Single-operator Ultrasound-guided Intravenous Line Placement by Emergency Nurses Reduces the Need for Physician Intervention in Patients with Difficult-to-establish Intravenous Access

Weiner, Scott G.; Sarff, A.R.; Esener, Dasia; Shroff, Sunil D.; Budhram, Gavin; Switkowski, Karen M; Mostofi, Matthew B.; Barus, Richard; Coute, Ryan A.; Darvish, Amir

doi:10.1016/j.jemermed.2012.08.021

Cited by 55 publications

(65 citation statements)

References 26 publications

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“…Previous studies have shown that US‐guided peripheral IV access can help successfully cannulate difficult peripheral vessels 5 , 6 . This benefit has been reproducible across the entire spectrum of emergency care 7 – 10 . A previous study showed that nurses with no previous US‐guided peripheral IV experience perceived decreased difficulty in difficult‐access patients using the US‐guided technique 11 .…”

mentioning

confidence: 94%

Perceived Difficulty and Success Rate of Standard Versus Ultrasound‐Guided Peripheral Intravenous Cannulation in a Novice Study Group

Vitto¹,

Myers

Vitto

et al. 2016

J of Ultrasound Medicine

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confidence: 94%

Perceived Difficulty and Success Rate of Standard Versus Ultrasound‐Guided Peripheral Intravenous Cannulation in a Novice Study Group

Vitto¹,

Myers

Vitto

et al. 2016

J of Ultrasound Medicine

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“…Os resultados apontam predominância de participantes do sexo feminino e da cor da pele branca na amostra pesquisa, o que vai ao encontro de outros estudos (6,14) . A baixa procura dos serviços de saúde por pacientes do sexo masculino está presente em diversos estudos, o que justifica os achados de predominância feminina (15)(16) .…”

Section: Discussionunclassified

“…Resultados semelhantes, com o mesmo calibre, foram encontrados em estudos anteriores, destacando-se que cateteres mais calibrosos possuem comprimentos ligeiramente maiores, favorecendo o alcance de veias mais profundas (7,14,20) . Destaca-se que as melhores profundidades para PVP-US estão entre 0,5 e 1,5 cm.…”

Section: Discussionunclassified

“…Destaca-se que as melhores profundidades para PVP-US estão entre 0,5 e 1,5 cm. Para correta canulação do cateter e manutenção do fluxo/perfusão do vaso, o cateter adequado necessita ter comprimento suficiente para estar, ao menos, a metade inserido no vaso (o que contribui para maior tempo de permanência) e ter um diâmetro de, no máximo, um terço do diâmetro do vaso (7,14,20) . A partir do que fica demonstrado que cateteres menos calibrosos não são indicados para esta prática.…”

Section: Discussionunclassified

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Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

2017

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RESUMO: O objetivo deste estudo foi analisar os fatores associados ao sucesso na primeira tentativa de punção venosa periférica guiada por ultrassonografia em adultos. Estudo transversal analítico em uma unidade de pronto atendimento na região sul do Brasil, entre 1º e 30 de abril de 2015. Os participantes foram submetidos à punção venosa periférica guiada por ultrassonografia. Foram incluídos 97 participantes. A razão de prevalência de sucesso foi 43% maior nas veias visíveis e 128% maior nas veias retilíneas. Não foi encontrada relação significativa entre as variáveis analisadas e a diminuição da prevalência de sucesso na primeira tentativa. A presença de veia retilínea e visível foi o principal fator associado ao sucesso na primeira tentativa. DESCRITORES: Enfermagem baseada em evidências; Tecnologia biomédica; Pesquisa em enfermagem clínica; Cateterismo periférico; Ultrassonografia.PUNÇÃO VENOSA PERIFÉRICA GUIADA POR ULTRASSONOGRAFIA:PREVALÊNCIA DE SUCESSO E FATORES ASSOCIADOS* ULTRASOUND-GUIDED PERIPHERAL VENIPUNCTURE: PREVALENCE OF SUCCESS AND ASSOCIATED FACTORSABSTRACT: The objective of this study was to analyze factors associated with a successful first attempt to ultrasound-guided peripheral venipuncture in adults. An analytical cross-sectional study was carried out in an emergency care unit in the South region of Brazil in April 2015. The participants were submitted to ultrasound-guided peripheral venipuncture. Ninety-seven participants were included. The prevalence ratio of success was 43% higher in visible veins and 128% higher in rectilinear veins. No significant association was found between the variables analyzed and the reduction of the prevalence of success at the first attempt. No se encontró diferencia significativa entre las variables analizadas y la disminución de la prevalencia de éxito en el primer intento. La presencia de vena rectilínea y visible fue el principal factor asociado al éxito en el primero intento.

