Pascal Meyer1, Pierrick Cronier2, Hélène Rousseau3, Eric Vicaut3, Gerald Choukroun2, Karim Chergui2, Guillaume Chevrel2, Eric Maury4. 1. Intensive Care Unit, Centre Hospitalier Sud-Francilien, 91106 Corbeil-Essonnes Cedex, France. Electronic address: pascalmeyer@voila.fr. 2. Intensive Care Unit, Centre Hospitalier Sud-Francilien, 91106 Corbeil-Essonnes Cedex, France. 3. Clinical Research Unit, Hôpital Lariboisière, 75010 Paris, France. 4. Intensive Care Unit, Hôpital St-Antoine, Paris, France.
Abstract
PURPOSE: A preliminary observational study was undertaken to evaluate the risk of failure of ultrasound-guided peripheral intravenous catheterization of a deep arm vein for a maximum of 7 days, after peripheral intravenous (PIV) cannulation failure. METHODS: This prospective study included patients referred to the intensive care unit for placement of a central line, a polyurethane cannula commercialized for arterial catheterization was used for peripheral venous cannulation. Catheter length and diameter were chosen based on preliminary ultrasound measurements of vein diameter and skin-vein distance. RESULTS: Catheterization was successful for all 29 patients. Mean vein diameter was 0.42 ± 0.39 cm; mean vein depth was 0.94 ± 0.52 cm. Mean catheter duration was 6 (median 7) days. Two occluded catheters were removed prematurely. No thrombophlebitis, catheter infection, or extravasation was observed. CONCLUSION: Our results suggest that catheters inserted with the Seldinger method are adapted to prolonged peripheral deep-vein infusion. Ultrasound can play a role in catheter monitoring by identifying early thrombosis formation.
PURPOSE: A preliminary observational study was undertaken to evaluate the risk of failure of ultrasound-guided peripheral intravenous catheterization of a deep arm vein for a maximum of 7 days, after peripheral intravenous (PIV) cannulation failure. METHODS: This prospective study included patients referred to the intensive care unit for placement of a central line, a polyurethane cannula commercialized for arterial catheterization was used for peripheral venous cannulation. Catheter length and diameter were chosen based on preliminary ultrasound measurements of vein diameter and skin-vein distance. RESULTS: Catheterization was successful for all 29 patients. Mean vein diameter was 0.42 ± 0.39 cm; mean vein depth was 0.94 ± 0.52 cm. Mean catheter duration was 6 (median 7) days. Two occluded catheters were removed prematurely. No thrombophlebitis, catheter infection, or extravasation was observed. CONCLUSION: Our results suggest that catheters inserted with the Seldinger method are adapted to prolonged peripheral deep-vein infusion. Ultrasound can play a role in catheter monitoring by identifying early thrombosis formation.
Authors: P S C Rees; L E M Lamb; T C Nicholson-Roberts; C N Ardley; M S Bailey; D E Hinsley; T E Fletcher; S J Dickson Journal: Intensive Care Med Date: 2015-03-12 Impact factor: 17.440