Mary:
I use non-sterile gel (in the bottle, you know) to find the site. Then I wipe it off and cleanse the site for a PIV (we use Chloroprep). I then use sterile gel at the site, so I can stick through it. An exam glove over the ultrasound transducer is adequate, as this is not a sterile procedur
we have recently been called to start PIV with our u/s machines and have
been very successful most of the time. these are being requested for scans
using injectors, or for short term access. the one question i have is
about site prep. do you just mark the site once you have located it and
ject: RE: Ultrasound for difficult PIV placement
We are in the process (4 months) in collecting data on this.
Unfortunately it does not cover all the PIV placed with ultrasound.
Even with pretty talented staff, Lynn and others are absolutely right.
Initial analysis of this data shows that m
Title: RE: Ultrasound for difficult PIV placement
Lynn:
Brian did not use the term "deep veins." He specifically noted that the veins he sticks are "0.5- 1.0cm deep," and mentions "veins of that depth." Not the same as referring to them as "deep veins."
Title: RE: Ultrasound for difficult PIV placement
Most of the PICC insertions done by our team are initiated with a 20 g PIV, rather than the echogenic needle. Therefore, the ultrasound guided insertion of this catheter for MST is exactly the same as the insertion of a PIV with ultrasound. If
Title: RE: Ultrasound for difficult PIV
placement
All the veins you are talking about are peripheral veins. The
distinction is between superficial peripheral veins and deep
peripheral veins. The cephalic vein is classified as a superficial
vein from its beginning just above the thumb all the way
Title: RE: Ultrasound for difficult PIV placement
Lynn,
Ok...I'll see what I can do about putting such a trial together.
Superficial vs Deep: 90% + of the veins I use are .5 cm to 1.0 cm's. I next to never stick peripheral veins deeper than 2 cm's. Only in emergent s
Title: RE: Ultrasound for difficult PIV
placement
Published data in a well designed, preferably randomized
controlled trial, is quite necessary. I am definitely interested in
the outcomes of the catheter, not your success rate with getting it
in. This would include specific vein used and
Title: RE: Ultrasound for difficult PIV
placement
I am not questioning your success rates for getting a PIV
inserted. I am questioning the repeated use of US on peripheral veins
if the patients therapy will last longer than a week. That is an
indication for a PICC or some other CVC, not repeated
Sorry...gotta reply:
quote: US requires that you dramatically alter venipuncture technique to insert a PIV.
Reply: Ok...so you have to learn a new technique...
quote: There is no way that one person can hold the probe, hold the catheter and hold traction on the skin during puncture and can
Just wanted to throw my 10 cents in here (2 cents for every year I've been using U/S on a daily basis to place regular PIV's as many as 15 or more times a day). Coming strictly from my personal experience, experience again that includes THOUSANDS of PIV starts using U/S, I can say it is a WONDER
Do you plan to publish your data? Lynn
At 5:29 PM + 11/1/05, [EMAIL PROTECTED] wrote:
We are in the process (4 months) in collecting data on this.
Unfortunately it does not cover all the PIV placed with ultrasound.
Even with pretty talented staff, Lynn and others are absolutely right.
Initia
We are in the process (4 months) in collecting data on this.
Unfortunately it does not cover all the PIV placed with ultrasound.
Even with pretty talented staff, Lynn and others are absolutely right.
Initial analysis of this data shows that many PIVs placed with ultrasound
do not last 72 hours. B
I am so glad to hear someone else with this same concern! US requires
that you dramatically alter venipuncture technique to insert a PIV.
There is no way that one person can hold the probe, hold the catheter
and hold traction on the skin during puncture and cannulation. This
last step is critic
Cindy Schrum CRNI
Sent: Tue 11/1/2005 6:13 AM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: RE: Ultrasound for difficult PIV placement
I have a study (the only one I could find on PIV with U/S) which was done in an
ER. They can get the IV's in, but my concern has
I have a study (the only one I could find on PIV with U/S) which was done in an
ER. They can get the IV's in, but my concern has been who's taking data after
they leave the ER? I've been tracking our IV's with U/S for the past 6 weeks.
I'm not certain it's the best practice to be used routine
Check out the article in October AJN
Addresses PIV in ER.
Andrea Cree, RN, OCN, CRNI
Shore Health System
-Original Message-
From: Lori Kelly [mailto:[EMAIL PROTECTED]
Sent: Monday, October 31, 2005 9:01 PM
To: [EMAIL PROTECTED]
Subject: Ultrasound for difficult PIV placement
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