Ultrasound-Guided Deep Brachial and Basilic Vein Cannulation in the Emergency Department
نویسندگان
چکیده
Intravenous (IV) access is a common and essential emergency department procedure, which may be challenging in certain patients. Populations notorious for difficult IV access include injection drug users, diabetics, obese patients, or those in hypoperfusion states. Central venous catheter placement becomes the default solution when attempts at peripheral access prove unsuccessful. Yet, many patients do not meet general indications for central venous access, often only requiring brief administration of fluid or medication prior to discharge. Central venous catheterization may also be technically difficult, time consuming, and is associated with a variety of mechanical, thrombotic, and infectious complications.
منابع مشابه
Ultrasound-guided brachial and basilic vein cannulation in emergency department patients with difficult intravenous access.
STUDY OBJECTIVE Emergency department patients who require intravenous access but lack peripheral intravenous sites frequently require central line placement. Blind percutaneous brachial vein cannulation has been proposed as an alternative in these patients but is associated with high failure and complication rates. We evaluated an ultrasound-guided approach to percutaneous deep brachial vein or...
متن کاملUltrasonographically guided insertion of a 15-cm catheter into the deep brachial or basilic vein in patients with difficult intravenous access.
STUDY OBJECTIVE Standard length (3 to 5 cm) intravenous catheters in the deep brachial or basilic vein tend to dislodge prematurely. We assess the safety and longevity of a 15-cm catheter inserted in these veins by a novel ultrasonographically guided technique. METHODS This is a prospective cohort study conducted in an urban teaching emergency department (ED). Adult subjects were enrolled if ...
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An 85-year-old woman with a past medical history of severe peripheral vascular disease and right below knee amputation presented to the emergency department with a 1-day history of non-positional dizziness and weakness. The patient required intravenous access to work up her dizziness and weakness. The patient had multiple failed blind ED peripheral IV attempts performed in the past. Emergency d...
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