Hypnoanesthesia in Vascular Access

2015 ◽  
Vol 20 (2) ◽  
pp. 77-79
Author(s):  
Steven F. Bierman ◽  
Irma S. Sivieri
Keyword(s):  
Vascular Access ◽  
Basilic Vein ◽  
Ultrasound Guided ◽  
Patient’S Experience ◽  
Everyday Communication ◽  
General Method

Abstract Purpose: A case is presented wherein hypnosis alone provided anesthesia for the ultrasound-guided placement of a device into right basilic vein. This is the first reported case of hypnoanesthesia for ultrasound-guided vascular access. Method: Ericksonian hypnosis was employed by the operator while a second clinician performed the vascular access procedure. The general method of induction and the anesthetic suggestions are disclosed and discussed. Results: The patient's experience was painless and, by her own repeated reports, pleasurable. Conclusions: Hypnosis is merely a refinement of everyday communication wherein ideas are expressed to increase the likelihood of their actualization. This case illustrates how a few carefully chosen sentences can alter a vascular access patient's entire experience.

Estimation of culprit lesion using brachial artery RI and radial artery RI by ultrasound-guided vascular access

Choonpa Igaku ◽  
2018 ◽  
Vol 45 (6) ◽  
pp. 605-610
Author(s):  
Masahito MINAMI ◽  
Mayu TUJIMOTO ◽  
Ayako NISHIMOTO ◽  
Mika SAKAGUCHI ◽  
Yasuhiro OONO ◽  
...  
Keyword(s):  
Radial Artery ◽  
Vascular Access ◽  
Brachial Artery ◽  
Culprit Lesion ◽  
Ultrasound Guided

Superficialization of Basilic Vein: Last Chance for a Native Arteriovenous Fistula in Hemodialysis Patients

2003 ◽  
Vol 4 (1) ◽  
pp. 21-24 ◽  
Author(s):  
M. Onaran ◽  
D. Erer ◽  
I. Şen ◽  
E.E. Elnur ◽  
E. Iriz ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Vascular Access ◽  
Brachial Artery ◽  
Subcutaneous Tissue ◽  
Vascular Grafts ◽  
Hemodialysis Patients ◽  
Chronic Hemodialysis ◽  
Basilic Vein ◽  
Number Of Patients

Background Although the best type of vascular access for chronic hemodialysis patients is a native arteriovenous fistula, in an increasing number of patients all the superficial veins have been used and only the placement of vascular grafts or permanent catheters is left. Superficialization of the basilic vein is a possible alternative. Materials and Methods In 49 chronic hemodialysis patients who had no possibilities to have a native arteriovenous fistula created, we performed a basilic vein- brachial artery fistula in the arm. During the same operation the basilic vein was then superficialized for easier access for hemodialysis. Results Mean follow-up was 22.36±15.56 months. Forty-eight patients are still undergoing hemodialysis with their superficialized basilic vein native A-V fistula without any complications. Only one fistula was thrombosed just after the procedure because of poor vessel quality. Conclusion For hemodialysis patients who have no suitable superficial veins at the wrist or elbow, performing a basilic vein - brachial artery fistula and superficializing the vein to the subcutaneous tissue is an acceptable choice before deciding to use more complicated procedures like vascular grafts.

An Affordable and Easily Constructed Model for Training in Ultrasound-guided Vascular Access

2015 ◽  
Vol 16 (5) ◽  
pp. 422-427 ◽  
Author(s):  
James C.R. Rippey ◽  
Pablo Blanco ◽  
Peter J. Carr
Keyword(s):  
Vascular Access ◽  
Ultrasound Guided

scholarly journals Two-stage forearm brachio-basilic loop arteriovenous graft for hemodialysis

2018 ◽  
Vol 146 (5-6) ◽  
pp. 316-319
Author(s):  
Branislav Donfrid ◽  
Olivera Lozance ◽  
Zvezdan Stefanovic ◽  
Aleksandar Jankovic ◽  
Nada Dimkovic
Keyword(s):  
Vascular Access ◽  
Brachial Artery ◽  
Duplex Sonography ◽  
Distal Region ◽  
Original Method ◽  
Late Complications ◽  
Primary Patency ◽  
Chronic Hemodialysis ◽  
Secondary Patency ◽  
Basilic Vein

Introduction. The autologous radio-cephalic arteriovenous fistula (AVF) is the best vascular access for patients on chronic hemodialysis. In some patients with inadequate blood vessels, it is necessary to create proximal AVF, or arteriovenous grafts. High percentage of primary graft failure is noted in cases where diameters of the brachial artery and the basilic vein are insufficient. The aim of this work was to introduce a new surgical technique for arteriovenous creation in patients with inadequate blood diameter. Case outline. The authors have proposed implantation of brachio-basilic polytetrafluoroethylene AV forearm loop graft in two acts. In the first act, the native brachio-basilic AVF was created in the distal region of the arm by side-to-end anastomosis. Three to four weeks after the first act, significant dilatation of brachial artery and basilic vein was noted (confirmed by the use of color duplex sonography technique). During the second act, polytetrafluourethylene graft was implanted by end-to-end anastomosis on the dilated basilica vein. Conclusion. AV graft that was created in two acts has sufficient blood flow without early or late complications. Primary patency was 30 months and secondary patency was 50 months. As an original method in the current literature, we recommend it in different clinical settings when there are no better alternatives for vascular access.

