Local warming of the hand and lower arm improved successful peripheral venous cannulation and reduced insertion time

Objective To collect computed tomography data of the laryngeal anatomy of Chinese men and to determine the feasibility of using the size 4 Ambu AuraOnce laryngeal mask (Ambu A/S, Copenhagen, Denmark) in Chinese men weighing >70 kg. Methods This prospective study involved men who underwent surgery from May 2018 to January 2019 at Jinshan Hospital. Pharyngeal and laryngeal parameters were measured by computed tomography. The laryngeal mask insertion success rate, requirement for tracheal tube insertion, laryngeal mask insertion time, fiberoptic bronchoscopy grading, air leakage pressure, and pharyngeal complications were analyzed. Results In a comparison of the size 4 and 5 Ambu AuraOnce devices, the first insertion success rate was 100% and 87% and the three-times insertion success rate was 100% and 93%, respectively, with no significant differences. However, the insertion time was significantly different at 19.6 ± 5.9 versus 31.1 ± 11.2 s, respectively, and the proportions of fiberoptic grading levels were also significantly different. There were no significant differences in the air leakage pressure or pharyngeal complications. Conclusion The size 4 Ambu AuraOnce is more adequate than the size 5 for Chinese men weighing >70 kg, with a shorter insertion time and higher fiberoptic bronchoscopic grading.

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Tapering body stiffness shortens upper gastrointestinal examination via transoral insertion with ultrathin endoscope

Endoscopy International Open ◽

10.1055/a-1266-3203 ◽

2020 ◽

Vol 08 (12) ◽

pp. E1748-E1753

Author(s):

Satoshi Ono ◽

Shun Ito ◽

Kyohei Maejima ◽

Shosuke Hosaka ◽

Kiyotaka Umeki ◽

...

Keyword(s):

Gastrointestinal Tract ◽

Past History ◽

Insertion Time ◽

Trade Off ◽

Examination Time ◽

Total Examination Time ◽

History Of ◽

Food Residues ◽

Gastrointestinal Examination ◽

Upper Gastrointestinal

Abstract Background and study aims Ultrathin endoscopes are commonly used for surveillance esophagogastroduodenoscopy (EGD) to reduce discomfort associated with scope insertion. However, the flexibility of an ultrathin endoscope is a trade-off between reducing discomfort and lengthening examination time. Patients and methods The EG17-J10 (EG17) is a novel ultrathin endoscope characterized by its tapering body stiffness; however, the flexibility of its tip is comparable to that of the traditional ultrathin endoscope EG16-K10 (EG16). We compared EGD examination time between EG17 and EG16. A total of 319 examinees who underwent EGD from November 2019 to January 2020 at the Chiba-Nishi General Hospital were enrolled. Six examinees were excluded due to past history of surgical resection of the upper gastrointestinal tract or too much food residues; 313 examinees (EG17, 209; EG16,104) were retrospectively analyzed. The examination time was divided into three periods: esophageal insertion time (ET), gastroduodenal insertion time (GDT), and surveillance time of the stomach (ST). The total amount of ET, GDT, and ST was defined as total examination time (TT). Results TT of EGD using EG17 was significantly shorter compared to EGD using EG16 (222.7 ± 68.9 vs. 245.7 ± 78.5 seconds) (P = 0.004). Among the three periods of examination time, ET (66.7 ± 24.1 vs. 76.0 ± 24.1 seconds) (P = 0.001) and GDT (47.9 ± 17.4 vs. 55.2 ± 35.2 seconds) (P = 0.007) of EGD using EG17 were significantly shorter compared to EGD using EG16, except for ST (108.1 ± 51.5.1 vs. 114.5 ± 50.1 seconds) (P = 0.148). Conclusion An ultrathin endoscope with tapering body stiffness can shorten EGD examination time, mainly due to the shortening of insertion time.

