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J Crit Care. 2014 Oct;29(5):823-7. doi: 10.1016/j.jcrc.2014.04.022. Epub 2014 May 9.

Difficult peripheral venous access: clinical evaluation of a catheter inserted with the Seldinger method under ultrasound guidance.

Author information

1
Intensive Care Unit, Centre Hospitalier Sud-Francilien, 91106 Corbeil-Essonnes Cedex, France. Electronic address: pascalmeyer@voila.fr.
2
Intensive Care Unit, Centre Hospitalier Sud-Francilien, 91106 Corbeil-Essonnes Cedex, France.
3
Clinical Research Unit, Hôpital Lariboisière, 75010 Paris, France.
4
Intensive Care Unit, Hôpital St-Antoine, Paris, France.

Abstract

PURPOSE:

A preliminary observational study was undertaken to evaluate the risk of failure of ultrasound-guided peripheral intravenous catheterization of a deep arm vein for a maximum of 7 days, after peripheral intravenous (PIV) cannulation failure.

METHODS:

This prospective study included patients referred to the intensive care unit for placement of a central line, a polyurethane cannula commercialized for arterial catheterization was used for peripheral venous cannulation. Catheter length and diameter were chosen based on preliminary ultrasound measurements of vein diameter and skin-vein distance.

RESULTS:

Catheterization was successful for all 29 patients. Mean vein diameter was 0.42 ± 0.39 cm; mean vein depth was 0.94 ± 0.52 cm. Mean catheter duration was 6 (median 7) days. Two occluded catheters were removed prematurely. No thrombophlebitis, catheter infection, or extravasation was observed.

CONCLUSION:

Our results suggest that catheters inserted with the Seldinger method are adapted to prolonged peripheral deep-vein infusion. Ultrasound can play a role in catheter monitoring by identifying early thrombosis formation.

KEYWORDS:

Difficult venous access; Peripheral venous access; Seldinger technique; Ultrasound guidance

PMID:
24927983
DOI:
10.1016/j.jcrc.2014.04.022
[Indexed for MEDLINE]

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