Abstract
The purpose of this study was to document the attitudes and practice patterns of pediatric surgeons regarding use of RTUS with CVC placement. An analytic survey composed of 20 questions was sent via APSA headquarters to all practicing members. Answers were summarized as frequency and percentage. Distributions of answers were compared using the chi-square tests. P-values ≤0.05 were considered statistically significant. 361 of 1072 members chose to participate for a response rate of 34%. Most placed CVCs into the subclavian veins (SCV) of patients without coagulopathy, with the left SCV chosen approximately four times more often than the right. Conversely, RTUS use at the internal jugular vein (IJV) was significantly greater than that for the SCV (p<0.001). Coagulopathy, multiple previous catheters, and morbid obesity were identified as patient characteristics that would encourage RTUS use. The most commonly cited potential barriers to RTUS use were lack of formal ultrasound training and the belief that ultrasound is not necessary. Variability exists among pediatric surgeons regarding use of RTUS during CVC placement. Additional studies are needed to document actual frequency of use, how RTUS is implemented, and its efficacy of p...Continue Reading
References
Dec 29, 1994·The New England Journal of Medicine·P F MansfieldD M Ota
Jul 28, 1999·Anesthesiology·S T VergheseU E Ruttimann
Mar 2, 2002·Applied Occupational and Environmental Hygiene
May 4, 2004·British Journal of Anaesthesia·C R GrebenikB Martin
Oct 14, 2004·Anaesthesia·N CalvertS M Thomas
Aug 13, 2005·Critical Care Medicine·Truman J MillingLawrence A Melniker
Aug 10, 2006·European Journal of Anaesthesiology·G Tovey, M Stokes
Oct 21, 2006·Annals of Emergency Medicine·Julie LeungAndrew Finckh
Dec 13, 2007·Anesthesiology·Koji HosokawaSatoru Hashimoto
Nov 27, 2008·Anaesthesia·T McGrattanN O'Donnell
Apr 16, 2011·Critical Care Medicine·Mariantina FragouDimitrios Karakitsos
Dec 14, 2011·Journal of Pediatric Surgery·Marilyn W ButlerRobert A Cusick
Mar 13, 2013·Journal of the American College of Surgeons·Matias BruzoniSanjeev Dutta
May 11, 2013·Paediatric Anaesthesia·Serge MalbezinChristopher Brasher
Apr 16, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Matthew S BuchananJohn Kendall
Citations
Mar 5, 2016·Der Anaesthesist·S U WeberS-C Kim
Nov 5, 2016·Journal of Critical Care·Nilam J SoniMarcos I Restrepo
Jul 28, 2016·Surgery·Lori A GurienUNKNOWN Pediatric Surgery Research (PedSRC) Collaborative
Aug 10, 2016·Annals of Intensive Care·Julien MaizelUNKNOWN BoReal Study group
Jul 25, 2017·Paediatric Anaesthesia·Kai-Ming YuanQing-Quan Lian
Jan 5, 2018·The Journal of Trauma and Acute Care Surgery·Lori A GurienMelvin S Dassinger
Jan 16, 2018·The Journal of Trauma and Acute Care Surgery·Patrick C BonassoM Sidney Dassinger
Mar 28, 2018·Pediatric Surgery International·Cory N CrissMarcus D Jarboe
May 5, 2017·Pediatric Emergency Care·Chen HeJennifer R Marin
Nov 11, 2020·The Journal of Vascular Access·Monica CelliniSimone Cesaro
Mar 24, 2021·Journal of Pediatric Surgery·Francesca M ShilatiTimothy B Lautz