Ultrasound-Guided Peripheral Intravenous Line Placement: A Narrative Review of Evidence-based Best Practices

Gottlieb, Michael; Sundaram, Tina; Holladay, Dallas; Nakitende, Damali

doi:10.5811/westjem.2017.7.34610

Cited by 87 publications

(67 citation statements)

References 65 publications

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“…In this study, for the first time, we demonstrated the feasibility of visualizing clinical needles and a vascular target with real-time PA and US imaging using an LED-based PA system. This paradigm could be useful for guiding peripheral intravenous line placement, particularly in difficult cases that arise from diseases such as diabetes, intravenous drug abuse, and sickle cell disease [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Handheld Real-Time LED-Based Photoacoustic and Ultrasound Imaging System for Accurate Visualization of Clinical Metal Needles and Superficial Vasculature to Guide Minimally Invasive Procedures

Xia

Singh²,

Maneas

et al. 2018

Sensors

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Ultrasound imaging is widely used to guide minimally invasive procedures, but the visualization of the invasive medical device and the procedure’s target is often challenging. Photoacoustic imaging has shown great promise for guiding minimally invasive procedures, but clinical translation of this technology has often been limited by bulky and expensive excitation sources. In this work, we demonstrate the feasibility of guiding minimally invasive procedures using a dual-mode photoacoustic and ultrasound imaging system with excitation from compact arrays of light-emitting diodes (LEDs) at 850 nm. Three validation experiments were performed. First, clinical metal needles inserted into biological tissue were imaged. Second, the imaging depth of the system was characterized using a blood-vessel-mimicking phantom. Third, the superficial vasculature in human volunteers was imaged. It was found that photoacoustic imaging enabled needle visualization with signal-to-noise ratios that were 1.2 to 2.2 times higher than those obtained with ultrasound imaging, over insertion angles of 26 to 51 degrees. With the blood vessel mimicking phantom, the maximum imaging depth was 38 mm. The superficial vasculature of a human middle finger and a human wrist were clearly visualized in real-time. We conclude that the LED-based system is promising for guiding minimally invasive procedures with peripheral tissue targets.

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Section: Discussionmentioning

confidence: 99%

Handheld Real-Time LED-Based Photoacoustic and Ultrasound Imaging System for Accurate Visualization of Clinical Metal Needles and Superficial Vasculature to Guide Minimally Invasive Procedures

Xia

Singh²,

Maneas

et al. 2018

Sensors

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“…We believe that it is important to separate out PIV placement from other forms of vascular access (e.g., central venous access, arterial access), as the skills involved in peripheral intravenous access differ significantly from other techniques. While central venous and arterial access are performed using a Seldinger technique, peripheral line placement requires advancement of the catheter without the assistance of a guidewire, which may be more challenging for many providers [ 16 ]. As such, we sought to intentionally determine the effectiveness, number of needle passes, and time to placement among this specific group.…”

Section: Reviewmentioning

confidence: 99%

Comparison of Short- vs Long-axis Technique for Ultrasound-guided Peripheral Line Placement: A Systematic Review and Meta-analysis

Gottlieb

Holladay

Peksa

2018

Cureus

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Ultrasound-guided peripheral intravenous line (PIV) placement is associated with increased success rates, decreased time to cannulation, and fewer skin punctures than traditional, landmark-based techniques. However, it is unclear which technique is best. This review compares the short-axis (SA) and long-axis (LA) techniques for PIV placement.PubMed, Embase, Scopus, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and bibliographies of selected articles were assessed for prospective trials evaluating the first pass success rate of SA vs LA ultrasound-guided PIV placement. Secondary outcomes included time to placement, number of needle passes, and incidence of posterior wall puncture. Data were double extracted into a predefined worksheet and quality was assessed using the Cochrane Risk of Bias tool.Three studies (n = 198) were identified. SA was successful in 125/128 placements (97.7%) and LA technique was successful in 114/128 placements (89.1%). There was an odds ratio of 5.35 (95% CI: 1.46-19.58) in favor of the SA technique. There was no difference in the mean number of needle passes. Time to insertion varied between studies.The existing literature suggests that the SA technique is associated with greater success than the LA technique. Based upon the data, short-axis may be considered as the first approach for ultrasound-guided PIV placement among providers comfortable with both techniques, though further studies are needed.

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“…This is demonstrated in figures from a number of publications showing typical needle guidance technique in which there is direct contact between the probe and puncture site. [6][7][8] The authors point out that the "CDC guideline does not list venous or arterial catheter placement procedures, or needle biopsies, as examples for semicritical or critical items." 1 This is true; however, guidelines based on Spaulding do not exhaustively list all examples of semicritical or critical items or procedures.…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%

Response to the letter to the editor regarding “Ultrasound probe use and reprocessing: Results from a national survey among U.S. infection preventionists”

Carrico

2019

American Journal of Infection Control

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We would like to thank the readership for their interest in 2 of our recent manuscripts, each outlining free, open-source, web-based tools to support data needs of infection preventionists and health care epidemiologists. 1,2 Recently, 2 changes have been made to the applications that may impact individuals who use these tools. First, all of our applications have been merged into 1 toolkit, now called "IPStat." We hope this will facilitate ease of use of each application, and will simplify future additions. Second, and more important, owing to constraints on the prior server, the web address of the tool has moved. Those interested can now access IPStat at the following web address: http://capo.ctrsu.org:3838/shiny/ipstat/. As always, no data are saved, stored, or otherwise eavesdropped upon by these applications or anyone on our study team. We feel strongly that the intense data needs of the practitioner can be simplified so everyone can get back to their critical patient safety efforts. We hope these free tools can help.

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Ultrasound-Guided Peripheral Intravenous Line Placement: A Narrative Review of Evidence-based Best Practices

Cited by 87 publications

References 65 publications

Handheld Real-Time LED-Based Photoacoustic and Ultrasound Imaging System for Accurate Visualization of Clinical Metal Needles and Superficial Vasculature to Guide Minimally Invasive Procedures

Handheld Real-Time LED-Based Photoacoustic and Ultrasound Imaging System for Accurate Visualization of Clinical Metal Needles and Superficial Vasculature to Guide Minimally Invasive Procedures

Comparison of Short- vs Long-axis Technique for Ultrasound-guided Peripheral Line Placement: A Systematic Review and Meta-analysis

Response to the letter to the editor regarding “Ultrasound probe use and reprocessing: Results from a national survey among U.S. infection preventionists”

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