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Use of ultrasound in peripheral venous catheterization in adult emergency and critical care units.
Author(s):
1. Mohd Saif Khan: Department of Anesthesiology, Emergency and Critical Care, Pondicherry Institute of Medical Sciences, Pondicherry, India
2. Vaibhav B. Sabnis: Department of Radiodiagnosis, Pondicherry Institute of Medical Sciences, Pondicherry, India
3. Dilip Shankar Phansalkar: Department of Radiodiagnosis, Pondicherry Institute of Medical Sciences, Pondicherry, India
4. Smiksha P. Prasad: Department of Emergency and Critical Care, Pondicherry Institute of Medical Sciences, Pondicherry, India
5. Ali Hasan Faiz Karnam: Department of Emergency and Critical Care, Pondicherry Institute of Medical Sciences, Pondicherry, India
Abstract:
Peripheral venous access is a routine procedure in emergency and critical care areas. However, not all procedures are successful due to altered venous anatomy, varied patient characteristics and blind nature of procedure. Sometimes, this seemingly easy procedure may become difficult, time-consuming, and exasperating. Needle punctures in the process to obtain peripheral venous access can lead to inadvertent arterial punctures, pain, extravasation, localized swelling and patient discomfort. Use of ultrasound improves the probability of achieving venous access and decreases the rate of unwanted central line insertions and associated complications. This review will present latest evidence into the use of ultrasound guided peripheral venous access and briefly describe the indications, method and contraindications of this technique in emergency and critical care settings.
Page(s): 303-310
DOI: DOI not available
Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 19, Issue: 3, Year: 2015
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