JLB catheter (Deltamed Inc) is an alternative way to manage difficult venous access; it is placed under US-guidance in large bore veins, with an easy-sterile approach. Internal jugular vein (IJV) is the first choice for cannulation, followed by subclavian or deep upper-arm veins. The catheter is available in different lengths and gauges, it allows high flow rates and can be left in place up to 30 days. From June 2015 to March 2017, JLB has been positioned in 409 patients: in 354 as primary access in IJV, brachial or subclavian vein; in 55 cases JLB became an introducing line for the Seldinger guidewire and further CVC positioning. All clinical cases were reviewed selecting those with greater clinical relevance. We report 8 cases in which JLB resulted determinant for the patient treatment: a 16 years old obese girl born with perinatal distress, a 78 years old obese woman with hemorrhagic shock caused by gastrointestinal bleeding, a 40 years old man with severe hypokalemia, a 30 years old man with severe sepsis, a 40 years old man with Becker’s muscular dystrophy and severe sepsis, a 40 years old man with multiple myeloma who had to carry out cycles of chemotherapy, a 76 years old man with CMV pancolitis and myelofibrosis who needed parenteral nutrition, antiviral therapy and frequent blood and platelets transfusion. Moreover, it has been useful in elderly patients who needed to carry out palliative care for seniority or cancer lasting up to 30 days . In our experience the JLB catheter is safe, easy to place, quick and cost –effective. It is a valid solution either in unstable patients requiring an immediate access in emergency and stable patients with difficult venous access, in which invasive devices can be considered an over-treatment.

JLB: a flexible and effective device in critical patients. Review of clinical cases / Brugioni, L.; Tazzioli, G.; Elisabetta, Bertellini; Girardis, M.; Nicolini, M.; Barchetti, M.; Pinelli, G.; Barozzi, M.; Schepis, F.; Bianchini, M.; Martella, P.; Borsatti, A.; de NIederhausern, F.; Mori, F.; Scarabottini, S.; Ravazzini, M.; Piani, Federica; Righetti, A.; Buda, Marina; Carella, Elena; Campanale, Sergio. - In: ITALIAN JOURNAL OF EMERGENCY MEDICINE. - ISSN 2532-1285. - (2017), pp. N/A-N/A.

JLB: a flexible and effective device in critical patients. Review of clinical cases

L. Brugioni;G. Tazzioli;M. Girardis;F. Schepis;M. Bianchini;F. de NIederhausern;F. Mori;S. Scarabottini;M. Ravazzini;Piani, Federica;A. Righetti;Buda, Marina;Carella, Elena;CAMPANALE, SERGIO
2017

Abstract

JLB catheter (Deltamed Inc) is an alternative way to manage difficult venous access; it is placed under US-guidance in large bore veins, with an easy-sterile approach. Internal jugular vein (IJV) is the first choice for cannulation, followed by subclavian or deep upper-arm veins. The catheter is available in different lengths and gauges, it allows high flow rates and can be left in place up to 30 days. From June 2015 to March 2017, JLB has been positioned in 409 patients: in 354 as primary access in IJV, brachial or subclavian vein; in 55 cases JLB became an introducing line for the Seldinger guidewire and further CVC positioning. All clinical cases were reviewed selecting those with greater clinical relevance. We report 8 cases in which JLB resulted determinant for the patient treatment: a 16 years old obese girl born with perinatal distress, a 78 years old obese woman with hemorrhagic shock caused by gastrointestinal bleeding, a 40 years old man with severe hypokalemia, a 30 years old man with severe sepsis, a 40 years old man with Becker’s muscular dystrophy and severe sepsis, a 40 years old man with multiple myeloma who had to carry out cycles of chemotherapy, a 76 years old man with CMV pancolitis and myelofibrosis who needed parenteral nutrition, antiviral therapy and frequent blood and platelets transfusion. Moreover, it has been useful in elderly patients who needed to carry out palliative care for seniority or cancer lasting up to 30 days . In our experience the JLB catheter is safe, easy to place, quick and cost –effective. It is a valid solution either in unstable patients requiring an immediate access in emergency and stable patients with difficult venous access, in which invasive devices can be considered an over-treatment.
2017
17-ott-2017
N/A
N/A
JLB: a flexible and effective device in critical patients. Review of clinical cases / Brugioni, L.; Tazzioli, G.; Elisabetta, Bertellini; Girardis, M.; Nicolini, M.; Barchetti, M.; Pinelli, G.; Barozzi, M.; Schepis, F.; Bianchini, M.; Martella, P.; Borsatti, A.; de NIederhausern, F.; Mori, F.; Scarabottini, S.; Ravazzini, M.; Piani, Federica; Righetti, A.; Buda, Marina; Carella, Elena; Campanale, Sergio. - In: ITALIAN JOURNAL OF EMERGENCY MEDICINE. - ISSN 2532-1285. - (2017), pp. N/A-N/A.
Brugioni, L.; Tazzioli, G.; Elisabetta, Bertellini; Girardis, M.; Nicolini, M.; Barchetti, M.; Pinelli, G.; Barozzi, M.; Schepis, F.; Bianchini, M.; Martella, P.; Borsatti, A.; de NIederhausern, F.; Mori, F.; Scarabottini, S.; Ravazzini, M.; Piani, Federica; Righetti, A.; Buda, Marina; Carella, Elena; Campanale, Sergio
File in questo prodotto:
File Dimensione Formato  
ITJEM JLB 381-.pdf

Open access

Descrizione: Abstract ed articolo pubblicati
Tipologia: Versione pubblicata dall'editore
Dimensione 194.58 kB
Formato Adobe PDF
194.58 kB Adobe PDF Visualizza/Apri
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/11380/1171226
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact