Comparison of the effect of the right lateral tilt position and Trendelenburg position on the right internal jugular vein in healthy volunteers: A prospective observational study.
CONCLUSION: We found that the right lateral tilt position had no effect on the internal jugular vein cross-sectional area and that the Trendelenburg position was still the most valid position for safely increasing the right internal jugular vein cross-sectional area. PMID: 30977416 [PubMed - as supplied by publisher]
ConclusionUnder general anesthesia several factors such as hypotension can mask the signs of subclavian artery injury. This case indicates that clinicians should be aware of the complications of central venous catheterization and take prompt action.ResumoJustificativa e objetivosA cateterização da veia jugular interna guiada por ultrassom é um procedimento comum e geralmente seguro em sala cirúrgica. No entanto, a punção inadvertida de uma artéria não compressível, como a artéria subclávia, embora rara, pode estar associada a sequelas e risco para...
Accurate estimation of fluid status is of paramount importance in patients with heart failure. Frequent invasive right heart catheterization is not feasible and accurate inferior vena cava imaging requires training. Internal jugular vein (IJV) and subclavian vein (SCV) could provide easier alternatives.
CONCLUSION: Under general anesthesia several factors such as hypotension can mask the signs of subclavian artery injury. This case report indicates that clinicians should be aware of the complications of central venous catheterization and take prompt action. PMID: 31353065 [PubMed - as supplied by publisher]
THE USE OF ultrasound to aid in performing therapeutic interventions in the field of anesthesiology has become nearly ubiquitous. Although anesthesiologists initially championed its use for the placement of central venous catheters more than a decade ago,1 ultrasound imaging is now routinely utilized for the insertion of arterial and peripheral venous catheters, not to mention the integral role it has played in making regional anesthesia more effective, widespread, and safe. Despite this, anesthesiology has lagged behind other specialties like critical care and emergency medicine in promoting the adoption of point-of-care ...
ConclusionPre-procedure US for RIJV catheterization is safer, quicker and superior to landmark technique.
CONCLUSIONS: Placement of a central line catheter in the axillary vein using a novel ultrasound- guided bracket-assisted technique may be a feasible, safe and rapid alternative to the conventional jugular and subclavian approaches. PMID: 31274266 [PubMed - as supplied by publisher]
PMID: 31274507 [PubMed - in process]
ConclusionsAlthough UE DVT is commonly associated with PICC use, the results of this trial do not support the use of SCD on the arm for DVT prevention. Further research on this strategy may nonetheless be justified.Trial RegistrationThis trial was registered in ClinicalTrials.gov under the identifier NCT01670188.
Authors: Niyyar VD Abstract Sonography is increasingly being used by nephrologists and the field of dialysis access is no exception. Advances in technology have allowed the addition of this universally available, portable, non-invasive tool to the nephrologist's armamentarium, which provides information on both morphology and physiology without the need for contrast or radiation. Ultrasound may be used across the spectrum of dialysis access, including central venous catheter placements, vascular mapping, regional anesthesia, creation, maintenance and assessment of hemodialysis access as well as assessment of the ab...
Conclusionstension hemothorax due to inadvertent subclavian artery laceration can be life-threatening and should be managed in a hybrid room with endovascular and surgical capabilities.