The authors describe an outbreak of Burkholderia cenocepacia bacteremia in 4 hospitals across Australia between the dates of March 2017 and May 2017. Eleven patients were infected, predominately in intensive care units. A collaborative outbreak response team was formed to investigate sources of the contamination. Intravenous fluids were cultured and testing of multiple potential sources were performed. The source of the infection was traced back to contaminated sterile ultrasound gel sachets within kits used in central line insertion and sterile procedures.
Johan Sellgren, MD, PhD, Sahlgrenska University Hospital
Keeping the needle tip within scan plane continues being a challenge. Infiniti Plus guides help us to increase the success of the block and patient safety.
Ultrasound guidance for regional anesthesia has gained popularity over the last few years. There is increasing interest in real time ultrasound guidance for neuraxial anesthesia, especially in patients with technically complex anatomy. Spinal anesthesia can be challenging in patients with difficult anatomy. Ultrasound guidance for pre procedural marking have been shown to have promising results.
Ultrasound guided insertion is recommended for all routes of central venous catheterization. Make ultrasound needle guidance the standard of care in your facility for improved needle visualization, increased first-time success rates, and reduced complications – resulting in increased patient safety and shorter procedure times for all users.
Average block time in the InfinitiPlus™ group decreased by 33%. This difference maybe more apparent in clinicians doing this block less often or by residents since our team was very experienced and working in a large volume hospital.
A juvenile patient underwent a complex foot osteomy. Postoperative pain management required the administration of a single-injection distal sciatic nerve block. Ultrasound guidance during needle placement was required to ensure a quick, atraumatic puncture.
This study tested the hypothesis that a needle guided technique (NG) would allow faster central venous catheter placement, better success rates and fewer needle sticks than both the short-axis (S-FH) and long-axis (L-FH) free-handed methods. Additionally, the authors postulated the lack of control of needle depth under the short-axis (S-FH) approach contributes to inadvertent arterial puncture.
Why is it so important to practice sterile technique during vascular access procedures as a part of the overall infection control protocol in ultrasound? Before we help answer that question,… read more →
Dr. Sellgren Demonstrates the Use of the CIVCO TEE Holder