Ultrasound-guidance outperforms the palpation technique for peripheral venous catheterisation in anaesthetised toddlers: a randomised study
| Autor: | P. Lundgaard, M. Veien, Damir Salskov Obad, Erik Sloth, Bo S. Kristensen, Nigopan Gopalasingam, Jakob Gjedsted, Peter Juhl-Olsen |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Palpation 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Catheterization Peripheral Journal Article medicine Clinical endpoint Humans Anesthesia Prospective Studies Venous catheterisation Prospective cohort study Ultrasonography Interventional Skin Cross-Over Studies medicine.diagnostic_test business.industry Ultrasound Infant 030208 emergency & critical care medicine General Medicine Crossover study Surgery Peripheral Anesthesiology and Pain Medicine Needles Child Preschool Peripheral venous catheter Female Anesthesia Inhalation business |
| Zdroj: | Gopalasingam, N, Obad, D S, Kristensen, B S, Lundgaard, P, Veien, M, Gjedsted, J, Sloth, E & Juhl-Olsen, P 2017, ' Ultrasound-guidance outperforms the palpation technique for peripheral venous catheterisation in anaesthetised toddlers : a randomised study ', Acta Anaesthesiologica Scandinavica, vol. 61, no. 6 . https://doi.org/10.1111/aas.12901 |
| ISSN: | 0001-5172 |
| Popis: | BACKGROUND: Traditional palpation technique for peripheral venous catheter (PVC) placement can be challenging. We aimed to compare the Dynamic Needle Tip Positioning (DNTP) ultrasound technique with the palpation technique for PVC placement in anaesthetised toddlers undergoing elective, low-risk procedures.METHODS: The study was a randomised, controlled, crossover study. Five operators applied both techniques for PVC on 50 children < 4 years. The primary endpoint was first attempt success rate. The secondary endpoints were: (1) overall success rate, (2) number of skin perforations, (3) number of needle redirections, (4) number of catheters used, (5) total time, (6) needle manipulation time, (7) distance to the nearest flexion crease, (8) anatomical region of catheterisation, (9) size of the catheters and (10) the effects of visibility, and palpability of the veins.RESULTS: The first attempt success rate and the overall success rate were significantly higher in the DNTP group (42/50 vs. 30/50, P = 0.029), (50/50 vs. 42/50, P = 0.008). Furthermore, a lower number of skin perforations (60 vs. 84, P = 0.013) and needle redirections (14 vs. 131, P < 0.001) and increased distance to the nearest flexion crease (P < 0.001) were seen in the DNTP group. There were no significant differences in number of catheters used (60 vs. 75 P = 0.050) or total time (P = 0.073), however, the needle manipulation time was longer in the DNTP group (P = 0.011). The success rate decreased with less visible and palpable veins in the palpation group (p = 0.006).CONCLUSION: Ultrasound-guidance outperforms the traditional palpation technique for peripheral venous catheterisation in anaesthetised toddlers undergoing elective, low-risk procedures. |
| Databáze: | OpenAIRE |
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