Practical procedures

Mapping Intimacies ◽

10.1093/med/9780199643219.003.0018 ◽

2012 ◽

Keyword(s):

Central Venous Catheterization ◽

Central Line ◽

Arterial Line ◽

Ultrasound Guided ◽

Central Venous ◽

Central Line Insertion ◽

Vein Cannulation ◽

Arterial Blood ◽

Line Insertion ◽

Venous Catheterization

Arterial blood sampling 784Arterial line insertion: introduction 786Arterial line insertion: over-the-wire technique 786Arterial line insertion: over-the-needle technique 788Central line insertion 790Internal jugular vein cannulation 792Subclavian vein cannulation 794Ultrasound-guided central venous catheterization (1) 796Ultrasound-guided central venous catheterization (2) ...

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Practical procedures

Oxford Handbook of Acute Medicine ◽

10.1093/med/9780199230921.003.15 ◽

2010 ◽

pp. 735-812

Author(s):

Punit S. Ramrakha ◽

Kevin P. Moore ◽

Amir Sam

Keyword(s):

Central Venous Catheterization ◽

Central Line ◽

Arterial Line ◽

Central Venous ◽

Internal Jugular Vein Cannulation ◽

Central Line Insertion ◽

Vein Cannulation ◽

Arterial Blood ◽

Line Insertion ◽

Venous Catheterization

Arterial blood sampling 736 Arterial line insertion 1 738 Arterial line insertion 2 740 Central line insertion 742 Internal jugular vein cannulation 744 Subclavian vein cannulation 746 Ultrasound (US)-guided central venous catheterization 1 748 US-guided central venous catheterization 2 750 Pulmonary artery catheterization 1 752...

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Right vocal fold paralysis as a result of central venous catheterization

The Journal of Laryngology & Otology ◽

10.1017/s0022215100132153 ◽

1995 ◽

Vol 109 (11) ◽

pp. 1107-1108 ◽

Cited By ~ 21

Author(s):

D. P. Martin-Hirsch ◽

C. J. R. Newbegin

Keyword(s):

Vocal Fold ◽

Central Venous Catheterization ◽

Venous Catheter ◽

Central Line ◽

Vocal Fold Paralysis ◽

Central Venous ◽

Central Lines ◽

Central Line Insertion ◽

Venous Catheterization ◽

Bilateral Vocal Fold Paralysis

AbstractInvasive peri- and post-operative monitoring is being increasingly utilized, and a corresponding increase of concomitant complications are becoming apparent.Two cases of complete right vocal fold paralysis are reported as a possible complication of right central venous catheterization. The underlying aetiology of this complication is presumed to be either direct trauma at the time of introduction of the central venous catheter, or by thrombosis and fibrosis around the recurrent laryngeal or vagus nerve. It is suggested that multiple attempts at cannulation and leaving the central line in situ for long periods increases the risk of this complication.When the integrity of the left recurrent laryngeal nerve or vagus is jeopardized or must be sacrificed during surgery, it is suggested that ipsilateral central lines are inserted to minimize the risk of bilateral vocal fold paralysis.Cases of vocal fold paralysis secondary to central line insertion should be followed expectantly and surgical intervention only be considered after 12 months review.

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Objective Assessment Metrics for Central Line Simulators: An Exploration of Causal Factors

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1071181320641487 ◽

2020 ◽

Vol 64 (1) ◽

pp. 2008-2012

Author(s):

Jessica M. Gonzalez-Vargas ◽

Dailen C. Brown ◽

Jason Z. Moore ◽

David C. Han ◽

Elizabeth H. Sinz ◽

...

Keyword(s):

Central Venous Catheterization ◽

Objective Assessment ◽

Central Line ◽

Expert Interviews ◽

Central Venous ◽

Patient Case ◽

Causal Factors ◽

Venous Catheterization ◽

Assessment Metrics ◽

Automated Feedback

The Dynamic Haptic Robotic Trainer (DHRT) was developed to minimize the up to 39% of adverse effects experienced by patients during Central Venous Catheterization (CVC) by standardizing CVC training, and provide automated assessments of performance. Specifically, this system was developed to replace manikin trainers that only simulate one patient anatomy and require a trained preceptor to evaluate the trainees’ performance. While the DHRT system provides automated feedback, the utility of this system with real-world scenarios and expertise has yet to be thoroughly investigated. Thus, the current study was developed to determine the validity of the current objective assessment metrics incorporated in the DHRT system through expert interviews. The main findings from this study are that experts do agree on perceptions of patient case difficulty, and that characterizations of patient case difficulty is based on anatomical characteristics, multiple needle insertions, and prior catheterization.

