Background: In patients with difficult peripheral venous access, alternative techniques require expertise and are invasive, expensive, and prone to serious adverse events. This brought us to designing a new venous catheter (JLB® Deltamed, Inc.) for the cannulation of medium and large bore veins; it is echogenic, and available in different lengths (60 / 70 / 80 mm) and Gauges (14 / 16 / 17 / 18). Methods: We led a multi-center observational convenience sampling study to evaluate safety and effectiveness of JLB. Data was collected from June 2015 to February 2018. Inclusion criteria were age ⩾ 18, difficulty in obtaining superficial venous access in the veins of the arm, need for rapid infusion, or patient’s preference. Results: We enrolled 1000 patients, mean age 66.8 years. In total, 951 (95.1%) had the device placed in internal jugular vein, 28 in basilic or cephalic vein, 15 in femoral vein, 5 in axillary vein (infra-clavicular tract), and 1 in the external jugular vein. The procedure was performed by attending physicians or emergency medicine residents under US guidance. Mean procedure time (from disinfection to securing) was approximately 240 s. Mean attempts number was 1.21. Early complications (<24 h) occurred in four patients, consisting in two soft tissue hematoma, one phlebitis, and one atrial tachyarrhythmia. No major complications (such as pneumothorax) were reported. Mean indwelling time was 168 h (7 days); early occlusion/dislocation occurred in four cases. Conclusion: According to preliminary data, the application of JLB appears to be safe, cost-effective, and rapid to place bedside.

A new device for ultrasound-guided peripheral venous access / Brugioni, Lucio; Marco, Barchetti; Tazzioli, Giovanni; Gelmini, Roberta; Girardis, Massimo; Bianchini, Marcello; Schepis, Filippo; Nicolini, Matteo; Giovanni, Pinelli; Pietro, Martella; Marco, Barozzi; Mori, Francesca; Scarabottini, Serena; Righetti, Andrea; Mirco Ravazzini and Elisabetta Bertellini,. - In: THE JOURNAL OF VASCULAR ACCESS. - ISSN 1724-6032. - 20:3(2019), pp. 325-328. [10.1177/1129729818801302]

A new device for ultrasound-guided peripheral venous access

Lucio Brugioni
;
Giovanni Tazzioli;Roberta Gelmini;Massimo Girardis;Marcello Bianchini;Filippo Schepis;NICOLINI, Matteo;Mori, Francesca;Scarabottini, Serena;Righetti, Andrea;
2019

Abstract

Background: In patients with difficult peripheral venous access, alternative techniques require expertise and are invasive, expensive, and prone to serious adverse events. This brought us to designing a new venous catheter (JLB® Deltamed, Inc.) for the cannulation of medium and large bore veins; it is echogenic, and available in different lengths (60 / 70 / 80 mm) and Gauges (14 / 16 / 17 / 18). Methods: We led a multi-center observational convenience sampling study to evaluate safety and effectiveness of JLB. Data was collected from June 2015 to February 2018. Inclusion criteria were age ⩾ 18, difficulty in obtaining superficial venous access in the veins of the arm, need for rapid infusion, or patient’s preference. Results: We enrolled 1000 patients, mean age 66.8 years. In total, 951 (95.1%) had the device placed in internal jugular vein, 28 in basilic or cephalic vein, 15 in femoral vein, 5 in axillary vein (infra-clavicular tract), and 1 in the external jugular vein. The procedure was performed by attending physicians or emergency medicine residents under US guidance. Mean procedure time (from disinfection to securing) was approximately 240 s. Mean attempts number was 1.21. Early complications (<24 h) occurred in four patients, consisting in two soft tissue hematoma, one phlebitis, and one atrial tachyarrhythmia. No major complications (such as pneumothorax) were reported. Mean indwelling time was 168 h (7 days); early occlusion/dislocation occurred in four cases. Conclusion: According to preliminary data, the application of JLB appears to be safe, cost-effective, and rapid to place bedside.
2019
25-set-2018
20
3
325
328
A new device for ultrasound-guided peripheral venous access / Brugioni, Lucio; Marco, Barchetti; Tazzioli, Giovanni; Gelmini, Roberta; Girardis, Massimo; Bianchini, Marcello; Schepis, Filippo; Nicolini, Matteo; Giovanni, Pinelli; Pietro, Martella; Marco, Barozzi; Mori, Francesca; Scarabottini, Serena; Righetti, Andrea; Mirco Ravazzini and Elisabetta Bertellini,. - In: THE JOURNAL OF VASCULAR ACCESS. - ISSN 1724-6032. - 20:3(2019), pp. 325-328. [10.1177/1129729818801302]
Brugioni, Lucio; Marco, Barchetti; Tazzioli, Giovanni; Gelmini, Roberta; Girardis, Massimo; Bianchini, Marcello; Schepis, Filippo; Nicolini, Matteo; G...espandi
File in questo prodotto:
File Dimensione Formato  
JLB su JVA def.pdf

Accesso riservato

Descrizione: articolo principale
Tipologia: Versione pubblicata dall'editore
Dimensione 78.75 kB
Formato Adobe PDF
78.75 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1166756
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 5
  • ???jsp.display-item.citation.isi??? 6
social impact