Optimization of Cannula Visibility during Ultrasound-Guided Subclavian Vein Catheterization, via a Longitudinal Approach, by Implementing Echogenic Technology
Joint Authors
Shiloh, Ariel L.
Pentilas, Nicos
Savel, Richard H.
Kouraklis, Gregorios
Fragou, Mariantina
Stefanidis, Konstantinos
Nanas, Serafim
Slama, Michel
Karakitsos, Dimitrios
Source
Critical Care Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
One limitation of ultrasound-guided vascular access is the technical challenge of visualizing the cannula during insertion into the vessel.
We hypothesized that the use of an echogenic vascular cannula (EC) would improve visualization when compared with a nonechogenic vascular cannula (NEC) during real-time ultrasound-guided subclavian vein (SCV) cannulation in the ICU.
Material and Methods.
Eighty mechanically ventilated patients were prospectively enrolled in a randomized study that was conducted in a medical-surgical ICU.
Forty patients underwent EC and 40 patients were randomized to NEC.
The procedure was ultrasound-guided SCV cannulation via the infraclavicular approach on the longitudinal axis.
Results.
The EC group exhibited increased cannula visibility as compared to the NEC group (92%±3% versus 85±7%, resp., P<0.01).
There was strong agreement between the procedure operators and independent observers (k=0.9, 95% confidence intervals assessed by bootstrap analysis = 0.87 to 0.93; P<0.01).
Access time (12.1 s±6.5 versus 18.9 s±10.9) and the perceived technical difficulty of the ultrasound method (4.5±1.5 versus 7.5±1.5) were both decreased in the EC group compared to the NEC group (P<0.05).
Conclusions.
Echogenic technology significantly improved cannula visibility and decreased access time and technical complexity optimizing thus real-time ultrasound-guided SCV cannulation via a longitudinal approach.
American Psychological Association (APA)
Stefanidis, Konstantinos& Fragou, Mariantina& Pentilas, Nicos& Kouraklis, Gregorios& Nanas, Serafim& Savel, Richard H.…[et al.]. 2012. Optimization of Cannula Visibility during Ultrasound-Guided Subclavian Vein Catheterization, via a Longitudinal Approach, by Implementing Echogenic Technology. Critical Care Research and Practice،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-485456
Modern Language Association (MLA)
Stefanidis, Konstantinos…[et al.]. Optimization of Cannula Visibility during Ultrasound-Guided Subclavian Vein Catheterization, via a Longitudinal Approach, by Implementing Echogenic Technology. Critical Care Research and Practice No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-485456
American Medical Association (AMA)
Stefanidis, Konstantinos& Fragou, Mariantina& Pentilas, Nicos& Kouraklis, Gregorios& Nanas, Serafim& Savel, Richard H.…[et al.]. Optimization of Cannula Visibility during Ultrasound-Guided Subclavian Vein Catheterization, via a Longitudinal Approach, by Implementing Echogenic Technology. Critical Care Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-485456
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-485456