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355 Comparison of Usefulness Between Linear Probe and Microconvex Probe in Ultrasound-Guided Central Venous Catheterization

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2011.06.387 ◽

2011 ◽

Vol 58 (4) ◽

pp. S297-S298

Author(s):

H. Kang ◽

Y. Cho ◽

H. Choi ◽

B. Kang ◽

T. Lim

Keyword(s):

Central Venous Catheterization ◽

Ultrasound Guided ◽

Central Venous ◽

Venous Catheterization ◽

Linear Probe

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Ultrasound guided versus land mark technique for internal jugular central venous catheterization in cardiac surgical patients- a randomized trial

Journal of Society of Anesthesiologists of Nepal ◽

10.3126/jsan.v3i1.14636 ◽

2016 ◽

Vol 3 (1) ◽

pp. 18-21 ◽

Cited By ~ 2

Author(s):

Santosh Sharma Parajuli ◽

Jeju Nath Pokharel

Keyword(s):

Internal Jugular Vein ◽

Central Venous Catheterization ◽

Jugular Vein ◽

Venous Cannulation ◽

Ultrasound Guided ◽

Central Venous ◽

Successful Cannulation ◽

Venous Catheterization ◽

Complications Rate ◽

Landmark Technique

Background: Catheterization of internal jugular vein can be achieved by either anatomical landmark technique or the ultrasound guided technique. The objective of our study is to find out if ultrasound guided technique could be beneficial in placing central venous catheters by improving the success rate by reducing the number of attempts, decreasing the access time and decreasing the complications rate in comparison to the landmark technique.Methods: Fifty patients scheduled for cardiac surgery requiring central venous cannulation of the right internal jugular vein were divided into two groups: ultrasound guided group ‘U’ and the landmark group ‘L’, each consisting of 25 patients with age more than 15 years. The outcomes were compared in terms of success rate, time taken for successful cannulation and rate of complications.Results: The two groups were comparable in terms of age, weight, heart rate and blood pressure. The mean number of attempts for successful cannulation was 1.08±0.277 and 1.40±0.764 (p=0.055), the time taken in seconds for successful cannulation was 108.56±27.822 and 132.08±72.529 (p=0.137) and the overall complication rate was 0% (0 out of 25) and 32% (8 out of 25) (p=0.02) in the ultrasound guided and the landmark technique group respectively.Conclusion: Ultrasound guided central venous catheterization of internal jugular vein is comparable to the landmark technique in terms of number of attempts and the time required for successful cannulation. Ultrasound guided technique is much safer than the landmark technique to reduce the overall complications rate during central venous cannulation.

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Comparison of ultrasound-guided and landmark-based techniques for central venous catheterization via the external jugular vein in healthy anesthetized dogs

American Journal of Veterinary Research ◽

10.2460/ajvr.79.6.628 ◽

2018 ◽

Vol 79 (6) ◽

pp. 628-636

Author(s):

Danielle M. Hundley ◽

Aimee C. Brooks ◽

Elizabeth J. Thomovsky ◽

Paula A. Johnson ◽

Lynetta J. Freeman ◽

...

Keyword(s):

Central Venous Catheterization ◽

Jugular Vein ◽

External Jugular Vein ◽

Ultrasound Guided ◽

Central Venous ◽

Venous Catheterization ◽

Anesthetized Dogs

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Pre- and post-review of a standardized ultrasound-guided central venous catheterization curriculum evaluating procedural skills acquisition and clinician confidence

The Journal of Vascular Access ◽

10.1177/1129729819882602 ◽

2019 ◽

Vol 21 (4) ◽

pp. 440-448 ◽

Cited By ~ 1

Author(s):

Timothy R Spencer ◽

Amy J Bardin-Spencer

Keyword(s):

Central Venous Catheter ◽

Central Venous Catheterization ◽

Venous Catheter ◽

Catheter Insertion ◽

Central Venous Catheter Insertion ◽

Ultrasound Guided ◽

Central Venous ◽

Clinical Simulation ◽

Venous Catheterization ◽

Simulation Based

Background: To evaluate novice and expert clinicians’ procedural confidence utilizing a blended learning mixed fidelity simulation model when applying a standardized ultrasound-guided central venous catheterization curriculum. Methods: Simulation-based education and ultrasound-guided central venous catheter insertion aims to provide facility-wide efficiencies and improves patient safety through interdisciplinary collaboration. The objective of this quality improvement research was to evaluate both novice (<50) and expert (>50) clinicians’ confidence across 100 ultrasound-guided central venous catheter insertion courses were performed at a mixture of teaching and non-teaching hospitals across 26 states within the United States between April 2015 and April 2016. A total of 1238 attendees completed a pre- and post-survey after attending a mixed method clinical simulation course. Attendees completed a 4-h online didactic education module followed by 4 h of hands-on clinical simulation stations (compliance/sterile technique, needling techniques, vascular ultrasound assessment, and experiential complication management). Results: The use of a standardized evidence-based ultrasound-guided central venous catheter curriculum improved confidence and application to required clinical tasks and knowledge across all interdisciplinary specialties, regardless of level of experience. Both physician and non-physician groups resulted in statistically significant results in both procedural compliance ( p < 0.001) and ultrasound skills ( p < 0.001). Conclusion: The use of a standardized clinical simulation curriculum enhanced all aspects of ultrasound-guided central venous catheter insertion skills, knowledge, and improved confidence for all clinician types. Self-reported complications were reported at significantly higher rates than previously published evidence, demonstrating the need for ongoing procedural competencies. While there are growing benefits for the role of simulation-based programs, further evaluation is needed to explore its effectiveness in changing the quality of clinical outcomes within the healthcare setting.

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