How I Teach: Ultrasound-guided Peripheral Venous Access

Gorgone, Matthew; O’Connor, Timothy P.; Maximous, S.

doi:10.34197/ats-scholar.2022-0029ht

Cited by 4 publications

(2 citation statements)

References 45 publications

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“…The development of Ultrasound-Guided Peripheral Intravenous (USGPIV) cannulation has improved the procedure's overall success rate in a host of different situations. [3][4][5][6][7][8] However, effective ultrasound-guided venous cannulation might also be challenged by the type of ultrasound equipment available, procedure field, knowledge of anatomy, and hand-eye coordination skills which are necessitated by training. 8 Smart glasses are a type of wearable computer that includes a small camera for live streaming.…”

Section: Introductionmentioning

confidence: 99%

Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers

Ienghong,

Cheung,

Wongwan

et al. 2023

JMDH

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The ultrasound-guided peripheral venous access (USGPIV) was reported as difficult for novices to perform. Smart glasses equipped with teleconference systems can display real-time ultrasound images to sonographers and consultants which can increase the success rate of this procedure. The purpose of this study was to assess the effectiveness of employing smart glasses for USGPIV. Patients and Methods: A randomized, simulation study was conducted in emergency medical service (EMS) providers at Srinagarind Hospital, Thailand, from January to April 2023. We randomized participants into two groups which included participants who wore smart glasses during procedures requiring USGPIV (the smart glasses group) and participants who performed USGPIV with no smart glasses (the non-smart glasses group). After participating in USGPIV cannulation training, the simulations were carried out. The primary outcome was the first-attempt success rate, with secondary outcomes including the procedure time and subjective difficulty. Results: Fifty participants were recruited for the study. The smart glasses group was superior to the non-smart glasses group both in terms of first-attempt success rate with no statistically significant (64% vs 60%; P = 0.460) and also demonstrated a shorter procedure time than the non-smart glasses group (25.5 sec vs 42.3 sec; P = 0.003). The participants reported the subjective difficulty score was higher in the smart glasses group (the visual analog scale, VAS = 8). Conclusion:In simulation scenarios, the smart glasses-assisted USGPIV could shorten the procedure time. However, our study did not find significant differences in the first pass success rate of USGPIV between the two groups.

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Section: Introductionmentioning

confidence: 99%

Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers

Ienghong,

Cheung,

Wongwan

et al. 2023

JMDH

View full text Add to dashboard Cite

show abstract

“…These two outstanding pieces reflect our initial vision when we proposed this new category of teaching review and serve as models for future manuscripts in this new submission category. The first focuses on how to teach about the concept of auto-positive end-expiratory pressure (auto-PEEP) ( 2 ) and the second on the use of ultrasound to place a peripheral intravenous catheter ( 3 ). These two papers demonstrate the spectrum of topics that are particularly appropriate, with one describing a simple way to teach a highly complex concept and the other sharing an expert approach to an everyday procedure in the hospital.…”

mentioning

confidence: 99%

“How I Teach”: A Novel Guide to Teaching in Pulmonary, Critical Care, and Sleep Medicine

Kritek

Seam

2022

ATS Scholar

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Single-Plane Versus Synchronous Biplane Ultrasound Imaging During Vascular Access Procedures: Which Is Better and How Can We Improve?

Anderson,

Daxon,

Merren

2024

Journal of the Association for Vascular Access

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Highlights Biplane ultrasound imaging reduces need for probe manipulation during procedure. Providers note clinical benefit of biplane ultrasound imaging for vascular access. Biplane disadvantages include probe size, imaging quality, size of the screen. Thorough didactic and practical education is essential for biplane success. Abstract Background: Use of ultrasound guidance for vascular access procedures is commonplace in inpatient and outpatient care settings. Standard ultrasound probes offer the operator a single-plane view, necessitating rotation of probe to attain dual complimentary views. This mechanical probe rotation increases technical difficulty of ultrasound use. The purpose of this study is to evaluate the rate of cannulation success and efficiency of a synchronous biplane ultrasound mode in ultrasound-guided arterial line placement as compared with a standard single-view ultrasound mode in the operating room setting. Methods: Patients scheduled for elective surgery in which a radial arterial catheter would be used for hemodynamic monitoring were approached for consent to this study. Patients were randomized to either undergo placement with single-plane view versus synchronous biplane view; outcomes were recorded. Providers were provided preprocedural ultrasound education as well as the option of a short hands-on experience; their level of experience was noted. Results: Placement time of a peripheral arterial catheter was longer and required more attempts to be successful using synchronous biplane imaging as compared with single-plane imaging across providers of all skill/experience levels. Subjectively, providers noted the benefit of synchronous biplane imaging in vascular access; however, disadvantages including probe size, quality of imaging, and size of the screen were noted. Discussion: Thorough education regarding the use and functionality of biplane synchronous imaging in vascular access is essential. Additional guided-practice time with experienced operators could also be helpful to overcome the challenges observed in this study.

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How I Teach: Ultrasound-guided Peripheral Venous Access

Cited by 4 publications

References 45 publications

Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers

Smart Glasses to Facilitate Ultrasound Guided Peripheral Intravenous Access in the Simulation Setting for Thai Emergency Medical Service Providers

“How I Teach”: A Novel Guide to Teaching in Pulmonary, Critical Care, and Sleep Medicine

Single-Plane Versus Synchronous Biplane Ultrasound Imaging During Vascular Access Procedures: Which Is Better and How Can We Improve?

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