ASSE CORTO PER IL SUCCESSO DELL' INCANNULAMENTO ?

ltraschall Med. 2012 Dec;33(7):E321-5. doi: 10.1055/s-0032-1312824. Epub 2012 Oct 11.

Dynamic needle tip positioning - ultrasound guidance for peripheral vascular access. A randomized, controlled and blinded study in phantoms performed by ultrasound novices.

Clemmesen L, Knudsen L, Sloth E, Bendtsen T.

Source

Anesthesia and Intensive Care Medicine, Aarhus University Hospital, Denmark.

Abstract

PURPOSE:

The application of ultrasound-guidance for peripheral venous access is gaining popularity. It is possible to produce a short axis or a long axis sonographic view of the target vessel and apply an out-of-plane or in-plane needle tip approach. Our aim was to present the dynamic needle tip positioning technique and to estimate which approach is the most accurate for inserting the needle tip into the center of the target vessel.

MATERIALS AND METHODS:

Fiftynine novices in ultrasound-guided peripheral vascular access participated. (A) a short axis view combined with an out-of-plane needle tip approach using dynamic needle tip positioning was compared to (B) a long axis view combined with an in-plane needle tip approach to a target vessel embedded in a gelatine phantom.

RESULTS:

The success rate of method (A) was significantly higher than method (B) (97 % versus 81 %). The distance between the center of the target vessel and the final needle tip position was significantly shorter for method (A) compared to method (B).

CONCLUSION:

The combined short axis and out-of-plane technique using dynamic needle tip positioning had a higher success rate and a shorter distance between the center of the target vessel and the needle tip compared to the combined long axis and in-plane technique.

© Georg Thieme Verlag KG Stuttgart · New York

CORSO TORINO 16-17-18 MAGGIO

GRAZIE A TUTTI VOI ABBIAMO RAGGIUNTO LA QUOTA MASSIMA DI ISCRIZIONI POSSIBILI AL CONGRESSO.

CI SCUSIAMO PER COLORO CHE HANNO GIA' VERSATO LA QUOTA DI ISCRIZIONE, CHE OVVIAMENTE VERRA' RESTITUITA,   E STIAMO PENSANDO AD UNA NUOVA EDIZIONE.

GRAZIE A TUTTI !!!!!

Sito A.N.I.M.O.

Potete trovare il corso Dell'utilizzo degli ultrasuoni anche su questo sito!!

          http://www.associazione-animo.it/

Grazie ancora alla collega Annunziata Zuccone presidente nazionale dell' A.N.I.M.O. che ha concesso il patrocinio all'evento

ALTA FREQUENZA DEI MICRO ULTRASUONI NEGLI ACCESSI VASCOLARI DEI BAMBINI, STUDIO DI FATTIBILITA'

Anche se è uno studio di fattibilità, e si dovranno compiere ulteriori studi, questa metodica può essere promettente per gli "spessori cutanei" quando sono esigui... aspettiamo i risultati!!!


Paediatr Anaesth. 2013 Feb 28. doi: 10.1111/pan.12131. [Epub ahead of print]

High-frequency micro-ultrasound for vascular access in young children - a feasibility study by the High-frequencyUltraSound in Kids studY (HUSKY) group.

Latham GJ, Veneracion ML, Joffe DC, Bosenberg AT, Flack SH, Low DK.

Source

Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, USA.

Abstract

BACKGROUND:

Cannulation of small arteries and veins in young children can be challenging. Although anesthesiologists frequently use ultrasoundfor placement of central venous lines and nerve blocks, its use for cannulation of small, peripheral vessels is less helpful. Ultrasound systems (7-15 MHz) currently used in clinical practice focus poorly at the sub-10-mm space and thus lack the resolution to allow accurate ultrasound-guidedcannulation of small vessels. High-frequency micro-ultrasound (HFMU) is a new technology that allows higher resolution (15-50 MHz) compared with conventional ultrasound. Limited human studies have been performed thus far with HFMU, and none have been performed in young children or for vascular access.

METHODS:

This study was conducted to determine the feasibility of using HFMU to visualize and cannulate peripheral arteries and central veins in children under the age of 6 years old. The diameter of radial and ulnar arteries was also measured.

RESULTS:

The anesthesiologists involved in this study found the 50 MHz HFMU probe useful for cannulation of peripheral arteries, especially in the youngest children. The higher-frequency probes were less helpful for internal jugular vein cannulation because it was not always possible to view the carotid artery while cannulating the vein.

CONCLUSIONS:

The experience gained in this feasibility study suggests that HFMU could be a valuable addition to our armamentarium for difficult vascular access in the future.

© 2013 Blackwell Publishing Ltd.

PMID:

 

23445349

 

[PubMed - as supplied by publisher]

BUONE FESTE

CORSO ISTRUTTORI SIMEU

CORSO FORMATORI PER INFERMIERI - RETE ECOGRAFIA SIMEU, PINEROLO (TO) 20 MAGGIO 2013 REQUISITI: - ESSERE ISCRITTO ALLA SIMEU - AVER PARTECIPATO AD UN CORSO ECO-INFERMIERI COME DOCENTI E TUTORS - ADERENZA ALLE LINEE SIMEU - POSSEDERE DOCUMENTAZIONI/CERTIFICAZIONI SULLE PROCEDURE ESEGUITE Per iscrizioni e visualizzazione del programma consultare il calendario corsi sul sito SIMEU www.simeu.it

UTILIZZO DEGLI U.S. NELLO STUDIO DELLE ARTICOLAZIONI

Br J Nurs. 2012 Mar 22-Apr 11;21(6):340-4.

Musculoskeletal US: examining the joints.

El Miedany Y.

Source

Darent Valley Hospital, Dartford, Kent.

Abstract

Musculoskeletal ultrasound (US) is an excellent tool to diagnose muscle, tendon and ligament injuries, cystic structures and peripheral nerve compression, as well as soft tissue masses, without the risk of ionizing radiation. Musculoskeletal US is now routinely used by a growing number of rheumatology and sports medicine centres throughout UK. In standard clinical practice, US has an extremely useful application in differentiating fluid from soft tissue and identifying the severity of joint inflammation. The work described in this article was carried out to assess patients' feedback regarding the use of US guidance for intra-articular injections and/or the removal of fluid from their inflamed knee joints in a nurse-led clinic. Nineteen patients who had US-guided knee joint injection/aspiration in the clinic were asked to complete a questionnaire regarding their satisfaction with the procedure, and to rate their joint pain and patient global assessment (using numerical visual analogue scale) before the US-guided procedure, and 1 month after. Results revealed a significant improvement (p<0.001) of the joint injection outcome measures and the patients' satisfaction of the US-guided procedure. Therefore, musculoskeletal US can improve two fundamental clinical skills: the clinical diagnosis of joint inflammation, and the accuracy of joint injection/aspiration. This study supports the concept that incorporating musculoskeletal US into clinical practice leads to significant improvements in patient care. It also reveals that US-guided procedures are appreciated by patients.

PMID:

 

22584929

 

[PubMed - indexed for MEDLINE]