The superiority of point of care ultrasound in localizing central venous line tip position over time

2018 ◽  
Vol 178 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Nahla Zaghloul ◽  
Laura Watkins ◽  
Jennie Choi-Rosen ◽  
Shahana Perveen ◽  
Dalibor Kurepa
Keyword(s):  
Point Of Care ◽  
Central Venous Line ◽  
Point Of Care Ultrasound ◽  
Central Venous ◽  
Tip Position ◽  
Over Time

scholarly journals Ultrasonography of a Helical Left Common Carotid Artery

2020 ◽  
Vol 4 (2) ◽  
pp. 230-231
Author(s):  
Bethany Busack ◽  
Vy Tran ◽  
Christopher Busack ◽  
Christine Butts
Keyword(s):  
Carotid Artery ◽  
Internal Jugular Vein ◽  
Common Carotid Artery ◽  
Jugular Vein ◽  
Point Of Care ◽  
Standard Of Care ◽  
Central Venous Line ◽  
Point Of Care Ultrasound ◽  
Central Venous ◽  
Central Lines

Case Presentation: An 83-year-old woman was admitted to the intensive care unit for septic shock at which point an internal jugular central venous line was placed. The patient’s common carotid artery was visualized in an atypical location, lateral to the internal jugular vein. Further inspection revealed the common carotid artery travelling in a rotational trajectory around the internal jugular vein. Discussion: For at least two decades, point-of-care ultrasound has become the standard of care for placing central venous lines. This surprising anatomical orientation is rare and cautions physicians to fully explore a patient’s anatomy prior to placing central lines.

Point of care ultrasound: Central venous catheter positioning and pneumothorax search

2017 ◽  
Vol 42 ◽  
pp. 413
Author(s):  
Alejandro Enrique Barba Rodas ◽  
Alexandre Francisco Silva ◽  
Ana Beatriz Sorbile Veiga Ancora da Luz
Keyword(s):  
Central Venous Catheter ◽  
Point Of Care ◽  
Venous Catheter ◽  
Point Of Care Ultrasound ◽  
Central Venous

scholarly journals Cardiac Point-of-Care Ultrasound Publication Trends

2021 ◽  
Author(s):  
Andrew Pattock ◽  
Michelle Kim ◽  
Cooper Kersey ◽  
Linda Liu ◽  
James Kirkpatrick ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Point Of Care ◽  
Temporal Trends ◽  
Senior Author ◽  
Annual Number ◽  
Original Research ◽  
Point Of Care Ultrasound ◽  
Publication Type ◽  
Over Time

Introduction: Cardiac point-of-care ultrasound (c-POCUS) is an increasingly implemented diagnostic tool with the potential to guide clinical management. We sought to characterize and analyze the existing c-POCUS literature with a focus on the temporal trends and differences across specialties. Methods: A literature search for c-POCUS and related terms was conducted using Ovid (MEDLINE and Embase) and Web of Science databases through 2020. Eligible publications were classified by publication type and topic, author specialty, geographical region of senior author, and journal specialty. Results: The initial search produced 1761 potential publications. A strict definition of c-POCUS yielded a final total of 574 cardiac POCUS manuscripts. A yearly increase in c-POCUS publications was observed. Nearly half of publications were original research (48.8%) followed by case report or series (22.8%). Most publications had an emergency medicine senior author (37.5%), followed by cardiology (20.2%), anesthesiology (12.2%), and critical care (12.2%). The proportion authored by emergency medicine and cardiologists has decreased over time while those by anesthesiology and critical care has generally increased, particularly over the last decade. First authorship demonstrated a similar trend. Articles were published at similar numbers in emergency medicine journals (23.0%) and cardiology journals (19.9%). Conclusion: The annual number of c-POCUS publications has steadily increased over time reflecting the increased recognition and utilization of c-POCUS. This study can help inform clinicians of the current state of c-POCUS and augment the discussion surrounding barriers to continued adoption across all specialties.

scholarly journals Point‐of‐care Ultrasound–guided Central Venous Catheter Confirmation in Ultrasound Nonexperts

