Main Article Content
Ultrasound-guided, peripheral venous catheter, peripheral venous access, vascular access devices, emergency, intraosseous, intraosseous vascular access, catheterization
Background and aim: Ensuring vascular access in emergency conditions is critical. Peripheral venous catheters (CVP) are the most used devices in clinical practice, even though their positioning can result difficult, causing delay in life-support treatments with possible critical results. Ultrasounds allow you to view blood vessel in real time, for this reason they could result helpful during use. Another option for the vascular access can be intraosseous access (I.O.), by introducing a needle directly in the bone marrow cavity. This review aim is to examine what typology of vascular access is best for the drug delivery in emergency/urgency in international and national literature. Methods: Bibliographical research was conducted by consulting the main biomedical databases through keywords and MESH terminology. In this review 21 articles published in the last 7 years have been included. They were published in English, Italian and French. Results: Contraindications and complications of I.O and of ultrasound-guided CVP positioning are limited. I.O access finding attempts are as fast as CVP positioning attempts but with a higher chance of success. Furthermore, ultrasound-guided CVP insertion is more comfortable for patients, it minimizes delays in medical treatment and it guarantees a better healthcare, with high percentage of right venous catheter placement. Conclusions: Intraosseous access is recommended for severely compromised patients; the ultrasound guide is a very useful tool when peripheral vascular areas are difficult to detect with only the palpation, it would be more appropriate in situations of urgency than that of emergency.
2. Nicotera R. Quesiti Clinico-Assistenziali - Gestione del catetere venoso periferico. Milano : ©Editore Zadig, 2014.
3. Kordalli A. Accesso intraosseo: sicurezza ed efficacia nell'emergenza intra ed extraospedaliera.. 2016.
4. Cheung et all. Barriers and Facilitators to Intraosseous Access in Adult Resuscitations When Peripheral Intravenous Access Is Not Achievable. 2014, ACADEMIC EMERGENCY MEDICIN, Vol. 21 (3), pp. 250-256.
5. Courtney E and Jodi J. Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Program for Emergency Nurses. 2018, JOURNAL OF EMERGENCY NURSING, Vol. 44, pp. 33-36.
6. Petitpas F et al.Use of intra-osseous access in adults: a systematic review. 2016, Critical Care, Vol. 20, p. 102.
7. Anson JA. Vascular Access in Resuscitation: Is There a Role for the Intraosseous Route?.2014, Anesthesiology, Vol. 120 (4), pp. 1015-31.
8. Van Loon F et al. Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein cannulation in adult patients: a systematic review and meta-analysis. 2018, British Journal of Anaesthesia, Vol. 121 (2), pp. 358-366.
9. Joseph D, Tobias MD.Ultrasound-guided peripheral venous access: Is it the standard of care? 2015, ANAESTH, PAIN & INTENSIVE CARE, Vol. 19, pp. 226-228.
10. Da Ros L and Ponzo C. Quesiti Clinico-Assistenziali – Gestione del catetere venoso centrale. Milano : ©Editore Zadig, 2014.
11. Zorgati,L. L’utilizzo dell’accesso intraosseo: indagine conoscitiva tra gli infermieri delle centrali operative SUEM 118 del veneto. 2015.
12. Bradburn S, Gill S and Doane M. Understanding and establishing intraosseous access . 2015, anaesthesia-tutorial-of-the-week.
13. Clemency B et al. Intravenous vs. intraosseous access and return of spontaneous circulation during out of hospital cardiac arrest. 2017, American Journal of Emergency Medicine, Vol. 35 (2), pp. 222-226.
14. Dabrowska A et al. INTRAOSSEOUS ACCESS — FUTURE, PRESENT AND EVERYDAY LIFE. 2017, Disaster and Emergency Medicine Journal, Vol. 2 (1), pp. 19-26.
15. Romei et al. Ecografia infermieristica. s.l. : Edizioni Medico Scientifiche, 2009.
16. Gottlieb, M, et al.Ultrasound-Guided Peripheral Intravenous Line Placemen: A Narrative Review of Evidence-based Best Practices. USA : Western Journal of Emergency Medicine, 2017, Vol. 18 (6), pp. 1047-1054.
17. Chreiman KM et al.The intraosseous have it: A prospective observational study of vascular access success rates in patients in extremis using video review.. 2018, Trauma Acute Care Surg, Vol. 84 (4), pp. 558-563.
18. Moore CL.Ultrasound First, Second, and Last for Vascular Access. 2014, Journal Ultrasound Medicine, Vol. 33, pp. 1135–1142.
19. Sou V et al. A clinical pathway for the management of difficult venous acces. 2017, BMC Nursing, pp. 16-64.
20. Fuzier R, Rougè P and Pierre S. Abords veineux périphériques échoguidés. 2016, la présse medicale, Vol. 45, pp. 177-182.
21. Garside J, Prescott S and Shaw S. Intraosseous vascular access in adults – a review of contemporary practice. 2015, Nursing in Critical Care, Vol. 21 (3), pp. 167-177.
22. Khan MS et al.Use of ultrasound in peripheral venous catheterization in adult emergency and critical care units. 2015, ANAESTH, PAIN & INTENSIVE CARE, Vol. 19 (3), pp. 303-310.