This casebook covers ultrasound guided vascular access with a focus on patient safety. Vascular access is the catalyst between provider and patient. Initially, patients were treated at hospitals for grave illnesses or terrible accidents; however, due to significant strides in medicine, the emerging hospitalized patient is now more commonly treated for chronic illnesses. For these patients, repeated hospital visits slowly deplete their vasculature, creating one of modern medicine’s greatest obstacles: vascular access. This book provides safe solutions to bedside clinical challenges from peripheral to tunneled central lines in the neonatal, pediatric, and adult patient populations.
Chapters present unique patient cases, incorporating the latest technology and techniques for safely and methodically meeting vascular access challenges, detailed discussions on therapeutic interventions, and trouble shooting. The book is structured so that each chapter builds on the last, offering peripheral, central, and tunneled catheter solutions through a standardized approach. Finally, each part features a COVID-19 case study including vascular access performed in the prone position.
This is an ideal guide for trainees, students, clinicians, and healthcare professionals performing ultrasound guided vascular access on patients.
Author(s): Matthew D. Ostroff, Mark W. Connolly
Publisher: Springer
Year: 2022
Language: English
Pages: 319
City: Cham
Foreword
Preface
Acknowledgments
Contents
About the Authors
Part I: Ultrasound Guided Peripheral Intravenous Catheters (PIVC)
Chapter 1: Ultrasound Guided Small-bore Peripheral Catheter Placement for Large Volume Therapeutic Phlebotomy
Case Presentation
Discussion
Conclusion
References
Chapter 2: Infusion and Phlebotomy via the Femoral Vein in Outpatient Pediatrics
Case Presentation
Discussion
Conclusion
References
Chapter 3: Ultrasound Guided Peripheral Intravenous Catheter to the Brachial Vein During a Rapid Response
Case Presentation
Discussion
Conclusion
References
Chapter 4: Ultrasound Guided Long Peripheral Catheter to the Basilic Vein to Facilitate a Rapid Transfusion
Case Presentation
Discussion
Conclusion
References
Chapter 5: Vascular Access in the Bariatric Patient
Case Presentation
Discussion
Conclusion
References
Chapter 6: Use of the External Jugular Vein in the End Stage Renal Disease Patient
Case Presentation
Discussion
Conclusion
References
Chapter 7: Administering Palliative Care with a Midline Catheter to the Superficial Femoral Vein
Case Presentation
Discussion
Conclusion
References
Chapter 8: Vasopressors Through a Peripheral Intravenous Catheter as a Bridge to Establishing Central Venous Access
Case Presentation
Discussion
Conclusion
References
Chapter 9: Netherton Syndrome and Use of the Cephalic Vein in the Forearm
Case Presentation
Discussion
Conclusion
References
Chapter 10: Use of a Neonatal Double Lumen Peripherally Inserted Central Catheter as a Double Lumen Peripheral Intravenous Catheter in the Geriatric Patient with Limited Vasculature
Case Presentation
Discussion
Conclusion
References
Chapter 11: Use of the Great Saphenous Vein in Pediatrics
Case Presentation
Discussion
Conclusion
References
Chapter 12: Downgrading Central Venous Access with Dual Ipsilateral Midlines Catheters
Case Presentation
Discussion
Conclusion
References
Chapter 13: Clinically Indicated Site Rotation in the Multifetal Pregnancy
Case Presentation
Discussion
Conclusion
References
Part II: Ultrasound Guided Peripherally Inserted Central Catheters (PICC)
Chapter 14: Pseudo Tunneling: Ultrasound Guided Subcutaneous Single Puncture PICC Tunneling
Case Presentation
Discussion
Conclusion
References
Chapter 15: Placement of a Sterile Ultrasound Guided Peripheral Intravenous Catheter in a Pediatric Patient with Severe Respiratory Distress as a Bridge to Wire Exchange for Central Venous Access
Case Presentation
Discussion
Conclusion
References
Chapter 16: Bedside PICC PORT Placement in the Patient with Sickle Cell Disease
Case Description
Discussion
Conclusion
References
Chapter 17: Inadvertent Arterial Catheterization with a PICC in a 2-Year-Old with Cystic Fibrosis
Case Presentation
Discussion
Conclusion
References
Chapter 18: PICC Insertion in the COVID-19 Patient with Related Thrombocytopenia with a Platelet Count of 1
Case Presentation
Discussion
Conclusion
References
Chapter 19: Ipsilateral Axillary Arterial and Venous Catheter Placement in the Neurologically Compromised Infant
Case Presentation
Discussion
Conclusion
References
Part III: Ultrasound Guided Centrally Inserted Central Catheters (CICC)
Chapter 20: The Supraclavicular Approach to the Subclavian Vein
Case Presentation
Discussion
Conclusion
References
Chapter 21: Central Access via the Brachiocephalic Vein in a 7-Month-Old
