Two different techniques of ultrasound-guided peripheral venous catheter placement versus the traditional approach in the pre-hospital emergency setting: a randomized study
Jazyk angličtina Země Itálie Médium print-electronic
Typ dokumentu časopisecké články, randomizované kontrolované studie
PubMed
31701317
DOI
10.1007/s11739-019-02226-w
PII: 10.1007/s11739-019-02226-w
Knihovny.cz E-zdroje
- Klíčová slova
- Peripheral venous catheter, Pre-hospital care, Ultrasound,
- MeSH
- analýza rozptylu MeSH
- intervenční ultrasonografie přístrojové vybavení metody MeSH
- lidé středního věku MeSH
- lidé MeSH
- periferní katetrizace přístrojové vybavení metody MeSH
- prospektivní studie MeSH
- rozdělení chí kvadrát MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- urgentní zdravotnické služby metody normy statistika a číselné údaje MeSH
- venae jugulares diagnostické zobrazování MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- randomizované kontrolované studie MeSH
- Geografické názvy
- Česká republika MeSH
We performed a randomized pre-hospital clinical study to compare two different techniques of ultrasound-guided peripheral venous catheter (PVC) insertion and the conventional cannulation technique in the pre-hospital emergency setting, with a specific focus on the procedural success rate and the time required to introduce PVC. This pre-hospital prospective controlled randomized clinical trial allocated patients treated by emergency medical service to undergo PVC insertion fully controlled by ultrasound (ultrasound guidance of the PVC tip until it penetrates the lumen, group A), PVC insertion partially controlled by ultrasound (target vein identification only, group B) or to receive PVC without any ultrasound guidance (group C). The study outcomes were monitored until the patient was admitted to the hospital. A total of 300 adult patients were enrolled. The success of the first attempt (group A: 88%, group B: 94%, group C: 76%, p < 0.001) and overall success rate (A: 99%, B: 99%, C: 90%, p < 0.001) were significantly higher in the group A, followed by group B when compared to group C. The number of attempts was significantly lower (A: 1.18 ± 0.54, B: 1.05 ± 0.22, C: 1.22 ± 0.57, p < 0.001) and the time required for the procedure shorter (A: 75.3 ± 60.6, B: 43.5 ± 26.0, C: 82.3 ± 100.9 s, p < 0.001) in group B compared to groups A and C. Both techniques of ultrasound-guided PVC placement were associated with higher success rates than the conventional method. However, PVC insertion partially controlled by ultrasound was superior to full ultrasound guidance in terms of time and number of cannulation attempts required.
Emergency Medical Service of the Central Bohemian Region Vancurova 1544 272 01 Kladno Czech Republic
Zobrazit více v PubMed
Ultraschall Med. 2016 Oct;37(5):473-476 PubMed
Mil Med. 2018 Nov 1;183(11-12):e730-e734 PubMed
J Am Board Fam Med. 2013 Nov-Dec;26(6):805-6 PubMed
J Emerg Med. 2009 May;36(4):357-62 PubMed
Intensive Care Med. 2007 Aug;33(8):1452-7 PubMed
West J Emerg Med. 2017 Oct;18(6):1047-1054 PubMed
Int Emerg Nurs. 2015 Apr;23(2):89-93 PubMed
BMJ Open. 2018 Jun 9;8(6):e020220 PubMed
Eur J Emerg Med. 2016 Dec;23(6):442-447 PubMed
Am J Emerg Med. 2011 Nov;29(9):1194-7 PubMed
Ann Emerg Med. 2012 Apr;59(4):296-303 PubMed
Eur J Anaesthesiol. 2006 Jul;23(7):594-7 PubMed
Acad Emerg Med. 2003 Dec;10(12):1307-11 PubMed
Prehosp Emerg Care. 2013 Oct-Dec;17(4):425-8 PubMed
Chest. 2012 Jan;141(1):279-280 PubMed
Prehosp Emerg Care. 2013 Jan-Mar;17(1):46-50 PubMed
Ann Emerg Med. 2016 Jul;68(1):10-8 PubMed
Eur J Emerg Med. 2014 Feb;21(1):18-23 PubMed
N Engl J Med. 2012 Jun 21;366(25):e38 PubMed
AANA J. 2007 Jun;75(3):212-6 PubMed
Postgrad Med J. 1999 Aug;75(886):459-62 PubMed
Ann Fr Anesth Reanim. 2012 Jul-Aug;31(7-8):600-4 PubMed
