Prospective evaluation of ultrasound-guided short catheter placement in internal jugular veins of difficult venous access patients

The American Journal of Emergency Medicine
David KieferAnthony J Weekes

Abstract

Difficult vascular access (DVA) is a common problem. Placement of ultrasound-guided standard length catheters (ultrasound-guided peripheral intravenous [USPIV]) in the internal jugular (IJ) vein is a potential solution. The objective of the study is to evaluate the immediate and short-term incidence of complications after USPIV placement in IJ of DVA patients. We conducted a prospective convenience study of USPIV into IJ of emergency department patients with DVA. All USPIV placements were performed with standard aseptic techniques with either an 18-gauge 6.35-cm single-lumen catheter or 20-gauge 5.7-cm catheter. Immediate complications were evaluated. Clinical follow-up consisted of review of the electronic medical record for physician and nursing documentation, laboratory data, and imaging studies in a multiple hospital network. Outcome measures 1 and 6 weeks included local site abnormalities, bleeding, local or systemic infection, pneumothorax, or thrombosis at time of placement, and death. We enrolled 33 patients (58% female; mean age, 56.4 years; and median body mass index of 24.7). Eleven physicians performed USPIV placement. Median access time was 4.0 (interquartile range, 5.5) minutes and 1 attempt for placements. There ...Continue Reading

Associated Clinical Trials

Jul 27, 2017·Joseph (Tony) Zitek, MDJoseph (Tony) Zitek, MD

References

Nov 15, 2011·The American Journal of Emergency Medicine·J Matthew FieldsNova L Panebianco
May 15, 2012·The Journal of Emergency Medicine·Nathan A TeismannMichael Stone
Aug 31, 2014·The American Journal of Emergency Medicine·J Matthew FieldsBon S Ku

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