TY - JOUR
T1 - The use of ultrasound to identify veins for peripheral venous access in morbidly obese patients
AU - Brandt, Helene Gudmann Steuble
AU - Jepsen, Cecilie Heerdegen
AU - Hendriksen, Ole Mazur
AU - Lindekær, Astrid
AU - Skjønnemand, Martin
PY - 2016/2
Y1 - 2016/2
N2 - INTRODUCTION: Peripheral intravenous access (PIA) is a necessity in the treatment and monitoring of the majority of hospitalised patients. Patients with an increased body mass index (BMI) more often than normal-weight patients have a difficult PIA. Identifying veins with ultrasonography has proven helpful when facing a difficult intravenous (IV) access. We hypothesise that, with the help of ultrasonography (US), it is possible to identify at least one vein suitable for IV access in morbidly obese patients (BMI > 40 kg/m(2)).METHODS: We included 55 morbidly obese patients with a BMI > 40 kg/m(2). We performed a detailed US of seven anatomic areas routinely used for PIA. We present a description of parameters that are relevant when attempting PIA.RESULTS: In our study group, all patients had a minimum of one peripheral vein that was suitable for peripheral venous access, including seven patients (12.7%) who did not have clinically detectable veins.CONCLUSIONS: With the aid of US it is possible to identify a minimum of one peripheral vein suitable for IV access in morbidly obese patients.FUNDING: none.TRIAL REGISTRATION: not relevant.
AB - INTRODUCTION: Peripheral intravenous access (PIA) is a necessity in the treatment and monitoring of the majority of hospitalised patients. Patients with an increased body mass index (BMI) more often than normal-weight patients have a difficult PIA. Identifying veins with ultrasonography has proven helpful when facing a difficult intravenous (IV) access. We hypothesise that, with the help of ultrasonography (US), it is possible to identify at least one vein suitable for IV access in morbidly obese patients (BMI > 40 kg/m(2)).METHODS: We included 55 morbidly obese patients with a BMI > 40 kg/m(2). We performed a detailed US of seven anatomic areas routinely used for PIA. We present a description of parameters that are relevant when attempting PIA.RESULTS: In our study group, all patients had a minimum of one peripheral vein that was suitable for peripheral venous access, including seven patients (12.7%) who did not have clinically detectable veins.CONCLUSIONS: With the aid of US it is possible to identify a minimum of one peripheral vein suitable for IV access in morbidly obese patients.FUNDING: none.TRIAL REGISTRATION: not relevant.
KW - Adult
KW - Ankle/diagnostic imaging
KW - Arm/diagnostic imaging
KW - Body Mass Index
KW - Catheterization, Peripheral/methods
KW - Elbow/diagnostic imaging
KW - Female
KW - Groin/diagnostic imaging
KW - Hand/diagnostic imaging
KW - Humans
KW - Male
KW - Neck/diagnostic imaging
KW - Obesity, Morbid/complications
KW - Ultrasonography, Interventional
KW - Veins/diagnostic imaging
M3 - Journal article
C2 - 26836795
SN - 1603-9629
VL - 63
JO - Danish Medical Journal
JF - Danish Medical Journal
IS - 2
ER -