to a centimeter further under visualization. Doing so will significantly increase success rate.
			****An alternative strategy is the "lantern method" in which the probe is moved proximally after the needle tip is observed until it disappears, then the needle is advanced until it is again observed on the screen. These two movements are alternated until the needle and catheter are adequately inside the vessel

	==Complications==		==Complications==
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	*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]		*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]
	*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]		*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]
			*[https://www.ernursecentral.com/post/ultrasound-guided-ivs-why-and-how-to]

	===Videos===		===Videos===

Blsimpso: /* External Links */

2021-07-16T13:53:23Z

External Links

← Older revision		Revision as of 13:53, 16 July 2021
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	*[http://www.emdocs.net/unlocking-common-ed-procedures-approach-to-the-patient-with-difficult-vascular-access/ emDOCs: Approach to the Patient with Difficult Vascular Access]		*[http://www.emdocs.net/unlocking-common-ed-procedures-approach-to-the-patient-with-difficult-vascular-access/ emDOCs: Approach to the Patient with Difficult Vascular Access]
	*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]		*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]
			*[https://www.merckmanuals.com/professional/critical-care-medicine/how-to-do-peripheral-vascular-procedures/how-to-do-peripheral-vein-cannulation,-ultrasound-guided?query=peripheral%20IV Merk Manual - How To Do Peripheral Vein Cannulation (Ultrasound-Guided)]

	===Videos===		===Videos===

Rossdonaldson1: /* External Links */

2021-02-18T17:57:37Z

External Links

← Older revision		Revision as of 17:57, 18 February 2021
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	*[http://www.emdocs.net/unlocking-common-ed-procedures-approach-to-the-patient-with-difficult-vascular-access/ emDOCs: Approach to the Patient with Difficult Vascular Access]		*[http://www.emdocs.net/unlocking-common-ed-procedures-approach-to-the-patient-with-difficult-vascular-access/ emDOCs: Approach to the Patient with Difficult Vascular Access]
	*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]		*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]

			===Videos===
			*5 Min Sono (5:52) https://www.youtube.com/watch?v=4Znd21vJPb8

	==References==		==References==

Elcatracho: /* Overview */

2021-02-01T22:07:34Z

Overview

← Older revision		Revision as of 22:07, 1 February 2021
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	==Overview==		==Overview==
	*Ultrasound is a useful adjunct for visualizing vasculature in patients with difficult vascular access		*Ultrasound is a useful adjunct for visualizing vasculature in patients with difficult vascular access<ref>Liu S. and Zane R. Peripheral Intravenous Access. In : Roberts and Hedges’ Clinical Procedures in Emergency Medicine, Chapter 21, 385-396.e1</ref>
	*Success is higher in veins that are more superficial and wide<ref>Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, Dean AJ. What you see (sonographically) is what you get: vein and patient characteristics associated with successful ultrasound-guided peripheral intravenous placement in patients with difficult access. Acad Emerg Med. 2009;16(12):1298-1303. doi:10.1111/j.1553-2712.2009.00520.x</ref>		*Success is higher in veins that are more superficial and wide<ref>Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, Dean AJ. What you see (sonographically) is what you get: vein and patient characteristics associated with successful ultrasound-guided peripheral intravenous placement in patients with difficult access. Acad Emerg Med. 2009;16(12):1298-1303. doi:10.1111/j.1553-2712.2009.00520.x</ref>
	*More prone to failure and extravasation; ideally use extra long catheters (>2.5 cm)<ref>Bahl A, Hijazi M, Chen NW, Lachapelle-Clavette L, Price J. Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. Ann Emerg Med. 2020;76(2):134-142. doi:10.1016/j.annemergmed.2019.11.013</ref>		*More prone to failure and extravasation; ideally use extra long catheters (>2.5 cm)<ref>Bahl A, Hijazi M, Chen NW, Lachapelle-Clavette L, Price J. Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. Ann Emerg Med. 2020;76(2):134-142. doi:10.1016/j.annemergmed.2019.11.013</ref>

Elcatracho: /* References */

2021-02-01T22:06:38Z

References

← Older revision		Revision as of 22:06, 1 February 2021
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	==References==		==References==
	<references/>		<references/>

