Success Rate of Peripheral IV Catheter Insertion by Emergency Physicians Using Ultrasound Guidance

Forty-two abdominal and retroperitoneal abscesses were drained percutaneously under ultrasound guidance. A success rate of 85.7% was achieved. Subsequent surgery was required in only 5 patients. Postoperative and spontaneous abscesses did equally well. Most intra-abdominal and retroperitoneal abscesses are amenable to this form of percutaneous drainage. The procedure requires only local anaesthesia and is well tolerated. Surgical management should probably now be reserved for those cases which are considered unsuitable for percutaneous drainage or which fail to resolve following this procedure.

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Novel Educational Module for Subclavian Central Venous Catheter Insertion Using Real-Time Ultrasound Guidance

Journal of Surgical Education ◽

10.1016/j.jsurg.2015.07.010 ◽

2015 ◽

Vol 72 (6) ◽

pp. 1217-1223 ◽

Cited By ~ 10

Author(s):

Andrew W.L. Bayci ◽

Jimmi Mangla ◽

Christina S. Jenkins ◽

Felicia A. Ivascu ◽

James M. Robbins

Keyword(s):

Central Venous Catheter ◽

Real Time ◽

Ultrasound Guidance ◽

Venous Catheter ◽

Catheter Insertion ◽

Central Venous Catheter Insertion ◽

Central Venous ◽

Educational Module

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Real-time ultrasound-guided placement of peripherally inserted central venous catheter without fluoroscopy

The Journal of Vascular Access ◽

10.1177/1129729818765057 ◽

2018 ◽

Vol 19 (6) ◽

pp. 609-614 ◽

Cited By ~ 6

Author(s):

Soshi Nakamuta ◽

Toshihiro Nishizawa ◽

Shiori Matsuhashi ◽

Arata Shimizu ◽

Toshio Uraoka ◽

...

Keyword(s):

Success Rate ◽

Detection Rate ◽

Ultrasound Guidance ◽

Catheter Placement ◽

Peripherally Inserted Central Catheter ◽

Central Catheter ◽

Ultrasound Guided ◽

Peripherally Inserted Central Catheters ◽

X Ray ◽

Central Catheters

Background and aim: Malposition of peripherally inserted central catheters placed at the bedside is a well-recognized phenomenon. We report the success rate of the placement of peripherally inserted central catheters with ultrasound guidance for tip positioning and describe the knacks and pitfalls. Materials and methods: We retrospectively reviewed the medical case charts of 954 patients who received peripherally inserted central catheter procedure. Patient clinical data included success rate of puncture, detection rate of tip malposition with ultrasonography, adjustment rate after X-ray, and success rate of peripherally inserted central catheter placement. Results: The success rate of puncture was 100% (954/954). Detection rate of tip malposition with ultrasonography was 82.1% (78/95). The success rate of ultrasound-guided tip navigation was 98.2% (937/954). The success rate of ultrasound-guided tip location was 98.0% (935/954). Adjustment rate after X-ray was 1.79% (17/952). The final success rate of peripherally inserted central catheter placement was 99.8% (952/954). Conclusion: Ultrasound guidance for puncturing and tip positioning is a promising option for the placement of peripherally inserted central catheters. Ultrasound guidance could dispense with radiation exposure and the transfer of patients to the X-ray department.

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Ultrasound guidance for internal jugular vein cannulation in PICU: a randomised controlled trial

Archives of Disease in Childhood ◽

10.1136/archdischild-2017-314568 ◽

2018 ◽

Vol 103 (10) ◽

pp. 952-956 ◽

Cited By ~ 3

Author(s):

Tiago Henrique de Souza ◽

Marcelo Barciela Brandão ◽

Thiago Martins Santos ◽

Ricardo Mendes Pereira ◽

Roberto José Negrão Nogueira

Keyword(s):

Success Rate ◽

Ultrasound Guidance ◽

Jugular Vein ◽

Controlled Trial ◽

Anatomical Landmark ◽

Control Group ◽

Internal Jugular Vein Cannulation ◽

The Us ◽

Randomised Controlled ◽

Landmark Technique

ObjectiveWe investigated whether ultrasound guidance was advantageous over the anatomical landmark technique when performed by inexperienced paediatricians.DesignRandomised controlled trial.SettingA paediatric intensive care unit of a teaching hospital.Patients80 children (aged 28 days to <14 years).InterventionsInternal jugular vein cannulation with ultrasound guidance in real time or the anatomical landmark technique.Main outcome measuresSuccess rate, success rate on the first attempt, success rate within three attempts, puncture time, number of attempts required for success and occurrence of complications.ResultsWe found a higher success rate in the ultrasound guidance than in the control group (95% vs 61%, respectively; p<0.001; relative risk (RR)=0.64, 95% CI (CI) 0.50 to 0.83). Success on the first attempt was seen in 95% and 34% of venous punctures in the US guidance and control groups, respectively (p<0.001; RR=0.35, 95% CI 0.23 to 0.54). Fewer than three attempts were required to achieve success in 95% of patients in the US guidance group but only 44% in the control group (p<0.001; RR=0.46, 95% CI 0.32 to 0.66). Haematomas, inadvertent arterial punctures, the number of attempts and the puncture time were all significantly lower in the ultrasound guidance than in the control group (p<0.015 for all).ConclusionsCritically ill children may benefit from the ultrasound guidance for internal jugular cannulation, even when the procedure is performed by operators with limited experience.Trial registration numberRBR-4t35tk.

