Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Hand-held Dopplers in central catheter insertion

K MacRae1

  • 1Northern Centre for Cancer Treatment, Newcastle General Hospital.

Professional Nurse (London, England)
|January 5, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A simple but precise method for quantitative measurement of the quality of the laser focus in a scanning optical microscope.

Journal of microscopy·2015
Same author

Financial stress is associated with reduced treatment adherence in HIV-infected adults in a resource-rich setting.

HIV medicine·2012
Same author

Late follow-up of a randomized trial of surgery plus tamoxifen versus tamoxifen alone in women aged over 70 years with operable breast cancer.

The British journal of surgery·2004
Same author

Incidence and prevalence of lower urinary tract symptoms suggestive of benign prostatic hyperplasia in primary care--the Triumph project.

European urology·2002
Same author

Prognostic factors of cutaneous melanoma and a new staging system proposed by the American Joint Committee on Cancer (AJCC): validation in a cohort of 1284 patients.

European journal of cancer (Oxford, England : 1990)·2002
Same author

Serum S100beta protein as a marker of disease activity in patients with malignant melanoma.

Medical oncology (Northwood, London, England)·2002

A hand-held Doppler device can improve the success rate of peripherally inserted central catheter insertions, especially when veins are difficult to locate. This ultrasound tool aids clinicians in identifying suitable veins for better patient outcomes.

Area of Science:

  • Vascular Access Procedures
  • Medical Device Technology
  • Ultrasound Applications in Medicine

Background:

  • Peripherally inserted central catheters (PICCs) are crucial for patients needing long-term intravenous therapy.
  • Difficult venous access poses a significant challenge, potentially delaying treatment and increasing patient discomfort.
  • Existing methods for locating veins may be insufficient in certain patient populations.

Purpose of the Study:

  • To evaluate the efficacy of a hand-held Doppler device in assisting peripherally inserted central catheter insertion.
  • To determine if Doppler guidance improves first-attempt success rates in patients with non-visible or non-palpable veins.
  • To assess the impact of Doppler-assisted insertion on procedure time and patient outcomes.

Main Methods:

Related Experiment Videos

  • A prospective study design was employed.
  • Patients with difficult venous access were enrolled.
  • A hand-held Doppler ultrasound device was used to identify target veins prior to insertion.
  • Insertion success rates, procedure duration, and complications were recorded.

Main Results:

  • The use of a hand-held Doppler significantly increased the first-attempt success rate for PICC insertion in patients with challenging venous access.
  • Clinicians reported enhanced confidence in vein selection when using the Doppler device.
  • No significant increase in procedure time or complications was observed with Doppler assistance.

Conclusions:

  • Hand-held Doppler ultrasound is a valuable tool for improving the success of peripherally inserted central catheter insertions in patients with difficult venous access.
  • This technology can enhance procedural efficiency and patient care by facilitating reliable vein identification.
  • Further research could explore the cost-effectiveness and broader clinical applications of Doppler-guided vascular access.