Ultrasound Guided Vascular Access: Practical Solutions to Bedside Clinical Challenges

Description

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. 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