The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

Abstract

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The clinical effectiveness and cost-effectiveness of central venous catheters treated with anti-infective agents in preventing bloodstream infections: a systematic review and economic evaluation

“…The difficulties of deriving such estimates are outlined in a recent HTA report by Calvert and colleagues. 95 In an attempt to obtain a reliable estimate of the number of CVCs placed annually, the present authors contacted NHS Logistics, which supplies NHS trusts and primary care trusts with a wide range of CVCs. NHS Logistics estimated that they supplied approximately 238,500 CVCs to the NHS in England and Wales between March 2004 and April 2005.…”

Ultrasound guidance for internal jugular vein cannulation: Continuing Professional Development

“…25 Also, according to Hind et al and Calvert et al, there were 86% fewer failures and 41% fewer failures on the first attempt. 7,26 These studies were used to establish the 2003 National Institute for Clinical Excellence recommendations. In a study evaluating lawsuits, Domino et al concluded that the use of ultrasound could have prevented incidents in 28 patients out of 110 patients involved in a legal action.…”

“…The calculations took into account the costs related to arterial punctures, pneumothoraces, and equipment acquisition. 26 In another study assessing ultrasound use for subclavian punctures, the investigators considered the number of kits used. Compared with ultrasound users, who used only one kit, users relying exclusively on skin landmarks often used more than one kit to perform their puncture.…”

“…Il est important durant la ponction sous échographie de bien suivre le trajet de la pointe de l'aiguille et non la dépression tissulaire occasionnée par celle-ci. De plus, 26 Dans une autre étude évaluant l'échographie pour les ponctions sous-clavières, les chercheurs se sont intéressés au nombre de trousses utilisées. Les utilisateurs qui se servaient de repères cutanés utilisaient souvent plus d'une trousse pour réaliser leur ponction comparativement à seulement une pour les échographistes.…”

Capacitação de enfermeiros para uso da ultrassonografia na punção intravascular periférica

“…Ultrasonography has historically been performed by radiologists for diagnostic purposes, most recently being used to guide various percutaneous procedures (16) . Research has described its use in emergency units by nurses, to obtain peripheral vascular access in patients with difficult venous access (17)(18)(19) .…”