Reducing Delays in a Pediatric Procedural Unit With Ultrasound-Guided Intravenous Line Insertion

2021 ◽  
Vol 11 (11) ◽  
pp. 1222-1228
Author(s):  
Megan E. Peters ◽  
Juan P. Boriosi ◽  
Daniel J. Sklansky ◽  
Gregory A. Hollman ◽  
Jens C. Eickhoff ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Intravenous Line ◽  
Line Insertion

An Emergency Department Nurse-Driven Ultrasound-Guided Peripheral Intravenous Line Program

2013 ◽  
Vol 18 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Cindi Moore
Keyword(s):  
Emergency Department ◽  
Customer Service ◽  
Medical Center ◽  
Wait Time ◽  
State University ◽  
Ultrasound Guided ◽  
Intravenous Line ◽  
Emergency Department Nurse ◽  
Hands On ◽  
The Ohio State University

Background: Ultrasound-guided peripheral intravenous (USGPIV) technology is being utilized more frequently in emergency department settings. Traditionally, physicians have performed this procedure to gain vascular access in patients for whom standard intravenous line procedures are unsuccessful. Nurses at Wexner Medical Center at The Ohio State University have shown that a nurse-driven ultrasound program can be successfully implemented in an emergency department. Methods: Standardized training for registered nurses includes a 4-hour didactic and hands-on course and 24 hours of 1-on-1 individualized instruction with a nurse champion. Emphasis is placed on avoiding the larger upper arm veins. Results: A peripheral intravenous line database has been maintained since the beginning of the program in 2009. This database shows a significant percentage of admitted patients received USGPIV service. In 2010, USGPIVs were successfully placed 90% to 98% of the time. Conclusions: Utilizing UGSPIV can expedite treatment and disposition in an emergency department. Ultimately, throughput and wait time for an emergency department bed can thus be similarly affected, positively affecting customer service.

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.

Bacteriostatic Normal Saline Compared to Buffered Lidocaine When Injected Intradermally as a Local Anesthetic to Reduce Pain During Intravenous Line Insertion

2012 ◽  
Vol 27 (3) ◽  
pp. e34-e35
Author(s):  
Zenaida C. Deguzman ◽  
Susan K. O'Mara ◽  
Suela Sulo ◽  
Therese Haines ◽  
Lindsay Blackburn ◽  
...  
Keyword(s):  
Local Anesthetic ◽  
Normal Saline ◽  
Intravenous Line ◽  
Line Insertion

Patency of neck veins following ultrasound-guided percutaneous Hickman line insertion

2013 ◽  
Vol 30 (3) ◽  
pp. 301-304 ◽  
Author(s):  
R. C. Wragg ◽  
S. Blundell ◽  
M. Bader ◽  
B. Sharif ◽  
J. Bennett ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Line Insertion

Practical procedures

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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