Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial

OBJECTIVES:. Obtaining peripheral IV access in critically ill patients is often challenging especially for novice providers. The availability of biplane imaging for ultrasound guided peripheral access has the potential to improve successful venous cannulation compared with standard plane imaging. DE...

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Autores principales:	David Convissar, MD, Edward A. Bittner, MD, PhD, Marvin G. Chang, MD, PhD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/b61e4dbd9d734eff984cb04ae55602d6
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spelling	oai:doaj.org-article:b61e4dbd9d734eff984cb04ae55602d62021-11-25T07:56:43ZBiplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial2639-802810.1097/CCE.0000000000000545https://doaj.org/article/b61e4dbd9d734eff984cb04ae55602d62021-10-01T00:00:00Zhttp://journals.lww.com/10.1097/CCE.0000000000000545https://doaj.org/toc/2639-8028OBJECTIVES:. Obtaining peripheral IV access in critically ill patients is often challenging especially for novice providers. The availability of biplane imaging for ultrasound guided peripheral access has the potential to improve successful venous cannulation compared with standard plane imaging. DESIGN:. Single-center quasi-randomized (alternate allocation) crossover trial. SETTING:. Surgical ICU at the Massachusetts General Hospital. SUBJECTS:. Twenty surgical ICU nurses with no prior experience using ultrasound for peripheral IV were enrolled. INTERVENTIONS:. All participants viewed instructional videos on single-plane and biplane imaging for peripheral IV insertion. The participants were then quasi-randomly assigned to use either single-plane or biplane imaging for peripheral IV insertion using a phantom model. The time to catheter completion, successful lumen cannulation, and attempts in which the needle was observed to go through the back wall of the vessel were recorded for each of the three attempts. The following day the participants repeated the peripheral IV insertion with the alternate imaging modality. MEASUREMENTS AND MAIN RESULTS:. Biplane imaging compared with single-plane imaging was associated with a significantly greater overall success rate (78.3% ± 22.4% vs 41.7% ± 26%; p < 0.001), higher first-pass success rate (80% ± 41% vs 45% ± 51%; p = 0.015), faster cannulation times (27.8 ± 14.8 vs 36.6 ± 15.8 s; p = 0.003), and reduced frequency of backwall perforations (0.4 ± 0.7 vs 1.5 ± 0.8; p < 0.001). CONCLUSIONS:. This proof-of-principle study demonstrates that the biplane ultrasound imaging approach for vessel cannulation resulted in an overall faster, more successful, and safer peripheral IV access than the standard single-plane transverse approach when performed by novice ultrasound users.David Convissar, MDEdward A. Bittner, MD, PhDMarvin G. Chang, MD, PhDWolters KluwerarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENCritical Care Explorations, Vol 3, Iss 10, p e545 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 David Convissar, MD Edward A. Bittner, MD, PhD Marvin G. Chang, MD, PhD Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial
description	OBJECTIVES:. Obtaining peripheral IV access in critically ill patients is often challenging especially for novice providers. The availability of biplane imaging for ultrasound guided peripheral access has the potential to improve successful venous cannulation compared with standard plane imaging. DESIGN:. Single-center quasi-randomized (alternate allocation) crossover trial. SETTING:. Surgical ICU at the Massachusetts General Hospital. SUBJECTS:. Twenty surgical ICU nurses with no prior experience using ultrasound for peripheral IV were enrolled. INTERVENTIONS:. All participants viewed instructional videos on single-plane and biplane imaging for peripheral IV insertion. The participants were then quasi-randomly assigned to use either single-plane or biplane imaging for peripheral IV insertion using a phantom model. The time to catheter completion, successful lumen cannulation, and attempts in which the needle was observed to go through the back wall of the vessel were recorded for each of the three attempts. The following day the participants repeated the peripheral IV insertion with the alternate imaging modality. MEASUREMENTS AND MAIN RESULTS:. Biplane imaging compared with single-plane imaging was associated with a significantly greater overall success rate (78.3% ± 22.4% vs 41.7% ± 26%; p < 0.001), higher first-pass success rate (80% ± 41% vs 45% ± 51%; p = 0.015), faster cannulation times (27.8 ± 14.8 vs 36.6 ± 15.8 s; p = 0.003), and reduced frequency of backwall perforations (0.4 ± 0.7 vs 1.5 ± 0.8; p < 0.001). CONCLUSIONS:. This proof-of-principle study demonstrates that the biplane ultrasound imaging approach for vessel cannulation resulted in an overall faster, more successful, and safer peripheral IV access than the standard single-plane transverse approach when performed by novice ultrasound users.
format	article
author	David Convissar, MD Edward A. Bittner, MD, PhD Marvin G. Chang, MD, PhD
author_facet	David Convissar, MD Edward A. Bittner, MD, PhD Marvin G. Chang, MD, PhD
author_sort	David Convissar, MD
title	Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial
title_short	Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial
title_full	Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial
title_fullStr	Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial
title_full_unstemmed	Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial
title_sort	biplane imaging versus standard transverse single-plane imaging for ultrasound-guided peripheral intravenous access: a prospective controlled crossover trial
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/b61e4dbd9d734eff984cb04ae55602d6
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Biplane Imaging Versus Standard Transverse Single-Plane Imaging for Ultrasound-Guided Peripheral Intravenous Access: A Prospective Controlled Crossover Trial

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