	~~1. Liu S. and Zane R. Peripheral Intravenous Access. In : Roberts and Hedges’ Clinical Procedures in Emergency Medicine, Chapter 21, 385-396.e1~~

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:Radiology]]		[[Category:Radiology]]
	[[Category:Ultrasound]]		[[Category:Ultrasound]]

Elcatracho: /* External Links */

2021-02-01T22:01:43Z

External Links

← Older revision		Revision as of 22:01, 1 February 2021
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	==External Links==		==External Links==
	*[http://www.emdocs.net/ultrasound-guided-peripheral-intravenous-lines-tips-for-success/ emDOCs: Ultrasound-Guided Peripheral Intravenous Access – Tips for Success]		*[http://www.emdocs.net/ultrasound-guided-peripheral-intravenous-lines-tips-for-success/ emDOCs: Ultrasound-Guided Peripheral Intravenous Access – Tips for Success]
			*[http://www.emdocs.net/unlocking-common-ed-procedures-approach-to-the-patient-with-difficult-vascular-access/ emDOCs: Approach to the Patient with Difficult Vascular Access]
	*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]		*[https://www.aliem.com/techniques-ultrasound-guided-iv/ ALiEM: Techniques for Ultrasound-Guided IV Placement]

Elcatracho: /* Overview */

2021-01-23T02:47:42Z

Overview

← Older revision		Revision as of 02:47, 23 January 2021
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	*Success is higher in veins that are more superficial and wide<ref>Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, Dean AJ. What you see (sonographically) is what you get: vein and patient characteristics associated with successful ultrasound-guided peripheral intravenous placement in patients with difficult access. Acad Emerg Med. 2009;16(12):1298-1303. doi:10.1111/j.1553-2712.2009.00520.x</ref>		*Success is higher in veins that are more superficial and wide<ref>Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, Dean AJ. What you see (sonographically) is what you get: vein and patient characteristics associated with successful ultrasound-guided peripheral intravenous placement in patients with difficult access. Acad Emerg Med. 2009;16(12):1298-1303. doi:10.1111/j.1553-2712.2009.00520.x</ref>
	*More prone to failure and extravasation; ideally use extra long catheters (>2.5 cm)<ref>Bahl A, Hijazi M, Chen NW, Lachapelle-Clavette L, Price J. Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. Ann Emerg Med. 2020;76(2):134-142. doi:10.1016/j.annemergmed.2019.11.013</ref>		*More prone to failure and extravasation; ideally use extra long catheters (>2.5 cm)<ref>Bahl A, Hijazi M, Chen NW, Lachapelle-Clavette L, Price J. Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. Ann Emerg Med. 2020;76(2):134-142. doi:10.1016/j.annemergmed.2019.11.013</ref>
	**Failure of the IV is high when <30% of the catheter length is in the vessel and minimized when >65% of the catheter is intravascular<ref>Pandurangadu AV, Tucker J, Brackney AR, Bahl A. Ultrasound-guided intravenous catheter survival impacted by amount of catheter residing in the vein. Emerg Med J. 2018;35(9):550-555. doi:10.1136/emermed-2017-206803</ref>		**Failure of the IV is high when <30% of the catheter length is in the vessel and minimized when >65% of the catheter is intravascular<ref>Pandurangadu AV, Tucker J, Brackney AR, Bahl A. Ultrasound-guided intravenous catheter survival impacted by amount of catheter residing in the vein. Emerg Med J. 2018;35(9):550-555. doi:10.1136/emermed-2017-206803</ref><ref>Pandurangadu AV, Tucker J, Brackney AR, et alUltrasound-guided intravenous catheter survival impacted by amount of catheter residing in the vein. Emergency Medicine Journal 2018;35:550-555.</ref>

	==Indications==		==Indications==

Elcatracho: /* Complications */

2021-01-23T02:47:15Z

Complications

← Older revision		Revision as of 02:47, 23 January 2021
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	==Complications==		==Complications==
	*High rate of IV failure		*High rate of IV failure
	**Minimized with longer catheter length and higher proportion of catheter in the vessel<sup>2</sup>
	*Hematoma		*Hematoma
	*Arterial puncture		*Arterial puncture