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“…This portability has allowed ultrasound studies to occur at a patient's bedside, largely eliminating the need for students, nurses, mid-level practitioners, primary care physicians, and subspecialists [28,[33][34][35][36][37]. However, how sonography is practically implemented and used is somewhat different from the traditional "stethoscope" concept, with key differences related to image acquisition, interpretation, and the subsequent generation of a professional report [38,39].…”

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confidence: 99%

Advancing clinician-performed sonography in the twenty-first century: building on the rich legacy of the twentieth century pioneers

Jeanmonod

Stawicki

Bahner

et al. 2016

Eur J Trauma Emerg Surg

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patient transport in the new point-of-care testing paradigm [14]. From simple diagnostics and interventions, sonography has blossomed into more advanced applications, such as real-time guidance for bedside procedures (e.g., venous catheter placement, thoracentesis, lumbar puncture, and even endotracheal intubation) [15][16][17][18]. By facilitating a procedure that results in fewer unsuccessful interventional attempts and increases patient safety [19,20], sonography actively enhances the overall value of health-care services offered. Moreover, the marriage of miniaturization and minimally invasive techniques has also allowed for highresolution endocavitary studies, such as transesophageal echocardiography, endovascular ultrasound, endoscopic ultrasound, or transvaginal studies, giving medical providers detailed visualization of structures not previously seen outside of the operative theater [21][22][23][24][25][26]. This includes minimally invasive interventional applications [25][26][27]. Indeed, the increasing portability and affordability of this technology has allowed for its ever-expanding and evolving use, both within and outside the hospital's walls [28,29]. Now, ultrasound is finding a role even earlier in the care of the patient, including the pre-hospital arena where studies are performed by emergency medical providers to assist in decisions regarding triage and resource allocation [29]. Point-of-care sonography has been used successfully in developing countries, resource-poor areas, and mass casualty/disaster settings [6,30].Supporters of ultrasound technology have touted it to be the "new stethoscope" of the twenty-first century, moving it conceptually from its traditional role as a diagnostic modality to a necessary and central part of a good physical examination performed by a medical practitioner [31,32]. This moniker illustrates the ubiquitous nature of ultrasound application. Much like the basic use of the stethoscope, ultrasound technology can be effectively employed by technicians, In their first clinical application about 70 years ago, ultrasound machines were the size of automobiles and required water immersion of the patient to obtain shadowy suggestions of internal anatomy [1]. The physics involved were the same as those used to track icebergs and submarines, adapted by innovators to the delicate task of finding a tumor or looking for a gallstone [2,3]. Within 20 years of its initial clinical use, scientists had advanced the technology to a point where ultrasound machines were much more compact and offered image quality sufficient to evaluate the fetus in obstetrics care [4]. Since then, diagnostic applications of sonography have incrementally increased to encompass literally every field of health care, from physical medicine and rehabilitation to obstetrics and gynecology, emergency medicine to pulmonology, critical care to disaster management, oncology to trauma and emergency surgery, and pediatrics to gastroenterology [5][6][7][8][9][10].As clinical applications of ultrasound have expan...

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Single-operator Ultrasound-guided Intravenous Line Placement by Emergency Nurses Reduces the Need for Physician Intervention in Patients with Difficult-to-establish Intravenous Access

Cited by 55 publications

References 26 publications

Perceived Difficulty and Success Rate of Standard Versus Ultrasound‐Guided Peripheral Intravenous Cannulation in a Novice Study Group

Perceived Difficulty and Success Rate of Standard Versus Ultrasound‐Guided Peripheral Intravenous Cannulation in a Novice Study Group

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

Advancing clinician-performed sonography in the twenty-first century: building on the rich legacy of the twentieth century pioneers

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