2020 ◽  
Author(s):  
Enyo A. Ablordeppey ◽  
Anne M. Drewry ◽  
Adam L. Anderson ◽  
Diego Casali ◽  
Laura A. Wallace ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Point Of Care ◽  
Venous Catheter ◽  
Point Of Care Ultrasound ◽  
Ultrasound Guided ◽  
Central Venous

Point-of-care ultrasound for assessing arteriovenous fistula maturity in outpatient hemodialysis

2020 ◽  
Vol 21 (6) ◽  
pp. 923-930
Author(s):  
George N Coritsidis ◽  
Orlando N Machado ◽  
Farzin Levi-Haim ◽  
Sean Yaphe ◽  
Roshan A Patel ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Arteriovenous Fistula ◽  
Point Of Care ◽  
Demographic Data ◽  
Venous Catheter ◽  
Fisher Exact Test ◽  
Point Of Care Ultrasound ◽  
Central Venous ◽  
Exact Test ◽  
Central Venous Catheter Removal

Background: Point-of-care ultrasound in end-stage renal disease is on the rise. Presently the decision to cannulate an arteriovenous fistula is based on its duration since surgery and physical exam. This study examines the effects of point-of-care ultrasound on decreasing the time to arteriovenous fistula cannulation, time spent with a central venous catheter, and the complications and infections that arise. Methods: Prospective point-of-care ultrasound patients were recruited between January 2015 and January 2018, while retrospective data (non-point-of-care ultrasound) were collected via chart review from patients who had fistula creation between November 2011 and May 2014. Patients had point-of-care ultrasound within 3 weeks after arteriovenous fistula creation and were followed for 1 year. Arteriovenous fistula cannulation was initiated when the following parameters were met: diameter > 6 mm (with no depreciable narrowing of more than 20% throughout), depth < 6 mm, and length > 6 cm. Demographic data, as well as time to cannulation and central venous catheter removal, number of infections, complications, and interventions were compared between point-of-care ultrasound and non-point-of-care ultrasound groups using unpaired t-test, chi-square, and Fisher exact test statistical analysis. Results: A total of 37 patients with new arteriovenous fistulas were followed by point-of-care ultrasound compared to 29 non-point-of-care ultrasound patients. Point-of-care ultrasound patients had earlier cannulations (35.5 vs 63.3 days, p < 0.05), shorter central venous catheter duration (68.2 vs 98.3 days, p < 0.05), and less infections (12 vs 19) without differences in complication compared to the non-point-of-care ultrasound. Conclusion: Point-of-care ultrasound facilitates early and safe arteriovenous fistula cannulation leading to a reduction in central venous catheter time and risk of infection. Point-of-care ultrasound may also aid in earlier identification of complications and difficult cannulations.

The contemporary role of point-of-care ultrasound amid a global health emergency: a critical review

2020 ◽  
Vol 15 (9) ◽  
pp. 1-10
Author(s):  
Oliver McNab
Keyword(s):  
Global Health ◽  
Critical Review ◽  
Point Of Care ◽  
Modern Medicine ◽  
Lessons Learned ◽  
Point Of Care Ultrasound ◽  
Healthcare Resources ◽  
Future Developments ◽  
Over Time

Point-of-care ultrasound (POCUS) is a well-established and growing paradigm in modern medicine. Increased access to devices and reduced overhead costs have opened up ultrasound to applications that have been historically restrictive. Contemporary issues surrounding POCUS will be explored and discussed, along with how the COVID-19 pandemic has impacted the POCUS realm across the healthcare continuum. How POCUS has developed over time, the arguments surrounding its use in expert and non-expert hands, and governance issues are critiqued. Furthermore, the effects of COVID-19 on healthcare resources and how POCUS as a tool has been used to mitigate these issues are examined, along with lessons learned and future developments.

Point-of-Care Ultrasound for Central Venous Assessment in the Emergency Department

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lori Pandya ◽  
Michael Cooper ◽  
Nishit Patel ◽  
David Leonard ◽  
Neil Fernandes ◽  
...  
Keyword(s):  
Emergency Department ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Central Venous
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