Ultrasound-assisted peripheral line placement: Difference between revisions

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*Ipsilateral radical mastectomy, fistulas  
*Ipsilateral radical mastectomy, fistulas  
*overlying cellulitis  
*Overlying cellulitis  
*burns, thrombosis, edema, sclerosis, phlebitis
*Burns, thrombosis, edema, sclerosis, phlebitis


==Equipment Needed==
==Equipment Needed==

Revision as of 21:32, 29 June 2019

Overview

  • Ultrasound is a useful adjunct for visualizing vasculature in patients with difficult vascular access

Indications

  • Patients with difficult access, multiple unsuccessful attempts
  • Commonly required in patients with obesity or history of IVDU

Contraindications

  • Ipsilateral radical mastectomy, fistulas
  • Overlying cellulitis
  • Burns, thrombosis, edema, sclerosis, phlebitis

Equipment Needed

  • High frequency ultrasound transducer (7.5 - 10 mHz)
  • Probe cover
  • IV catheter
  • Alcohol Pad / Chlorhexidine
  • Tourniquet
  • NS Flush
  • Tubing, Caps
  • Tape, Tegaderm

Procedure

Basilic veins

Complications

Video

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See Also

External Links

References


Liu S. and Zane R. Peripheral Intravenous Access. In : Roberts and Hedges’ Clinical Procedures in Emergency Medicine, Chapter 21, 385-396.e1