Comparison of the dilatory effect of three strategies on peripheral veins of the upper extremity in adults
| Autor: | Angelique T. Dierick van Daele, Hendrikus H. M. Korsten, Fredericus H J van Loon, Arthur Bouwman |
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| Přispěvatelé: | Eindhoven MedTech Innovation Center, Signal Processing Systems, Biomedical Diagnostics Lab, EAISI Health |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Anesthesiology Dilated veins Basilic Vein Peripheral intravenous Veins Catheterization Peripheral Peripheral veins Upper Extremity 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Catheterization Peripheral Medicine Humans Tourniquet application Ultrasonography Cephalic vein Tourniquet Veins/diagnostic imaging business.industry Ultrasound 030208 emergency & critical care medicine Dilatation Anesthesiology and Pain Medicine Vascular access devices business Nuclear medicine |
| Zdroj: | Minerva Anestesiologica, 87(8), 864-872. Edizioni Minerva Medica S.p.A. |
| ISSN: | 1827-1596 0375-9393 |
| Popis: | BACKGROUND: Dilated veins are associated with increased success of peripheral intravenous cannulation, due to their improved visibility and palpability. We compared three strategies to achieve venodilation (tourniquet, electrical stimulation, or a combined strategy) on increase in venous size.METHODS: A total of 54 volunteers participated in this cross-over observational study with healthy adults, measuring venous cross-sectional area and diameter at six different sites of the upper extremity. Measurements were performed with ultrasound after performing any dilation strategy and compared with non-dilated venous size. An increased cross-sectional area of 25 square millimeters was denoted as clinically relevant, which was detected with paired t-test, Wilcoxon signed rank test, or ANOVA.RESULTS: The cephalic vein was the greatest at all sites (t=12.43, df=39, PCONCLUSIONS: In general, the largest sized veins are situated in the upper arm, of which the cephalic vein has the largest cross-sectional area and diameter. The combination of electrical stimulation followed by tourniquet application resulted in the greatest increase in venous size and is therefore considered as the most effective to improve peripheral intravenous cannulation success. |
| Databáze: | OpenAIRE |
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