Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation: The third Sonography Outcomes Assessment Program (SOAP-3) trial

Milling, Truman J.; Rose, Jerri A.; Briggs, William M.; Rice, Cliff

doi:10.1016/j.jemermed.2005.11.030

Cited by 65 publications

(96 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although some investigators have suggested the use of ultrasound for assistance of vascular access [60], it is now evident that the full benefits of ultrasound are obtained only when coupling the pre-procedural ultrasound assessment with a real-time ultrasound-guided venipuncture.…”

Section: Integration In Clinical Practicementioning

confidence: 99%

International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

View full text Add to dashboard Cite

show abstract

Section: Integration In Clinical Practicementioning

confidence: 99%

International evidence-based recommendations on ultrasound-guided vascular access

Lamperti¹,

et al. 2012

View full text Add to dashboard Cite

show abstract

“…This may occur because the clinical estimation of level, which uses the palpated iliac crest as a marker, is inaccurate in a large proportion of patients. 1,2 The advent of small relatively inexpensive portable ultrasound units has facilitated the use of ultrasound guidance for central line placement 3 and peripheral nerve and neuraxial blocks. 4 Clinical practice guidelines are beginning to incorporate the use of ultrasound for these procedures.…”

Section: Résumémentioning

confidence: 99%

The use of ultrasound for lumbar spinous process identification: A pilot study

Halpern

Banerjee

Stocche

et al. 2010

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Background Clinical identification of lumbar spinous processes is inaccurate in most patients. The purpose of this study was to determine the number of patients required to train anesthesiologists in the use of ultrasound imaging to accurately identify the lumbar spinous processes. Methods In this pilot study, two anesthesiologists studied patients scheduled for a diagnostic computed tomography (CT) scan, including the lumbar spine. Before the CT scan, the anesthesiologist completed a systematic ultrasound scan of the lumbar spine and placed a radio-opaque marker at a designated level. The actual level was determined by a radiologist after reviewing the CT scans. The primary outcome was the number of procedures each anesthesiologist needed (by cumulative sum analysis) to be able to identify the designated spinous process 90% of the time. Secondary outcomes included the overall success rate, the magnitude of the failures (number of segments from the designated spinous process), and the incidence of spinal anomalies and their effect on reliability.Results We studied 74 patients. One anesthesiologist required 36 patients to meet reliability criteria, whereas the other required 22 patients. The overall accuracy rate was 68%. There were only two patients where the marker was placed more than one segment from the designated spinous process. The incidence of lumbar spine anomalies was 6.8% (n = 5), and 80% (n = 4) of these were associated with inaccurate marker placement. Conclusions It is possible to use ultrasound scanning to accurately identify the lumbar spinous processes in unselected patients. This result suggests that, with appropriate training, this tool can be used to enhance the accuracy of needle placement during neuraxial techniques.

show abstract

“…The definition for 'yes' (success) was the insertion of the catheter into the vein without resistance to progression characterized by blood reflux, infusion of 2 ml of NaCl 0.9%, an absence of complaints of pain from the child, and without alteration on inspection and palpation of the catheter insertion site (4,(8)(9) ; 'no' (failure) was the absence of the above-mentioned conditions. The study's explanatory variables were selected considering factors which were intrinsic and extrinsic to the child, which could influence the accomplishment of the PIP.…”

Section: Introductionmentioning

confidence: 99%

Predisposing factors for peripheral intravenous puncture failure in children

Negri

Avelar

Andreoni

et al. 2012

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective: To identify predisposing factors for peripheral intravenous puncture failure in children.Methods: Cross-sectional cohort study conducted with 335 children in a pediatric ward of a university hospital after approval of the ethics committee. The Wald Chi-squared, Prevalence Fatores predisponentes para insucesso da punção intravenosa periférica em criançasObjetivo: verificar fatores predisponentes para o insucesso da punção intravenosa periférica realizada em crianças. Método: trata-se de estudo de coorte transversal, realizado com 335 crianças internadas em unidade pediátrica de um hospital universitário, após aprovação do mérito ético. Utilizaram-se testes qui-quadrado de Wald, razão de prevalência (RP) e procedimento de backward (p≤0,05). Resultados: evidenciou-se sucesso da punção em 300 (89,5%) crianças e insucesso em 35 (10,4%). Influenciaram significantemente as proporções de fracasso: apresentar história clínica para dificuldade na punção, estar desnutrido, uso prévio de cateter central de inserção periférica, uso prévio de cateter venoso central e antecedentes de flebite e de infiltração. No modelo multivariado, estar desnutrido e ter sido submetido previamente a cateterização venosa central foram os fatores predisponentes para o insucesso.Conclusões: a proporção de 10,4% de insucesso na punção é similar à identificada em estudos sobre a temática e foi influenciada por características da criança e da terapia. Em associação, as variáveis desnutrição e uso prévio de cateter venoso central foram as características mais importantes para o aumento da proporção de insucesso da punção intravenosa periférica.Este estudo traz novas evidências sobre os fatores de risco que contribuem para o insucesso na punção intravenosa periférica de crianças, constituindo aspecto a ser considerado no planejamento e execução da prática assistencial de enfermagem pediátrica, com vistas à obtenção de melhores resultados na punção intravenosa periférica e promoção da segurança do paciente.Descritores: Enfermagem Pediátrica; Cateterismo Periférico; Segurança do Paciente; Pediatria. Factores predisponentes para fracaso de la punción intravenosa periférica en niñosObjetivo: Verificar factores predisponentes para el fracaso de la punción intravenosa periférica realizada en niños. Método: Estudio de cohorte transversal realizado con 335 niños internados en unidad pediátrica de un hospital universitario, después de la aprobación del mérito ético.Se utilizaron testes Jue-cuadrado de Wald, Razón de Superioridad (RP) y procedimiento de backward (p≤0,05). Resultados: se evidenció éxito de la punción en 300 (89,5%) niños e fracaso en 35 (10,4%). Influenciaron significantemente las proporciones de fracaso: presentar historia clínica para dificultad en la punción, estar desnutrido, uso previo de catéter central de inserción periférica, uso previo de catéter venoso central y antecedentes de flebitis y de infiltración.En el modelo multivariado, estar desnutrido y haber sido sometido antepasadamente a cateterización venosa central fuero...

show abstract

Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation: The third Sonography Outcomes Assessment Program (SOAP-3) trial

Cited by 65 publications

References 0 publications

International evidence-based recommendations on ultrasound-guided vascular access

International evidence-based recommendations on ultrasound-guided vascular access

The use of ultrasound for lumbar spinous process identification: A pilot study

Predisposing factors for peripheral intravenous puncture failure in children

Contact Info

Product

Resources

About