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THROMBOSIS AFTER CENTRAL VENOUS CANNULATION

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1976.tb140547.x ◽

1962 ◽

Vol 1 (8) ◽

pp. 217-220 ◽

Cited By ~ 89

Author(s):

NAZIR AHMED ◽

ROY F. PAYNE

Keyword(s):

Venous Cannulation ◽

Central Venous Cannulation ◽

Central Venous

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In-line filtration reduced phlebitis associated with peripheral venous cannulation: Focus on cost-effectiveness and patients’ perspectives

The Journal of Vascular Access ◽

10.1177/1129729819861187 ◽

2019 ◽

Vol 21 (2) ◽

pp. 154-160

Author(s):

Gianluca Villa ◽

Rosa Giua ◽

Timothy Amass ◽

Lorenzo Tofani ◽

Cosimo Chelazzi ◽

...

Keyword(s):

Cost Effectiveness ◽

Vascular Access ◽

Cost Effective ◽

Causative Factor ◽

Control Group ◽

Previous Trial ◽

Venous Cannulation ◽

Group A ◽

The Cost ◽

And Control

Background: In a previous trial, in-line filtration significantly prevented postoperative phlebitis associated with short peripheral venous cannulation. This study aims to describe the cost-effectiveness of in-line filtration in reducing phlebitis and examine patients’ perception of in-hospital vascular access management with and without in-line filtration. Methods: We analysed costs associated with in-line filtration: these data were prospectively recorded during the previous trial. Furthermore, we performed a follow-up for all the 268 patients enrolled in this trial. Among these, 213 patients responded and completed 6 months after hospital discharge questionnaires evaluating the perception of and satisfaction with the management of their vascular access. Results: In-line filtration group required 95.60€ more than the no-filtration group (a mean of € 0.71/patient). In terms of satisfaction with the perioperative management of their short peripheral venous cannulation, 110 (82%) and 103 (76.9%) patients, respectively, for in-line filtration and control group, completed this survey. Within in-line filtration group, 97.3% of patients were satisfied/strongly satisfied; if compared with previous experiences on short peripheral venous cannulation, 11% of them recognised in-line filtration as a relevant causative factor in determining their satisfaction. Among patients within the control group, 93.2% were satisfied/strongly satisfied, although up to 30% of them had experienced postoperative phlebitis. At the qualitative interview, they recognised no difference than previous experiences on short peripheral venous cannulation, and mentioned postoperative phlebitis as a common event that ‘normally occurs’ during a hospital stay. Conclusion: In-line filtration is cost-effective in preventing postoperative phlebitis, and it seems to contribute to increasing patient satisfaction and reducing short peripheral venous cannulation–related discomfort

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CENTRAL VENOUS CANNULATION IN PAEDIATRIC PATIENTS

British Journal of Anaesthesia ◽

10.1093/bja/71.3.463 ◽

1993 ◽

Vol 71 (3) ◽

pp. 463

Author(s):

N.R. BENNETT

Keyword(s):

Venous Cannulation ◽

Central Venous Cannulation ◽

Central Venous ◽

Paediatric Patients

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Efficacy of Adding 2% (w/v) Chlorhexidine Gluconate to 70% (v/v) Isopropyl Alcohol for Skin Disinfection Prior to Peripheral Venous Cannulation

Infection Control and Hospital Epidemiology ◽

10.1086/590664 ◽

2008 ◽

Vol 29 (10) ◽

pp. 963-965 ◽

Cited By ~ 30

Author(s):

Heather Small ◽

Debra Adams ◽

Anna L. Casey ◽

Cynthia T. Crosby ◽

Peter A. Lambert ◽

...

Keyword(s):

Clinical Trial ◽

Isopropyl Alcohol ◽

Venous Catheter ◽

Chlorhexidine Gluconate ◽

Venous Cannulation ◽

Catheter Colonization ◽

Peripheral Venous Catheter ◽

Skin Disinfection

We undertook a clinical trial to compare the efficacy of 2% (w/v) chlorhexidine gluconate in 70% (v/v) isopropyl alcohol with the efficacy of 70% (v/v) isopropyl alcohol alone for skin disinfection to prevent peripheral venous catheter colonization and contamination. We found that the addition of 2% chlorhexidine gluconate reduced the number of peripheral venous catheters that were colonized or contaminated.

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