Abstract
Patients and methods The US system we tested consists of a 5-13 MHz linear probe connected by wireless technology (8 GHz ultra wide band) to a compact, keyboardless device. The probe can be completely wrapped up in a sterile cover so to perform the procedure with maximal barrier precautions. The main functions (gain, depth, freeze, save, etc.) can be operated either by controls built-in in the transducer or directly on the screen of the device. We adopted this wireless systems in 38 consecutive VAD placements (25 PICCs, 12 ports and 1 cuffed-tunneled catheter). US was used for US-guided puncture and cannulation of different veins (20 basilic veins, 5 brachial veins, 9 axillary-subclavian veins, 3 internal jugular veins and 1 brachio-cephalic vein), for US detection of potential misplacement of the guidewire and/or of the catheter, as well as for ruling out pneumothorax by US scan of the pleura in the intercostal space.
Highlights
Ultrasound (US) is considered mandatory for placement of central venous access devices (VAD), both for venepuncture and for early detection of potential complications
We report our preliminary experience with a new US device equipped with a wireless linear transducer (Acuson Freestyle, Siemens), made for US-guided procedures
The main functions can be operated either by controls built-in in the transducer or directly on the screen of the device. We adopted this wireless systems in 38 consecutive VAD placements (25 PICCs, 12 ports and 1 cuffed-tunneled catheter)
Summary
Ultrasound (US) is considered mandatory for placement of central venous access devices (VAD), both for venepuncture and for early detection of potential complications. A new wireless ultrasound probe for ultrasound guided central venous access From 7th WINFOCUS Italian Congress on Ultrasound in Emergency, Anaesthesiology and Critical Care Lodi, Italy.
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