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Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users?
BACKGROUND: Vascular access is a critical skill for emergency physicians. However, it can be unpredictably challenging in some patients. While ultrasound-guided vascular access has been encouraged in emergency departments, there have been few studies evaluating echo-enhanced needles and their useful...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Springer-Verlag
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760699/ https://www.ncbi.nlm.nih.gov/pubmed/20157467 http://dx.doi.org/10.1007/s12245-009-0114-y |
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author | Phelan, Michael P. Emerman, Chuck Peacock, William F. Karafa, Mathew Colburn, Nora Buchanan, Kelly |
author_facet | Phelan, Michael P. Emerman, Chuck Peacock, William F. Karafa, Mathew Colburn, Nora Buchanan, Kelly |
author_sort | Phelan, Michael P. |
collection | PubMed |
description | BACKGROUND: Vascular access is a critical skill for emergency physicians. However, it can be unpredictably challenging in some patients. While ultrasound-guided vascular access has been encouraged in emergency departments, there have been few studies evaluating echo-enhanced needles and their usefulness in performing vascular access. AIMS: Our purpose was to determine if the use of an echo-enhanced needle tip results in faster vascular access times, with fewer needle sticks, fewer redirections, and improved needle visualization in ultrasound-guided vascular access with the vessel in the short axis. METHODS: This is a prospective, randomized, observational study of ultrasound-guided vascular access on a vascular phantom comparing an echo-enhanced needle with a standard needle. Each participant viewed a teaching video demonstrating typical ultrasound-guided vascular access and then attempted ultrasound-guided vascular access using both a standard and an echo-enhanced needle with the vessel in the short axis. The numbers of needle sticks, redirections, and time to dye flash were measured. RESULTS: The 69 participants attempted 69 short-axis ultrasound-guided vascular cannulations with no difference in time to dye flash between needle types: the median time from needle stick to flash was 17.56 s [interquartile range (IQR): 12.37–33.15] for the standard needle and 19.22 s (IQR: 10.19–31.10) for the echo-enhanced needle. There was no difference between needle types for number of needle sticks or redirects. CONCLUSION: Echo-enhanced needles did not provide objective performance improvement compared to standard needles during ultrasound-guided vascular access with a vascular access model in the short axis. |
format | Text |
id | pubmed-2760699 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Springer-Verlag |
record_format | MEDLINE/PubMed |
spelling | pubmed-27606992009-10-22 Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? Phelan, Michael P. Emerman, Chuck Peacock, William F. Karafa, Mathew Colburn, Nora Buchanan, Kelly Int J Emerg Med Brief Research Report BACKGROUND: Vascular access is a critical skill for emergency physicians. However, it can be unpredictably challenging in some patients. While ultrasound-guided vascular access has been encouraged in emergency departments, there have been few studies evaluating echo-enhanced needles and their usefulness in performing vascular access. AIMS: Our purpose was to determine if the use of an echo-enhanced needle tip results in faster vascular access times, with fewer needle sticks, fewer redirections, and improved needle visualization in ultrasound-guided vascular access with the vessel in the short axis. METHODS: This is a prospective, randomized, observational study of ultrasound-guided vascular access on a vascular phantom comparing an echo-enhanced needle with a standard needle. Each participant viewed a teaching video demonstrating typical ultrasound-guided vascular access and then attempted ultrasound-guided vascular access using both a standard and an echo-enhanced needle with the vessel in the short axis. The numbers of needle sticks, redirections, and time to dye flash were measured. RESULTS: The 69 participants attempted 69 short-axis ultrasound-guided vascular cannulations with no difference in time to dye flash between needle types: the median time from needle stick to flash was 17.56 s [interquartile range (IQR): 12.37–33.15] for the standard needle and 19.22 s (IQR: 10.19–31.10) for the echo-enhanced needle. There was no difference between needle types for number of needle sticks or redirects. CONCLUSION: Echo-enhanced needles did not provide objective performance improvement compared to standard needles during ultrasound-guided vascular access with a vascular access model in the short axis. Springer-Verlag 2009-08-21 /pmc/articles/PMC2760699/ /pubmed/20157467 http://dx.doi.org/10.1007/s12245-009-0114-y Text en © Springer-Verlag London Ltd 2009 |
spellingShingle | Brief Research Report Phelan, Michael P. Emerman, Chuck Peacock, William F. Karafa, Mathew Colburn, Nora Buchanan, Kelly Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? |
title | Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? |
title_full | Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? |
title_fullStr | Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? |
title_full_unstemmed | Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? |
title_short | Do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? |
title_sort | do echo-enhanced needles improve time to cannulate in a model of short-axis ultrasound-guided vascular access for a group of mostly inexperienced ultrasound users? |
topic | Brief Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2760699/ https://www.ncbi.nlm.nih.gov/pubmed/20157467 http://dx.doi.org/10.1007/s12245-009-0114-y |
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