Ultrasound Guided Peripheral Intravenous Line Placement Using the Incremental Advancement Method

2021 ◽  
pp. 25-36
Author(s):  
Anna Clebone
Keyword(s):  
Cross Section ◽  
Vascular Access ◽  
Central Line ◽  
Ultrasound Guided ◽  
Color Flow ◽  
Intravenous Line ◽  
Line Placement ◽  
Arteries And Veins

Chapter 4 discusses the dynamic use of ultrasound to guide the placement of a peripheral intravenous (IV) line. Ultrasound can be used to guide placement of multiple types of vascular access. Arteries and veins are sonographically similar in cross section: hyperechoic circles with hypoechoic interiors. Arteries are thicker walled and characteristically pulsatile. Veins are more susceptible to compression. Doppler or color flow can distinguish the amplitude and direction of flow. Skill with placing peripheral ultrasound guided IV lines in patients with difficult IV access can often help the practitioner avoid the need to place a central line, assuming the central line is not needed for other indications.

Ultrasound Guided Procedures and Radiologic Imaging for Pediatric Anesthesiologists

2021 ◽  
Keyword(s):  
Lung Ultrasound ◽  
Central Line ◽  
Arterial Line ◽  
Ultrasound Guided ◽  
Pediatric Airway ◽  
Skill Sets ◽  
Additional Information ◽  
Line Placement ◽  
Extensive Training ◽  
Radiologic Imaging

Ultrasound Guided Procedures and Radiologic Imaging for Pediatric Anesthesiologists is intended as a ready resource for both experts and novices. It will be useful to those with extensive training and experience as well as beginners and those with distant experience or training. A wealth of knowledge in the human factors of procedure design and use has been applied throughout to ensure that desired information can be easily located, that steps are clearly identified and comprehensible, and that additional information of high relevance to procedure completion is co-located and salient. This book begins with the basics but quickly progresses to advanced skill sets. It is divided into four parts. Part I starts with a primer on ultrasound machine functionality as well as procedural chapters on lung ultrasound to detect a mainstem intubation or pneumothorax and gastric ultrasound to assess gastric contents in incompletely fasted patients. Part II covers ultrasound guided peripheral intravenous line placement through the incremental advancement method, ultrasound guided arterial line placement, and ultrasound guided central line placement. Part III details several ultrasound guided regional anesthesia techniques. Part IV covers radiology of the pediatric airway and mediastinum, lungs, gastrointestinal, genitourinary, musculoskeletal, and neurologic systems.

Vascular Access in Resuscitation

2014 ◽  
Vol 120 (4) ◽  
pp. 1015-1031 ◽  
Author(s):  
Jonathan A. Anson
Keyword(s):  
Vascular Access ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Venous Access ◽  
Central Line ◽  
Attractive Alternative ◽  
Chest Compressions ◽  
Line Placement ◽  
Life Saving

Abstract Intraosseous vascular access is a time-tested procedure which has been incorporated into the 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation. Intravenous access is often difficult to achieve in shock patients, and central line placement can be time consuming. Intraosseous vascular access, however, can be achieved quickly with minimal disruption of chest compressions. Newer insertion devices are easy to use, making the intraosseous route an attractive alternative for venous access during a resuscitation event. It is critical that anesthesiologists, who are often at the forefront of patient resuscitation, understand how to properly use this potentially life-saving procedure.

I need to gain vascular access: ultrasound-guided techniques

Ultrasound ◽  
2012 ◽  
Vol 20 (2) ◽  
pp. 120-124
Author(s):  
John Sloan
Keyword(s):  
Vascular Access ◽  
Ultrasound Guided ◽  
Femoral Access ◽  
General Terms ◽  
Line Placement ◽  
Vein Access ◽  
Large Vein ◽  
Central Access ◽  
Time Critical ◽  
Critical Intervention

Ultrasound has been used to assist line placement for many years, and it is known that ultrasound aids the placement of central and peripheral lines, both in terms of speed of access and reduction of complications. The indications for the use of ultrasound in vascular access vary. In central access, ultrasound should be used at all times unless time-critical intervention mandates otherwise, e.g. in cardiac arrest. In femoral access, it is a very useful adjunct and can be used for reliable, rapid large vein access. In peripheral access, it has a use when conventional access fails. In general terms ultrasound can be used to identify relevant anatomy prior to cannulation, or to guide the process of cannulation. This paper outlines the approaches available.

Prevention of posterior wall puncture with a self-made needle block

2021 ◽  
pp. 112972982110037
Author(s):  
Tessa Nelson ◽  
Maria Crespo ◽  
Adam Engberg ◽  
Diane Gramer ◽  
Jon W Schrock ◽  
...  
Keyword(s):  
Patient Safety ◽  
Vascular Access ◽  
Improve Patient Safety ◽  
Posterior Wall ◽  
Central Line ◽  
Success Rates ◽  
Invasive Procedures ◽  
Ultrasound Guided ◽  
Improve Patient ◽  
Venous Wall

Vascular access is one of the most commonly performed invasive procedures in medicine. Ultrasound-guided vascular access has been shown to improve patient safety, decrease associated complications and increase first attempt success rates, however, the risk for a posterior venous wall puncture (PVWP) still exists. To reduce this complication, needle guides have been used, though, current methods have limited accessibility and generalizability. Thus, the aim of this article is to describe how a self-made needle block constructed with materials present in a central line kit can reduce the incidence of PVWP and its associated complications in novice POCUS users.

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