Case Presentation
Discussion
Conclusion
References
Chapter 22: Emergent Ipsilateral Central Venous Access for Infusion and Dialysis in the COVID-19 Patient
Case Presentation
Discussion
Conclusion
References
Chapter 23: Effective Use of the Jugular and Femoral Approach in the COVID-19 Patient
Case Presentation
Discussion
Conclusion
References
Chapter 24: Catheter Malposition to the Accessory Hemiazygos Vein
Case Presentation
Discussion
Conclusion
References
Chapter 25: The Patient With Multiple Vascular Access Devices: PIV, IO, Arterial, and Central Venous Catheters for Infusion and Dialysis
Case Presentation
Discussion
Conclusion
References
Chapter 26: Central Venous Access in the Pediatric Patient from an Anterior Jugular Approach
Case Presentation
Discussion
Conclusion
References
Chapter 27: Use of the Brachiocephalic Vein for Acute Dialysis Catheter Placement in the Patient with a Poor Caliber or Occluded Internal Jugular Vein
Case Presentation
Discussion
Conclusion
References
Part IV: Ultrasound Guided Femorally Inserted Central Catheters (FICC)
Chapter 28: Use of the Superficial Femoral Vein in the Severely Contracted Patient
Case Presentation
Discussion
Conclusion
References
Chapter 29: Central Venous Catheter Exchange in the Contracted COVID-19 Patient with Limited Vasculature
Case Presentation
Discussion
Conclusion
References
Chapter 30: Use of the Mid-Thigh Femoral Central Venous Catheter in the Patient with End Stage Renal Disease
Case Presentation
Discussion
Conclusion
References
Chapter 31: Bilateral Mid-Thigh Femoral Central Venous Catheter Placement in a Septic Patient with Thoracic Contraindications
Case Presentation
Discussion
Conclusion
References
Chapter 32: Emergent Femoral Arterial and Venous Catheter Placement in the Critically Ill Pediatric Patient
Case Presentation
Discussion
Conclusion
References
Chapter 33: COVID-19: Central and Arterial Access in the Prone Position
Case Presentation
Discussion
Conclusion
References
Chapter 34: Ultrasound Guided Central Venous Access Long Pseudo Tunnel Using a 6-Inch Spinal Needle to the Deep Common Femoral Vein in a Patient with DRESS Syndrome
Case Presentation
Discussion
Conclusion
References
Chapter 35: Ultrasound Guided Deep Posterior Tibial Arterial Catheter Placement Applying the Modified Seldinger Technique
Case Presentation
Discussion
Conclusion
References
Part V: Bedside Tunneled PICC, CICC, and FICC
Chapter 36: Central Venous Pressure Monitoring Through a Tunneled Mid-Thigh Femoral Vein Triple Lumen Catheter
Case Presentation
Discussion
Conclusion
References
Chapter 37: Bedside Tunneled Catheter Placement in the Emergency Department
Case Presentation
Discussion
Conclusion
References
Chapter 38: The Seldinger Modified Seldinger Technique (SMST): An Over the Wire Placement Technique for Trimmed Catheters
Case Presentation
Discussion
Conclusion
References
Chapter 39: Tunneling Central Venous Catheters to the Scapular Region in Adult Patients with Altered Mental Status
Case Presentations
Discussion
Conclusion
References
Chapter 40: Tunneling Central Venous Catheters to the Scapular Region in Pediatric Patients with Attention Deficit Disorder and Autism
Case Presentations
Discussion
Conclusion
References
Chapter 41: An Over the Wire Exchange of an Acute Dialysis Catheter for a Tunneled Dialysis Catheter at the Bedside
Case Presentation
Discussion
Conclusion
References
Chapter 42: Bedside Tunneled Dialysis Catheter Placement to the Internal Jugular Vein
Case Presentation
Discussion
Conclusion
References
Chapter 43: Bedside Placement of a Tunneled Central Venous Catheter from the Femoral Vein to the Abdomen in a Centrally Occluded Ambulatory Patient
Case Presentation
Discussion
Conclusion
References
Chapter 44: Tandem Tunneled Femoral Vein Catheter Placement
Case Presentation
Discussion
Conclusion
References
Chapter 45: Acute and Long-Term Tunneled Central Venous Access in a Patient with Chlorhexidine Gluconate Allergy
Case Presentation
Discussion
Conclusion
References
Chapter 46: Subcutaneous Needle Tunneling in the Neonatal Population
Case Presentation
Discussion
Conclusion
References
Chapter 47: The Bedside Placement of Long Term Tunneled Triple Lumen Central Venous Access in the COVID-19 Patient
Case Presentation
Discussion
Conclusion
References
Chapter 48: Tunneling to the Calf in the Patient with Altered Mental Status
Case Presentation
Discussion
Conclusion
References
Chapter 49: Subcutaneous Tunneling in the Upper Extremity for Peripherally Inserted Central Catheter (PICC) Placement
Case Presentation
Discussion
Conclusion
References
Chapter 50: Vascular Access Challenges in the Complex Long Term Hospitalized Patient
Case Presentation
Discussion
Conclusion
References
Index
