11 results match your criteria Bedside Ultrasonography Peripheral Line Placement

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Procedural Applications of Point-of-Care Ultrasound in Pediatric Emergency Medicine.

Emerg Med Clin North Am 2021 Aug 11;39(3):529-554. Epub 2021 Jun 11.

Department of Emergency Medicine, Stanford School of Medicine, 300 Pasteur Drive, Room M121, Alway Building MC 5768, Stanford, CA 94305, USA.

Point-of-care ultrasound can improve efficacy and safety of pediatric procedures performed in the emergency department. This article reviews ultrasound guidance for the following pediatric emergency medicine procedures: soft tissue (abscess incision and drainage, foreign body identification and removal, and peritonsillar abscess drainage), musculoskeletal and neurologic (hip arthrocentesis, peripheral nerve blocks, and lumbar puncture), vascular access (peripheral intravenous access and central line placement), and critical care (endotracheal tube placement, pericardiocentesis, thoracentesis, and paracentesis). By incorporating ultrasound, emergency physicians caring for pediatric patients have the potential to enhance their procedural scope, confidence, safety, and success. Read More

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Bedside Tunneled Hemodialysis Catheter Placement in Patients with COVID-19.

Ann Vasc Surg 2021 May 22;73:133-138. Epub 2021 Jan 22.

Division of Vascular Surgery, Department of Surgery, Lankenau Medical Center, Wynnewood, PA. Electronic address:

Background: COVID-19, the syndrome caused by the novel SARS-CoV2, is associated with high rates of acute kidney injury requiring renal replacement therapy (RRT). It is well known that despite the ease of bedside insertion, the use of nontunneled dialysis catheters (NTDCs) is associated with increased complications compared to tunneled dialysis catheters (TDCs). Our objective was to develop a strategy for TDC placement at the bedside to provide effective dialysis access, conserve resources and decrease personnel exposure at our medical center in an epicenter of the COVID-19 pandemic. Read More

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Diagnostic accuracy among trainees to safely confirm peripherally inserted central catheter (PICC) placement using bedside ultrasound.

Br J Nurs 2020 Oct;29(19):S20-S28

MD, University of Utah School of Medicine, Department of Medicine, Division of Pulmonary and Critical Care, Salt Lake City, UT.

Background: Real-time utilization of ultrasound to confirm peripherally inserted central catheter (PICC) placement improves efficacy and reduces patient radiation exposure. We evaluated if novice ultrasound users could accurately confirm appropriate PICC tip location via ultrasound assessment.

Methodology: A prospective data collection study was conducted in an academic center with an established PICC team. Read More

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October 2020

Venous catheter at alternate exit site in a 2-year-old requiring long-term antibiotics for osteomyelitis: A case report.

J Vasc Access 2021 Nov 30;22(6):1013-1016. Epub 2020 Aug 30.

St. Joseph's University Medical Center, Paterson, NJ, USA.

In the pediatric population, vascular access is often challenging to secure and to maintain, especially for long-term intravenous (IV) treatment. The traditional approach for patients who require long-term IV antibiotics is placement of a peripherally inserted central catheter (PICC). The challenge in the pediatric population is the high risk of dislodgement after PICC placement, as these patients tend to pull their line out accidentally or purposefully. Read More

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November 2021

Better With Ultrasound: Arterial Line Placement.

Chest 2020 03 18;157(3):574-579. Epub 2019 Oct 18.

Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY.

Arterial catheterization is frequently performed in ICUs to facilitate hemodynamic monitoring and frequent blood sampling. Overall, arterial catheterization has high success and low complication rates, but in patients who are critically ill, the incidence of failure is higher because of hypotension, peripheral edema, and obesity. Ultrasound guidance significantly increases the likelihood of successful cannulation and decreases complications compared with traditional landmark-based techniques. Read More

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Safety and feasibility of ultrasound-guided placement of peripherally inserted central catheter performed by neurointensivist in neurosurgery intensive care unit.

PLoS One 2019 31;14(5):e0217641. Epub 2019 May 31.

Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

We evaluated the safety and feasibility of ultrasound-guided peripherally-inserted central venous catheters (PICC) by a neurointensivist at the bedside compared to fluoroscopy-guided PICC and conventional central venous catheter (CCVC). This was a retrospective study of adult patients who underwent central line placement and were admitted to the neurosurgical intensive care unit (ICU) between January 2014 and March 2018. In this study, the primary endpoint was central line-induced complications. Read More

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January 2020

Development and Implementation of a Bedside Peripherally Inserted Central Catheter Service in a PICU.

Pediatr Crit Care Med 2019 01;20(1):71-78

Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.

Objectives: To create a bedside peripherally inserted central catheter service to increase placement of bedside peripherally inserted central catheter in PICU patients.

Design: Two-phase observational, pre-post design.

Setting: Single-center quaternary noncardiac PICU. Read More

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January 2019

A Missing Guide Wire After Placement of Peripherally Inserted Central Venous Catheter.

Am J Case Rep 2016 Dec 6;17:925-928. Epub 2016 Dec 6.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.

BACKGROUND Central venous catheterization is a common tool used in critically ill patients to monitor central venous pressure and administer fluids and medications such as vasopressors. Here we present a case of a missing guide wire after placement of peripherally inserted central catheter (PICC), which was incidentally picked up by bedside ultrasound in the intensive care unit.  CASE REPORT A 50-year-old Hispanic male was admitted to the intensive care unit for alcohol intoxication. Read More

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December 2016

A single institution experience of seven hundred consecutively placed peripherally inserted central venous catheters.

J Vasc Access 2014 Nov-Dec;15(6):498-502. Epub 2014 May 9.

1 Department of Surgery, Bronx-Lebanon Hospital Center, Bronx, NY - USA.

Introduction: Peripherally inserted central venous catheters (PICCs) are being increasingly placed at the bedside by trained vascular access professional such as nurses. This is to increase the availability of the service, for cost containment, and to reduce the workload on the interventional radiologist. We describe a single institution experience with over 700 PICC lines placed by trained nurses at the bedside and determine the success rate, malposition rate of the PICC line , degree of support needed from the Interventional radiologist, and factors affecting a successful placement of a PICC line by the nurses. Read More

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Transabdominal duplex ultrasonography for bedside inferior vena cava filter placement: examples, technique, and review.

Vasc Endovascular Surg 2009 Aug-Sep;43(4):379-84. Epub 2009 Apr 7.

Department of Surgery, Division of Vascular Surgery and Endovascular Services, SUNY Upstate Medical University College of Medicine, Syracuse, New York 13210, USA.

Pulmonary embolism remains an endemic challenge for public health care. The first line of treatment for venous thromboembolic disorder has been anticoagulation; however, in the absence of appropriate pharmacologic treatment, because of failure or contraindication, caval filter placement has been widely performed in the prevention of pulmonary embolism. Initially an open surgical procedure, technological advancements have allowed filter placement to be done percutaneously. Read More

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October 2009

Insertion of subclavian hemodialysis catheters in difficult cases: value of fluoroscopy and angiographic techniques.

AJR Am J Roentgenol 1989 Mar;152(3):641-3

Department of Radiology, University of Virginia Medical Center, Charlottesville 22908.

Double-lumen hemodialysis catheters designed to be placed via a subclavian vein approach have gained rapid acceptance over the past several years. Several studies have shown a significant rate of subclavian vein stenosis or occlusion after placement of these catheters. A large number of these patients require repeat placement of catheters with access often becoming increasingly difficult to obtain. Read More

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