Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Setting
2.2. Study Variables
2.3. Equipment
2.4. Sample Calculation and Type of Sampling
2.5. Target Population and Study Population
2.6. Analysis Strategy
2.7. Ethical Aspects
3. Results
3.1. Sociodemographic and Clinical Characteristics
3.2. Variables of Interest
3.3. Ultrasound Technique Group
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Variable | Total (n = 72) | Controls (n = 38) | Cases (n = 34) | p-Value | |
---|---|---|---|---|---|
Sex * | Man | 28 (39) | 16 (47) | 12 (35) | 0.6318 |
Woman | 44 (61) | 22 (53) | 22 (65) | ||
Age + | 68.55 ± 17.56 | 68.89 ± 18.77 | 68.18 ± 16.67 | 0.5384 | |
BMI + | 29.49 ± 6.18 | 27.51 ± 5.56 | 31.52 ± 6.22 | 0.0058 | |
Temperature + | 36.45 ± 0.74 | 36.52 ± 0.79 | 36.38 ± 0.67 | 0.7995 | |
BP + | Systolic | 122.19 ± 26.24 | 124.39 ± 24.37 | 119.74 ± 28.35 | 0.4598 |
Diastolic | 68.71 ± 16.99 | 68.47 ± 13.75 | 68.97 ± 20.22 | 0.6557 | |
Triage priority * | 2 | 13 (18) | 8 (21) | 5 (15) | 0.5782 |
3 | 28 (39) | 16 (42) | 12 (35) | ||
4 | 31 (43) | 14 (37) | 17 (50) | ||
Obesity * | 31 (43) | 12 (32) | 19 (56) | 0.028 | |
DM * | 26 (36) | 9 (24) | 15 (44) | 0.028 | |
Cytostatic treatment * | Never | 52 (72) | 28 (74) | 24 (71) | |
Not currently | 7 (10) | 5 (13) | 2 (6) | ||
Yes currently | 13 (18) | 5 (13) | 9 (23) | 0.355 | |
Anticoagulant treatment * | 36 (50) | 17 (45) | 19 (56) | 0.479 | |
NLIV Drug user * | 6 (8) | 5 (13) | 1 (3) | 0.203 | |
Inability Puncture * | None | 51 (71) | 27 (71) | 24 (71) | 0.965 |
CVA | 8 (11) | 3 (8) | 5 (15) | ||
Ganglion extirpation | 5 (7) | 3 (8) | 2 (6) | ||
AVF | 4 (6) | 2 (5) | 2 (6) | ||
Skin lesions | 4 (6) | 3 (5) | 1 (3) |
Variable | Total (n = 72) | Controls (n = 38) | Cases (n = 34) | p-Value | |
---|---|---|---|---|---|
Number of previous punctions + | 2.12 ± 1.24 | 2.92 ± 1.19 | 1.23 ± 0.43 | <0.001 | |
Time (seconds) + | 385.93 ± 79.58 | 618.34 ± 387.16 | 126.17 ± 101.09 | <0.001 | |
Pain + | Previous | 6.36 ± 1.87 | 6.65 ± 1.65 | 6.02 ± 2.07 | 0.157 |
Present | 5.62 ± 2.09 | 6.55 ± 1.70 | 4.58 ± 2.03 | 0.023 | |
Improvement | 0.74 ± 1.2 | 0.11 ± 0.39 | 1.44 ± 2.12 | <0.001 | |
Complications * | None | 33 | 8 | 25 | <0.001 |
Ecchymosis | 28 | 26 | 2 | ||
Hematoma | 11 | 11 | 0 | ||
Extravasation | 19 | 12 | 7 | ||
Prior punctures * | 1 | 32 (44) | 6 (16) | 26 (76) | <0.001 |
2 | 14 (19) | 6 (16) | 8 (24) | ||
3 | 15 (21) | 15 (39) | 0 (0) | ||
4 | 7 (1) | 7 (18) | 0 (0) | ||
5 | 4 (0.6) | 4 (11) | 0 (0) | ||
Catheter gauge * | 18G | 14 (19) | 0 (0) | 14 (41) | <0.001 |
20G | 26 (36) | 7 (18) | 19 (56) | ||
22G | 20 (28) | 19 (50) | 1 (3) | ||
24G | 10 (14) | 10 (26) | 0 (0) | ||
26G | 2 (3) | 2 (5) | 0 (0) |
Equation Variables | ||||||
---|---|---|---|---|---|---|
B | Standard Error | Wald | gl | Sig. | Exp(B) | |
Technique | 56.674 | 3356.953 | 0.000 | 1 | 0.987 | 4102609739702777600000000.000 |
BMI | 1.505 | 475.736 | 0.000 | 1 | 0.997 | 4.505 |
Temperature | 30.429 | 2145.174 | 0.000 | 1 | 0.989 | 16418261462635.236 |
Impossibility of puncture | 46.219 | 2367.183 | 0.000 | 1 | 0.984 | 118195291007880700000.000 |
Cytostatic drugs | 14.084 | 4910.388 | 0.000 | 1 | 0.998 | 1307353.215 |
DM | −0.668 | 13,073.356 | 0.000 | 1 | 1.000 | 0.513 |
NLIV | −32.661 | 22,003.851 | 0.000 | 1 | 0.999 | 0.000 |
Time | −0.663 | 33.719 | 0.000 | 1 | 0.984 | 0.515 |
Difficulty | −9.505 | 1078.693 | 0.000 | 1 | 0.993 | 0.000 |
Area of puncture | −28.355 | 8800.896 | 0.000 | 1 | 0.997 | 0.000 |
Constant | −1024.217 | 71,753.598 | 0.000 | 1 | 0.989 | 0.000 |
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Rodríguez-Herrera, Á.; Solaz-García, Á.; Mollá-Olmos, E.; Ferrer-Puchol, D.; Esteve-Claramunt, F.; Trujillo-Barberá, S.; García-Bermejo, P.; Casaña-Mohedo, J. Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access. Healthcare 2022, 10, 261. https://doi.org/10.3390/healthcare10020261
Rodríguez-Herrera Á, Solaz-García Á, Mollá-Olmos E, Ferrer-Puchol D, Esteve-Claramunt F, Trujillo-Barberá S, García-Bermejo P, Casaña-Mohedo J. Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access. Healthcare. 2022; 10(2):261. https://doi.org/10.3390/healthcare10020261
Chicago/Turabian StyleRodríguez-Herrera, Ángeles, Álvaro Solaz-García, Enrique Mollá-Olmos, Dolores Ferrer-Puchol, Francisca Esteve-Claramunt, Silvia Trujillo-Barberá, Pedro García-Bermejo, and Jorge Casaña-Mohedo. 2022. "Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access" Healthcare 10, no. 2: 261. https://doi.org/10.3390/healthcare10020261
APA StyleRodríguez-Herrera, Á., Solaz-García, Á., Mollá-Olmos, E., Ferrer-Puchol, D., Esteve-Claramunt, F., Trujillo-Barberá, S., García-Bermejo, P., & Casaña-Mohedo, J. (2022). Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access. Healthcare, 10(2), 261. https://doi.org/10.3390/healthcare10020261