Ed Oakley1, Ai-Ming Wong. 1. Department of Emergency Medicine, Monash Medical Centre, Melbourne, Victoria, Australia. ed.oakley@southernhealth.org.au
Abstract
OBJECTIVES: To assess the implementation and utility of US for assisting peripheral venous access in a paediatric ED. METHODS: A prospective, observational study of a convenience sample comparing the landmark and US-guided technique for peripheral vascular access in children from July 2006 to February 2007. Clinicians involved under went 3 months of training in US physics and with practical models. Clinicians estimated the degree of difficulty of insertion (using a Likert scale) before each line placement. Data including time of procedure and success or failure were collected, using a standardized clinical record form, by an observing researcher. RESULTS: A total of 84 patients were enrolled. There were 61 line placement episodes in the landmark group (with 253 attempts), and 38 in the US group (with 90 attempts). US recorded slightly higher success per attempt overall (42% vs 38%, P=0.08), and performed better in the patients with difficult access (success 35% vs 18%, P=0.003). US attempts took longer than landmark attempts (2 min 15 s vs 4 min, P<0.001). CONCLUSION: The US guidance may improve the success rate of peripheral vascular access in children rated to have difficult or very difficult vascular access.
OBJECTIVES: To assess the implementation and utility of US for assisting peripheral venous access in a paediatric ED. METHODS: A prospective, observational study of a convenience sample comparing the landmark and US-guided technique for peripheral vascular access in children from July 2006 to February 2007. Clinicians involved under went 3 months of training in US physics and with practical models. Clinicians estimated the degree of difficulty of insertion (using a Likert scale) before each line placement. Data including time of procedure and success or failure were collected, using a standardized clinical record form, by an observing researcher. RESULTS: A total of 84 patients were enrolled. There were 61 line placement episodes in the landmark group (with 253 attempts), and 38 in the US group (with 90 attempts). US recorded slightly higher success per attempt overall (42% vs 38%, P=0.08), and performed better in the patients with difficult access (success 35% vs 18%, P=0.003). US attempts took longer than landmark attempts (2 min 15 s vs 4 min, P<0.001). CONCLUSION: The US guidance may improve the success rate of peripheral vascular access in children rated to have difficult or very difficult vascular access.
Authors: Min Joung Kim; Joon Min Park; Nuga Rhee; Sang Mo Je; Seong Hee Hong; Young Mock Lee; Sung Phil Chung; Seung Ho Kim Journal: Eur J Pediatr Date: 2012-03-14 Impact factor: 3.183
Authors: Abdullah S Terkawi; Dimitrios Karakitsos; Mahmoud Elbarbary; Michael Blaivas; Marcel E Durieux Journal: ScientificWorldJournal Date: 2013-11-20
Authors: Rasmus Jørgensen; Christian B Laursen; Lars Konge; Pia Iben Pietersen Journal: Scand J Trauma Resusc Emerg Med Date: 2021-06-27 Impact factor: 2.953