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Value of Ultrasonographic Guidance For Operative Hysteroscopy on the Safety and Outcome of the Procedure: Randomized Control Trial

QJM ◽

10.1093/qjmed/hcaa056.018 ◽

2020 ◽

Vol 113 (Supplement_1) ◽

Author(s):

M I Amer ◽

W Elbasuony ◽

M A Ali

Keyword(s):

Success Rate ◽

Ultrasound Guidance ◽

Rare Complication ◽

Abnormal Uterine Bleeding ◽

University Hospital ◽

Uterine Perforation ◽

Safe Procedure ◽

Simultaneous Treatment ◽

Operative Hysteroscopy ◽

Significant Difference

Abstract Background Hysteroscopy is a minimally invasive intervention that can be used to diagnose and treat many intrauterine and endocervical problems. Hysteroscopic polypectomy, myomectomy are just a few of the commonly performed procedures. Hysteroscopy has nearly replaced standard D&C for the management of abnormal uterine bleeding (AUB), as it allows for direct visualization and diagnosis of intrauterine abnormalities, and it often offers an opportunity for simultaneous treatment. Operative hysteroscopy is a safe procedure resulting in complication in 0.95-3% of cases. The most frequently observed complications include hemorrhage (2.4%), uterine perforation (1.5%), and cervical laceration (1-11%). Another rare complication is excessive fluid absorption with or without resultant hyponatremia. Can use of ultrasound guidance during operative hysteroscopy decrease the rate of the operative complication? Objective To assess the value of ultrasound guidance for operative hysteroscopy on decreasing the complication and improving the success rate of the procedure. Patients and Methods It is estimated that a sample size of 88 patients that were divided to 44 patients in the Ultrasound guidance group and 44 patients in the group that didn’t perform ultrasound. The patients were encountered from those presented at the gynecology clinic of the Ain Shams university hospital or those presented at ECDU with the inclusion criteria in the period between December 2017 to November 2018. The patients were approached to participate on study and a written informed consent was taken from all the patients. Results Comparative study between the 2 groups revealed; highly significant increase in success rate in ultrasound guided hysteroscopy (USH) group; compared to conventional hysteroscopy (CH) group; with highly significant statistical difference (p < 0.01) and non-significant difference as regards failure and complications rates (p > 0.05). Conclusion Our study found that ultrasound assistance for difficult hysteroscopy reported that ultrasound appears to be a safe and reliable method of assistance.

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Fluoroscopic-Guided Paramedian Approach for Lumbar Catheter Placement in Cerebrospinal Fluid Shunting: Assessment of Safety and Accuracy

Operative Neurosurgery ◽

10.1093/ons/opy176 ◽

2018 ◽

Vol 16 (4) ◽

pp. 471-477 ◽

Cited By ~ 1

Author(s):

Adam Tucker ◽

Yoshinaga Kajimoto ◽

Tomohisa Ohmura ◽

Naokado Ikeda ◽

Motomasa Furuse ◽

...

Keyword(s):

Success Rate ◽

Normal Pressure ◽

Catheter Insertion ◽

Catheter Placement ◽

Surgical Infections ◽

Lumbar Catheter ◽

Cerebrospinal Fluid Shunting ◽

Low Pressure Headache ◽

Spinal Catheter ◽

Pressure Headache

Abstract BACKGROUND Spinal catheter insertion in lumboperitoneal (LP) shunt surgery for idiopathic normal pressure hydrocephalus (iNPH) is frequently associated with technical difficulties especially in patients with obesity and elderly patients with vertebral deformities. OBJECTIVE To elucidate the accuracy and safety of image-guided spinal catheter placement using a paramedian approach (PMA). METHODS We retrospectively analyzed 39 consecutive iNPH patients treated by LP shunting with spinal catheter insertion via the PMA. The success rate of catheter placement and the number of changes in puncture location were evaluated. Accuracy of catheter insertion was assessed by measuring both vertical and horizontal deviations in the point of catheter dural penetration from the center of the interlaminar space. RESULTS The success rate of catheter placement was 100% (39/39). The difficulty rate for catheter insertion, measured by the number of changes in puncture location, was 2.6% (1/39). No bloody punctures or surgical infections were observed. Accuracy of catheter insertion, measured as the degree of deviation, was 0.5 ± 1.9 mm horizontally and 0.0 ± 2.4 mm vertically. The rates of minor complications, including caudal catheter insertion, transient low-pressure headache, and root pain, were 5.1% (2/39), 10.4% (4/39), and 0% (0/43), respectively. Subdural hematoma requiring surgical intervention occurred in 1 case (2.6%). During the mean follow-up period of 36 mo, spinal catheter rupture at the level of the spinous processes was not observed. CONCLUSION Fluoroscopic-guided spinal catheter placement via the PMA was safe, accurate, and reliable, even for use in geriatric and obese patients.

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