Ces radiol. 2022, 76(1):18-22 | DOI: 10.55095/CesRadiol2022/003

The use of wireless ultrasound probes for bedside venous line placement in COVID-19 patientsOriginal article

Vendelín Chovanec1,2, Petr Šmahel3, Pavlína Výletová1,2, Alena Vaňkátová3, Radoslava Nepovímová1,2, Jakub Hrunka4
1 Kanylační středisko, Radiologická klinika LF UK a FN, Hradec Králové
2 Angio-intervenční oddělení, Radiologická klinika LF UK a FN, Hradec Králové
3 Klinika infekčních nemocí LF UK a FN, Hradec Králové
4 Ortopedická klinika LF UK a FN, Hradec Králové

Aim: To report single centre experience with use of wireless ultrasound probe for bedside venous line placement in COVID-19 patients.

Method: From October 2020 to September 2021, we performed venous catheter insertions in 209 patients with COVID-19. The procedure was done at the angiographic suite or bedside. One hundred seventy-six patients with COVID-19 underwent bedside venous line placement. There were 115 males and 61 females with average age 74.9 years (from 16 to 96 years). We used two types wireless linear US probes: Clarius Scanner L7 HD (Clarius Mobile Health Corp, Vancouver, Kanada) or 4Echo LeapMed (Guide Imaging, Oostende, Belgie). Large 12.9-inch tablets (iPad Pro, Apple Inc, Cupertino, USA) were used to display the ultrasound image. The ECG was used to verify the tip position of central inserted central venous catheter and PICCs.

Results: The venous line was successfully inserted in 172 (97.7 %) patients at the first attempt. Four patients underwent second procedure because of vein dissection in 2 patients and hematoma and vein spasm in 2 patients. All repeated procedures were successful. The most common venous lines we used were midline in 143 patients. The PICC was inserted in 26 patients and central venous catheter (including dialysis catheter) was placed in 7 patients.

Conclusion: The use of wireless US probes is convenient for bedside venous line placement. The main advantage is simple manipulation, preservation of anti-epidemic conditions and easier probe's dressing with sterile cover, because there is not cable between US probe and tablet.

Keywords: ultrasound, venous access, wireless, COVID-19, pandemic
Grants and funding:

Tento výstup vznikl v rámci programu Cooperatio, vědní oblasti DIAG.
This work was supported by the Cooperatio Program, research area DIAG.

Accepted: March 18, 2022; Published: March 1, 2022  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Chovanec V, Šmahel P, Výletová P, Vaňkátová A, Nepovímová R, Hrunka J. The use of wireless ultrasound probes for bedside venous line placement in COVID-19 patients. Ces radiol. 2022;76(1):18-22. doi: 10.55095/CesRadiol2022/003.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Lamperti M, Biasucci DG, Disma N, Pittiruti M, Breschan C, Vailati D, et al. European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access). Eur J Anaesthesiol 2020; 37(5): 344-376. Go to original source... Go to PubMed...
    2. Lamperti M, Bodenham AR, Pittiruti M, Blaivas M, Augoustides JG, Elbarbary M, et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med 2012; 38(7): 1105-1117. Go to original source... Go to PubMed...
    3. European Society of R. ESR statement on portable ultrasound devices. Insights Imaging 2019; 10(1): 89. Go to original source... Go to PubMed...
    4. Malik AN, Rowland J, Haber BD, Thom S, Jackson B, Volk B, et al. The Use of Handheld Ultrasound Devices in Emergency Medicine. Curr Emerg Hosp Med Rep 2021; 1-9. Go to original source... Go to PubMed...
    5. Muñoz RD, Diez FE, Moreno J, Lumia G, Carbonell A San Roman, Segura T De La Cal, et al. Wireless Ultrasound Guidance for Femoral Venous Cannulation in Electrophysiology: Impact on Safety, Efficacy, and Procedural Delay. Pacing Clin Electrophysiol 2015; 38(9): 1058-1065. Go to original source... Go to PubMed...
    6. Franco E, Muñoz RD, Matia R, Hernandez-Madrid A, Carbonell A San Roman, Sanchez I, et al. Wireless Ultrasound-Guided Axillary Vein Cannulation for the Implantation of Cardiovascular Implantable Electric Devices. J Cardiovasc Electrophysiol 2016; 27(4): 482-487. Go to original source... Go to PubMed...
    7. Cavenagh T, Katsari S, Kawa B, Karimaghaei R, Pavlidis V, Patsiogiannis V, et al. Role of interventional radiology in line insertion on intensive care during the Covid-19 pandemic. CVIR Endovasc 2020; 3(1): 77. Go to original source... Go to PubMed...
    8. Xu Y, Mandal I, Lam S, Troumpoukis N, Uberoi R, Sabharwal T, et al. Impact of the COVID-19 pandemic on interventional radiology services across the world. Clin Radiol 2021; 76(8): 621-625. Go to original source... Go to PubMed...
    9. Pittiruti M, Pinelli F, COVID GAWGfVAi. Recommendations for the use of vascular access in the COVID-19 patients: an Italian perspective. Crit Care 2020; 24(1): 269. Go to original source... Go to PubMed...
    10. Scoppettuolo G, Biasucci DG, Pittiruti M. Vascular access in COVID-19 patients: Smart decisions for maximal safety. J Vasc Access 2020; 21(4): 408-410. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content