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.
Fine needle aspiration (FNA) procedures often use ultrasound gel, which can create artefacts in the specimens and lead to misdiagnosis of the patient or a non-diagnostic sample.
Ultrasound gel presents a risk of infection when contaminated gel is used in ultrasound-guided needle procedures. Remove the use of gel from ultrasound procedures with Envision.
In this publication, the authors from the Keck School of Medicine of USC report the process and outcome of a clinical study comparing the use of an in-plane fixed-angle needle guide, Ultra-Pro II™ (CIVCO, Kalona, IA), electromagnetic needle tracking, eTRAX™ (CIVCO, Kalona, IA) and freehand technique to preform simulated liver lesion punctures on a humanoid phantom. “Traditionally, radiology residents gain this experience by performing supervised freehand ultrasound-guided procedures on patients who are subjected to potentially longer procedural times and higher complication rates. Emerging guidance technologies, which include in-plane, fixed-angle guidance (IPFA) and electromagnetic needle tracking (ENT), offer the potential to reduce procedure times and complications and therefore improve patient comfort and safety.” The purpose of this study was to quantitatively measure the time from puncture of the skin to successful placement in the lesion and the number of needle passes required to reach the four lesions using each technique.
A 49 year old male presented to the ultrasound department with a small, difficult-to-access psoas muscle abscess adjacent to the right common iliac artery and vein. Dr. Brabrand uses US/CT Fusion and Verza needle guidance to target, pre-plan and ensure real-time needle visualization.
Saphenectomy using CloseFAST and the Ultra-Pro II Needle Guide
Clinical Evidence and Education Using Ultra-Pro II in Liver Biopsy Procedures Dr. Corinne Deurdulian, Department of Radiology, Keck Medical Center of USC Case Studies Ultrasound-Guided Biopsy of Deep Liver Lesion… read more →
“In radiofrequency ablation, monitoring the electrode tip during ablation of a thyroid nodule with the VirtuTRAX™ technique is feasible and helpful to increase safety of the procedure.”
Professor Giovanni Turtulici, MD, Ospedale Evangelico Presidio Castelletto-Genoa
Professor Enzo Silvestri, MD, University of Genoa