Peripherally inserted central venous catheters: US-guided vascular access in pediatric patients.

Donaldson, James S.; Morello, Frank P.; Junewick, Joseph; O'Donovan, Julie C.; Lim-Dunham, Jennifer E.

doi:10.1148/radiology.197.2.7480709

Cited by 78 publications

(33 citation statements)

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“…These data were obtained by pulling the skin, containing the target vein, away from the arm then transilluminating to increase contrast. The depth of relatively large veins were obtained using conventional high frequency US techniques [1]. A conventional CCD camera was used to study wavelengths less than 930 nm.…”

Section: Resultsmentioning

confidence: 99%

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Infrared imaging of subcutaneous veins

et al. 2004

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Section: Resultsmentioning

confidence: 99%

“…In some cases, ultrasound can be used to find veins, but the veins must be relatively large [1]. In addition, ultrasound is not universally available and requires considerable expertise to obtain useful images while simultaneously cannulating the vein.…”

Section: Introductionmentioning

confidence: 99%

Infrared imaging of subcutaneous veins

et al. 2004

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“…A lthough ultrasonographic guidance has gained acceptance for central-line and peripherally inserted central venous catheter placement in both adults and children, [1][2][3][4] the use of ultrasound (US) for peripheral venous (PV) catheterization has received limited attention. [5][6][7] To the best of our knowledge, there are no published studies describing the role of US for PV catheterization in children.…”

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confidence: 99%

A Pilot Study of Ultrasound Analysis before Pediatric Peripheral Vein Cannulation Attempt

Schnadower¹,

Lin²,

Perera³

et al. 2007

Academic Emergency Medicine

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Objectives: To determine whether peripheral veins can be detected by ultrasound (US) and to determine vein characteristics, as measured by US, that are associated with successful peripheral venous (PV) catheterization in young children. Methods:The authors conducted an observational study in the pediatric emergency department (ED), with a convenience sample of children younger than 7 years. They evaluated attempts at PV catheterization in two groups on the basis of the visibility and palpability of the patients' veins: 1) clinically apparent (visible or palpable) and 2) not clinically apparent (nonvisible and nonpalpable). The authors obtained sonographic measurements in a transverse view (vertical diameter, circumference, and area) and in a longitudinal view (maximal uninterrupted length). Practitioners blinded to the US images then attempted to catheterize veins in the usual manner. The proportion of clinically apparent veins and the proportion of veins that were successfully catheterized that were identified by US were assessed, and the association between ultrasonographic vein measurements and success at catheterization, controlling for possible confounders, was determined.Results: The authors assessed 120 attempts (90 clinically apparent and 30 not clinically apparent) at PV catheterization in 83 patients. US detected all 90 clinically apparent veins, and cannulation success rate was 62/90 (69%). In the not clinically apparent vein group, the rate of success was only 3/30 (10%), and US detected all successfully catheterized veins. In no instance was cannulation successful when the vein was not detected by US. Maximal vein length in longitudinal view was an independent predictor of cannulation success in multivariate analysis.Conclusions: Ultrasound appears to be capable of detecting peripheral veins in children younger than 7 years of age, with lack of US vein visualization likely leading to unsuccessful PV placement. Greater vein length visualization may be a useful predictor of successful PV catheterization. ACADEMIC EMERGENCY MEDICINE 2007; 14:483-485 ª 2007 by the Society for Academic Emergency MedicineKeywords: ultrasonography, catheterization, peripheral venous, child, emergency medicine A lthough ultrasonographic guidance has gained acceptance for central-line and peripherally inserted central venous catheter placement in both adults and children, 1-4 the use of ultrasound (US) for peripheral venous (PV) catheterization has received limited attention. [5][6][7] To the best of our knowledge, there are no published studies describing the role of US for PV catheterization in children. Our specific aims were 1) to determine whether peripheral veins can be detected by US in traditional sites used for PV catheterization in young children and 2) to determine whether there are vein characteristics as measured by US that are associated with successful PV catheterization in young children presenting to the pediatric ED. METHODS Study DesignThis was an observational study. The Columbia University Instit...

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“…Three systematic reviews have demonstrated that US-guidance increases the success rate of peripheral venous cannulation [5][6][7]. Peripheral venous access under sonographic guidance is safe in adults and in pediatric patients as well [8][9][10], with an overall success rate of 91% and a successful first attempt in 73% of the cases [11]. Even in the study of Costantino et al [12], the use of US to guide placement of peripheral intravenous catheters in patients with difficult access resulted in a success rate of 97% as compared to the success rate of only 33% by using palpation and landmark guidance.…”

Section: Technique and Resultsmentioning

confidence: 99%

US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

Dietrich

Horn²,

Morf

et al. 2016

Med Ultrason

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Peripheral venous as well as arterial punctures have traditionally been performed on the basis of designated anatomical landmarks. However, due to patients' individual anatomy and vessel pathology and depending on individual operators' skill, this landmark approach is associated with a significant failure rate and complication risk. This review comments on the evidence-based recommendations on ultrasound (US)-guided vascular access which have been published recently within the framework of Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for US in Medicine and Biology (EFSUMB) from a clinical practice point of view. Part 1 of the review had its focus on general aspects of USguidance and on central venous access, whereas part 2 refers to peripheral vascular access.

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Peripherally inserted central venous catheters: US-guided vascular access in pediatric patients.

Cited by 78 publications

References 0 publications

Infrared imaging of subcutaneous veins

Infrared imaging of subcutaneous veins

A Pilot Study of Ultrasound Analysis before Pediatric Peripheral Vein Cannulation Attempt

US-guided peripheral vascular interventions, comments on the EFSUMB guidelines

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