A longer extended dwell catheter represents a viable and favorable alternative to the standard longer IVs used for US-guided cannulation of veins >1.20 cm in depth. These catheters have significantly improved survival rates with similar insertion success characteristics.

The quantity of catheter residing in the vein is a key predictor of long-term functionality of US-guided IVs and is strongly associated with the hazard of failure within 72 hours. Catheter failure is high when <30% of the catheter resided in the vein. Optimum catheter survival occurs when ≥65% of the catheter is placed in the vein.

No abstract

Abdominal pain is the most common presenting complaint to the emergency department (ED);1 however, acute portal vein thrombosis is an uncommon cause of abdominal pain. In the following case report, we present a patient who presented to the ED with symptoms of gastroenteritis but was ultimately diagnosed with acute portal vein thrombosis by point-of-care ultrasound (POCUS).