CIVCO
COVID-19 | Product Catalog | Distributor Login |   Language
  • Czech
  • German
  • Danish
  • Spanish
  • French
  • Japanese
  • Korean
  • Polish
  • Romanian
  • Russian
  • Thai
  • Vietnamese
|
  • Products
    • Ultrasound Probe Covers
    • Probe Cleaning & Disinfection
    • Ultrasound Needle Guides
    • Fusion & Tracking Technology
    • Transperineal Prostate Solutions
    • View All Products
  • Education & Resources
    • CIVCOmmunity
    • Blog
    • Events
    • Customer Surveys
  • Specialties
    • Radiology
    • Anesthesia & Pain Medicine
    • Cardiology
    • Point-of-Care Ultrasound
    • Central Sterile Processing
    • Women's Health
    • Men's Health
    • Infection Control
  • Ultrasound Manufacturers
  • About Us
    • About CIVCO
    • Work For Us
    • Leadership
    • In the Community
    • Innovation
    • Milestones
    • Statements & Policies
  • Contact
  • Back to Publication briefs
  • Back to CIVCOmmunity

Needle Guide Improves Needle Visibility and Decreases Access Time During CVC by Improving Needle and US Plane Alignment

HIGHLIGT

US-guided catheterization of the subclavian vein: free-hand vs. needle-guided technique

T. Maecken1 , L. Heite2 , B. Wolf1 , P.K. Zahn3 and R.J. Litz1 1 Consultant, 2 Medical Student, 3 Professor, Department of Anesthesiology, Intensive Care, Palliative Care and Pain Medicine, BG University Hospital Bergmannsheil, Bochum, Germany

Anaesthesia: The Association of Anesthetists of Great Britain and Ireland, 2015; 1-8

SUMMARY & METHODS

The authors conducted the first clinical, prospective, randomized trial of ultrasound-guided subclavian vein cannulation for central venous catheterization with an in-plane multi-angle needle guide (Infiniti Plus, CIVCO, Kalona, IA). This study was approved by the Ethics Committee of the Faculty of Medicine of Ruhr University, Bochum, Germany and includes analyzed results from 159 catheterizations.

Three ultrasound machines (MyLab 25 Gold XVG; Esaote Biomedica, Cologne, Germany, LOGIQ e; GE Healthcare, Solingen, Germany, FlexFocus 800; Analogic Ultrasound Group, Paderborn, Germany) equipped with a standard preset for vascular and a 10MHz transducer were utilized for this study. Participants were randomized into either a freehand or needle-guided technique group. All patients underwent ultrasound of the subclavian vein while in the supine position to obtain the optimal degree of arm abduction for vein access and to evaluate for the presence of venous thrombosis. Cannulation was performed with an 18G echogenic needle (VascularSono Cannula; Pajunk, Geisingen, Germany). Confirmation of the CVC position was documented by chest x-ray or intra-atrial ECG (Alphacard; B. Braun, Melsungen AG, Melsungen, Germany).

DISCUSSION & RESULTS

Success rates in the first and second attempts for CVC placement were higher in the needle-guided group. When compared to the freehand technique, needle guidance provided improved needle visibility, decreased access time, fewer needle passes and redirects to complete the cannulation. This study provided clinical proof of results independent of operator experience. Three arterial punctures occurred during the trial. Two occurred during freehand technique and one in the needle guide group due to misinterpretation of the sonoanatomy, false use of the needle guide or blind advancement of the needle.

CONCLUSIONS

The authors conclude using Infiniti Plus needle guided technique to place a subclavian vein CVC resulted in the following when compared to freehand technique:

  • Improved needle visibility by 54.4%
  • Decreased access time by 52.9%
  • Fewer needle passes and redirects
  • Increased success rate for first and second attempts


"A multi-angle needle guide significantly improved aligning the needle and ultrasound plane compared to the freehand technique when cannulating the subclavian vein.” “The use of the guide resulted in faster access times and increased success at the first and second attempts.” “Furthermore, use of a needle guide narrows the range of the access time, making the cannulation process in distinct clinical settings more reliable."
Author Commentary
COPYRIGHT © 2016. CIVCO IS A REGISTERED TRADEMARK OF CIVCO MEDICAL SOLUTIONS. INFINITI PLUS IS A TRADEMARK OF CIVCO. ALL PRODUCTS MAY NOT BE LICENSED IN ACCORDANCE WITH CANADIAN LAW. PRINTED IN THE U.S.A. 2016R-2828 REV. 1

Downloads

Download PDF

Categories

  • Case Studies
  • Publication Briefs
  • Educational Exhibits
  • Clinical Profiles
  • Videos
  • White Papers

Specialties

  • Radiology
  • Anesthesia & Pain Medicine
  • Cardiology
  • Men's Health
  • Point-of-Care Ultrasound
  • Women's Health
CIVCO Medical Solutions

CIVCO Medical Solutions

Phone: +1 319-248-6757 / 1-800-445-6741
Email: info@civco.com

Looking for CIVCO Radiotherapy?

CIVCO product availability and compatibility may vary by market. Not all products are available for sale in all countries.

Products

Ultrasound Probe Covers
Probe Cleaning & Disinfection
Ultrasound Needle Guides
Fusion & Tracking Technology
Transperineal Prostate Solutions
View All Products

About Us

Work For Us
Leadership
In the Community
Innovation
Statements & Policies

Education & Resources

CIVCOmmunity
Blog
Events

Specialties

Radiology
Anesthesia & Pain Medicine
Cardiology
Point-of-Care Ultrasound
Central Sterile Processing
Women's Health
Men's Health
Infection Control
Copyright 2021, CIVCO Medical Solutions
Subscribe YouTube LinkedIn Facebook Contact Us