Right Assessment and Vein Selection

Alexandrou, Evan

doi:10.1007/978-3-030-03149-7_2

Cited by 8 publications

(4 citation statements)

References 28 publications

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“…An ultrasound guided rapid assessment of the peripheral veins (RaPeVA) was performed to both upper extremities, including the contracted left arm, without success in locating a viable vein for peripheral access. 5 Following consultation of the palliative care physician and accepted by the family, peripheral venous access could be achieved with a midline catheter to the superficial femoral vein.…”

Section: Case Descriptionmentioning

confidence: 99%

Case report: End of life care via a mid-thigh femoral midline catheter

Ostroff

Aberger

Moureau³

2021

J Vasc Access

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Maintaining peripheral vascular access represents a major challenge for medical providers and patients leading to the emergence of ultrasound guided vascular access teams. Upper extremity peripheral vascular access options are often limited in the chronically ill patient population with end stage cancer, patients with severe contractures, tracheostomies, and feeding tubes and patients referred for palliative care are just some examples of patients who live with difficult access. The following is a case description of a mid-thigh superficial femoral vein midline catheter for comfort care medications in a patient with exhausted peripheral vasculature on hospice.

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Section: Case Descriptionmentioning

confidence: 99%

Case report: End of life care via a mid-thigh femoral midline catheter

Ostroff

Aberger

Moureau³

2021

J Vasc Access

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“…For the evaluation and selection of the venal vessel, we utilized the RAPEVA method [ 15 ] in order to insert the most adequate peripheral venous device in the most adequate vessel. As this method indicates, mapping was performed in systematized steps, analyzing internal structures, discarding the areas of risk, and localizing the most adequate place for catheter insertion, also ensuring the viability of the catheter path.…”

Section: Methodsmentioning

confidence: 99%

Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access

et al. 2022

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(1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collected from a population with non-palpable or not visible veins, classified into size risk groups for 6 months. In the comparative analysis, the patients were divided into two groups: the cases group was composed of patients to whom the peripheral venous cannulation was performed with the ultrasound-guided technique (UST), while the control was composed of patients with whom the standard technique (ST) was performed. The ultrasound LOGIQ P5 750VA from General Electric Healthcare, with an 11 mHz linear probe, was utilized, along with peripheral venous catheters model InsyteTM AutoguardTM with gauges of 14G to 26G. (3) Results. Seventy-two cases. The use of the ultrasound decreased the time (618.34s ST, 126s UST) and the number of punctures (2.92 ST, 1.23 UST); about 25% of the patients did not have complications with the UST, as compared to 8% with the ST. The use of the ultrasound decreased the pain experienced by 1.44 points in the visual analog scale, as compared to 0.11 points with the ST. The rate of success of the first try with the UST was 76%, as compared to 16% of the ST. The gauge of the catheter increased with the UST, with successful cannulations obtained with 20G (56%) and 18G (41%) gauges. (4) Conclusions. The use of ultrasound facilitates venous cannulation according to the variables of the study. The ultrasound visualization of the vessels is associated with the selection of the catheter gauge. There was no relation between the complications and the depth of the blood vessels.

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“…The appropriate vein (eg, basilic, brachial, or cephalic) was selected based on anatomic criteria, including vessel diameter and depth 25 . Measuring the diameter assisted in determining the proper catheter‐to‐vessel ratio to minimize trauma and decrease the risk of thrombus 26 . The Infusion Nurses Society (INS) recommends a catheter‐to‐vessel ratio of 33%‐45% 27 …”

Section: Methodsmentioning

confidence: 99%

Novel use of a midline catheter for therapeutic and donor apheresis in children and adults

Casacchia

Lozano

Schomberg

et al. 2021

J of Clinical Apheresis

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Background Apheresis procedures require adequate vascular access to achieve optimal inlet flow rates. While central lines provide such access, their placement and use are associated with risks; some of these risks are minimized if peripheral intravenous access can be established. However, peripheral intravenous access is associated with challenges in the pediatric setting. Research indicates that midline catheters reduce the use of CVADs and their associated risks. The use of midline catheters for apheresis has been reported recently in adults, but no studies have been published on their use in children. Thus, the purpose of this study was to evaluate the use of midline catheters for apheresis in the pediatric setting. Methods A retrospective observational study was conducted to evaluate the safety and efficacy of midline catheters in subjects who underwent apheresis at a pediatric hospital from April 2018 to August 2020. Demographic data, clinical data (diagnosis, procedure, catheter size, body mass), and outcome data (inlet flow rate, total blood volume [TBV] processed, procedure time, and cell counts) were collected. Results Eighteen subjects received a total of 100 midline catheters for 73 apheresis procedures. Inlet flow rates ranged from 45 to 80 mL/min, TBV ranged from 2872 to 20 000 mL, and procedure time ranged from 1.25 to 7 hours. Inlet flow rates met or exceeded the recommended inlet flow rates for apheresis in children and adults (P < .0001). No adverse events occurred. Conclusion Midline catheters provide safe and effective vascular access for apheresis. Future research should include younger patients with lower body mass.

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Right Assessment and Vein Selection

Cited by 8 publications

References 28 publications

Case report: End of life care via a mid-thigh femoral midline catheter

Case report: End of life care via a mid-thigh femoral midline catheter

Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access

Novel use of a midline catheter for therapeutic and donor apheresis in children and adults

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