Power Injection Through Ultrasound-Guided Intravenous Lines: Safety and Efficacy Under an Institutional Protocol

Witting, Michael D.; Moayedi, Siamak; Dunning, Kathy; Babin, Lisa S.; Cogan, Brad M.

doi:10.1016/j.jemermed.2016.09.017

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…However, both these two veins drained through the superior vena cava back to the right atrium. The power injection of contrast agent, which is required to optimize the imaging quality [8], may induce the rupture or extravasation of contrast agent into thoracic cavity and cause life-threatening complication. In addition, internal jugular vein or subclavian vein catheterization may cause catheter related complications [9], among which venous perforation is the most dangerous one, especially in a patient with superior vena cava aneurysm.…”

Section: Introductionmentioning

confidence: 99%

Nursing Cooperation in a Patient with Superior Vena Cava Aneurysm Undergoing Contrast-Enhanced CT Examination: A Case Report

Xian¹,

Hairui²

2021

AJNS

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Superior vena cava aneurysm is a rare life-threatening intrathoracic vascular lesion. Contrast-enhanced CT examination plays an important role for surgical planning. It needs to choose the appropriate vein as the puncture site for contrast agent injection. Hereby we report a 22-year-old male presented with sudden-onset dyspnea and unconsciousness for 2 hours and suffered from cardiac arrest before visiting our hospital. The patient's condition is critically ill, and the risk of contrast agent extravasation and aneurysm explosion is high. We established a multi-disciplinary team, involving Emergency Department, Cardiac Surgery Department, Radiological Department and intravenous therapy experts, for the integrated assessment of patients. And we activate the emergency cooperation protocol for critically ill patients. The superior vena cava can't be used for contrast injection. Anatomically, the femoral vein drains blood back to the heart through the inferior vena cava, which could avoid the risk of rupture of the superior vena cava aneurysm due to excessive pressure of bolus injection of contrast agent. The indwelling of femoral vein puncture can be used in the treatment of critically ill patients. The vital signs of patients were closely observed during the examination process. No contrast agent extravasation and allergy reaction was observed and CT images were clear. The effective nursing cooperation in this case ensured the safety and effectiveness of the examination, and laid the foundation for further treatment.

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Section: Introductionmentioning

confidence: 99%

Nursing Cooperation in a Patient with Superior Vena Cava Aneurysm Undergoing Contrast-Enhanced CT Examination: A Case Report

Xian¹,

Hairui²

2021

AJNS

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Extended dwell and standard ultrasound guided peripheral intravenous catheters: Comparison of durability and reliability

Fung

Stayer

Terrasi

et al. 2021

The American Journal of Emergency Medicine

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Using Simulation and Competency Assessment to Decrease Inappropriate Referrals to a Comprehensive Vascular Access Team

Nguyen¹,

Jones²,

Polancich³

et al. 2019

J Healthc Qual

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This department column highlights translation of research into health care quality practice. Achieving the highest quality of health care requires attention to creating and sustaining process efficiencies through the development of bedside provider competencies that result in workflow improvements and positive patient outcomes. An improvement intervention aimed at decreasing unnecessary referrals to a comprehensive vascular access team (CVAT) resulted in a 21% reduction in inappropriate consults to the team in approximately 6 weeks. The purpose of this article is to describe a simulation and competency assessment intervention aimed at increasing staff nurse proficiency in the emergency department for placing ultrasound-guided intravascular catheters, thereby reducing the number of inappropriate referrals to a CVAT team.

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Power Injection Through Ultrasound-Guided Intravenous Lines: Safety and Efficacy Under an Institutional Protocol

Cited by 3 publications

References 14 publications

Nursing Cooperation in a Patient with Superior Vena Cava Aneurysm Undergoing Contrast-Enhanced CT Examination: A Case Report

Nursing Cooperation in a Patient with Superior Vena Cava Aneurysm Undergoing Contrast-Enhanced CT Examination: A Case Report

Extended dwell and standard ultrasound guided peripheral intravenous catheters: Comparison of durability and reliability

Using Simulation and Competency Assessment to Decrease Inappropriate Referrals to a Comprehensive Vascular Access Team

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