Comparison of Two Transducers for Ultrasound-Guided Vascular Access in Long Axis

2007 ◽  
Vol 33 (3) ◽  
pp. 273-276 ◽  
Author(s):  
Jessica R. Resnick ◽  
Rita Cydulka ◽  
Robert Jones
Keyword(s):  
Vascular Access ◽  
Ultrasound Guided

scholarly journals Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users?

2009 ◽  
Vol 2 (3) ◽  
pp. 167-170 ◽  
Author(s):  
Michael P. Phelan ◽  
Chuck Emerman ◽  
William F. Peacock ◽  
Mathew Karafa ◽  
Nora Colburn ◽  
...  
Keyword(s):  
Vascular Access ◽  
Short Axis ◽  
Ultrasound Guided

Transposed Basilic Vein-Brachial Arteriovenous Fistula: An Alternative Vascular Access for Hemodialysis

2008 ◽  
Vol 16 (6) ◽  
pp. 623-625 ◽  
Author(s):  
A. Hatjibaloglou ◽  
D. Grekas ◽  
N. Saratzis ◽  
A. Megalopoulos ◽  
I. Moros ◽  
...  
Keyword(s):  
Arteriovenous Fistula ◽  
Vascular Access ◽  
Basilic Vein

Survey of ultrasound-guided peripheral intravenous practices: a report of supply usage and variability between clinical roles and departments

2020 ◽  
Vol 29 (19) ◽  
pp. S30-S38
Author(s):  
Nancy Moureau ◽  
Gilbert Gregory E.
Keyword(s):  
Analysis Of Variance ◽  
Vascular Access ◽  
Clinical Education ◽  
Emergency Departments ◽  
Response Rate ◽  
Ultrasound Guided ◽  
Cross Sectional ◽  
Frequency Distributions ◽  
Exact Test ◽  
Descriptive Survey

Background The purpose of this study was to investigate ultrasound-guided peripheral intravenous (UGPIV) supply usage practices by clinicians working in vascular access, in emergency departments (EDs), or in other roles. Methodology In 2019, a voluntary cross-sectional descriptive survey was conducted via SurveyMonkey. Data collected included demographics, practice-oriented information, procedural activities, and supplies used for UGPIV insertions. Frequency distributions and results of Fisher's exact test and one-way analysis of variance were reported using R v.3.5.2. Results A total of 26,649 surveys were distributed with a response rate of 5.5% (n = 1475). Forty-eight percent of respondents (n = 709) indicated that they worked in a vascular access role, 310 (21%) worked in an ED, and 455 (31%) categorized their role as other. Clinically meaningful differences existed in all variables for UGPIV procedures and supplies between departments (P < 0.0001) and in all care settings. Using an investigatorconstructed overall metric of supplies used, important differences were demonstrated between personnel supply use in vascular access roles and other roles (P < 0.0001) and personnel in EDs and other roles (P < 0.0001). Conclusions Use of supplies for UGPIV insertions varies by department. The variability in supply usage for UGPIV insertions revealed by this survey suggests a need for clinical education on guideline application and evaluation of compliance with policies to promote standardization of supplies for UGPIV insertion.

scholarly journals Distal Revascularisation with Interval Ligation (DRIL): An Experience

2009 ◽  
Vol 91 (5) ◽  
pp. 394-398 ◽  
Author(s):  
M Field ◽  
J Blackwell ◽  
A Jaipersad ◽  
M Wall ◽  
MA Silva ◽  
...  
Keyword(s):  
Vascular Access ◽  
International Studies ◽  
Rest Pain ◽  
Basilic Vein ◽  
Central Lines ◽  
Arteriovenous Fistulas ◽  
Number Of Patients ◽  
Digital Pulse ◽  
Global Increase ◽  
Steal Syndrome

INTRODUCTION The global increase of chronic renal failure has resulted in a growing number of patients on haemodialysis using arteriovenous fistulas (AVFs). By virtue of their very function, AVFs at times shunt blood away from regions distally, resulting in an ischaemic steal syndrome. Distal revascularisation with interval ligation (DRIL) has been described as a procedure to treat symptomatic ischaemic steal. We present our experience in the management of this complication. PATIENTS AND METHODS Six patients with severe ischaemic steal were treated using a DRIL procedure between May 2004 and June 2007. There were three males and three females, all with elbow brachiocephalic AVFs. Symptoms ranged from severe rest pain to digital gangrene. Published results from international studies of 135 DRIL procedures were also reviewed. RESULTS Vascular access was maintained along with the elimination of ischaemic symptoms in the six patients using an ipsilateral reversed basilic vein graft. Interval ligation of the distal brachial artery was performed at the same time. All patients showed immediate and sustained clinical improvement of symptoms with a demonstrable increase in digital pulse oximetry. CONCLUSIONS DRIL is a beneficial treatment option that has proven successful at alleviating ischemic steal symptoms and preserving vascular access. This avoids placement of central lines, its associated risks, and the need to create an alternative sited fistula.

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