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Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access

(1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collec...

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Autores principales: Rodríguez-Herrera, Ángeles, Solaz-García, Álvaro, Mollá-Olmos, Enrique, Ferrer-Puchol, Dolores, Esteve-Claramunt, Francisca, Trujillo-Barberá, Silvia, García-Bermejo, Pedro, Casaña-Mohedo, Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872129/
https://www.ncbi.nlm.nih.gov/pubmed/35206876
http://dx.doi.org/10.3390/healthcare10020261
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author Rodríguez-Herrera, Ángeles
Solaz-García, Álvaro
Mollá-Olmos, Enrique
Ferrer-Puchol, Dolores
Esteve-Claramunt, Francisca
Trujillo-Barberá, Silvia
García-Bermejo, Pedro
Casaña-Mohedo, Jorge
author_facet Rodríguez-Herrera, Ángeles
Solaz-García, Álvaro
Mollá-Olmos, Enrique
Ferrer-Puchol, Dolores
Esteve-Claramunt, Francisca
Trujillo-Barberá, Silvia
García-Bermejo, Pedro
Casaña-Mohedo, Jorge
author_sort Rodríguez-Herrera, Ángeles
collection PubMed
description (1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collected from a population with non-palpable or not visible veins, classified into size risk groups for 6 months. In the comparative analysis, the patients were divided into two groups: the cases group was composed of patients to whom the peripheral venous cannulation was performed with the ultrasound-guided technique (UST), while the control was composed of patients with whom the standard technique (ST) was performed. The ultrasound LOGIQ P5 750VA from General Electric Healthcare, with an 11 mHz linear probe, was utilized, along with peripheral venous catheters model Insyte(TM) Autoguard(TM) with gauges of 14G to 26G. (3) Results. Seventy-two cases. The use of the ultrasound decreased the time (618.34s ST, 126s UST) and the number of punctures (2.92 ST, 1.23 UST); about 25% of the patients did not have complications with the UST, as compared to 8% with the ST. The use of the ultrasound decreased the pain experienced by 1.44 points in the visual analog scale, as compared to 0.11 points with the ST. The rate of success of the first try with the UST was 76%, as compared to 16% of the ST. The gauge of the catheter increased with the UST, with successful cannulations obtained with 20G (56%) and 18G (41%) gauges. (4) Conclusions. The use of ultrasound facilitates venous cannulation according to the variables of the study. The ultrasound visualization of the vessels is associated with the selection of the catheter gauge. There was no relation between the complications and the depth of the blood vessels.
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spelling pubmed-88721292022-02-25 Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access Rodríguez-Herrera, Ángeles Solaz-García, Álvaro Mollá-Olmos, Enrique Ferrer-Puchol, Dolores Esteve-Claramunt, Francisca Trujillo-Barberá, Silvia García-Bermejo, Pedro Casaña-Mohedo, Jorge Healthcare (Basel) Article (1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collected from a population with non-palpable or not visible veins, classified into size risk groups for 6 months. In the comparative analysis, the patients were divided into two groups: the cases group was composed of patients to whom the peripheral venous cannulation was performed with the ultrasound-guided technique (UST), while the control was composed of patients with whom the standard technique (ST) was performed. The ultrasound LOGIQ P5 750VA from General Electric Healthcare, with an 11 mHz linear probe, was utilized, along with peripheral venous catheters model Insyte(TM) Autoguard(TM) with gauges of 14G to 26G. (3) Results. Seventy-two cases. The use of the ultrasound decreased the time (618.34s ST, 126s UST) and the number of punctures (2.92 ST, 1.23 UST); about 25% of the patients did not have complications with the UST, as compared to 8% with the ST. The use of the ultrasound decreased the pain experienced by 1.44 points in the visual analog scale, as compared to 0.11 points with the ST. The rate of success of the first try with the UST was 76%, as compared to 16% of the ST. The gauge of the catheter increased with the UST, with successful cannulations obtained with 20G (56%) and 18G (41%) gauges. (4) Conclusions. The use of ultrasound facilitates venous cannulation according to the variables of the study. The ultrasound visualization of the vessels is associated with the selection of the catheter gauge. There was no relation between the complications and the depth of the blood vessels. MDPI 2022-01-29 /pmc/articles/PMC8872129/ /pubmed/35206876 http://dx.doi.org/10.3390/healthcare10020261 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rodríguez-Herrera, Ángeles
Solaz-García, Álvaro
Mollá-Olmos, Enrique
Ferrer-Puchol, Dolores
Esteve-Claramunt, Francisca
Trujillo-Barberá, Silvia
García-Bermejo, Pedro
Casaña-Mohedo, Jorge
Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
title Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
title_full Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
title_fullStr Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
title_full_unstemmed Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
title_short Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
title_sort use of the ultrasound technique as compared to the standard technique for the improvement of venous cannulation in patients with difficult access
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872129/
https://www.ncbi.nlm.nih.gov/pubmed/35206876
http://dx.doi.org/10.3390/healthcare10020261
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