Here are 2 studies that Tom Jelic presented at the latest EDE 3 journal club looking at the use of a saline flush to confirm central line placement. In the presentation, Tom shows a video of a subxiphoid view showing what is seen within 2 seconds of the flush being injected. The 2 studies were led by Weekes from Charlotte and Duran-Gohring from Jacksonville.
This is a point that came up in the discussion. If a subclavian line inadvertently gets fed up the internal jugular, you might still get a flush in the right side of the heart. But there will be a few second delay in that flush appearing. Also, if you are uncertain, you can use EDE to look for the catheter in the IJ. Pretty easy stuff!
As part of the last two EDE 3 events, Dr. Tom Jelic held an online journal club. Tom did a great job summarizing some of the latest articles from the POCUS literature, with comments from several EDE 3 instructors and participants who chimed in with their take and experience. Several…
Here is another study presented by Dr Tom Jelic at EDE 3 Journal Club. This was an OR-based study led by Dr Davinder Ramsinghat from UC Irvine looking at the use of POCUS for airway confirmation. Here is the pub med link.
I was catching up on back issues of Anesthesia & Analgesia when I came across this article from the May 2014 issue: Nakayama et al. A novel method for ultrasound-guided radial arterial catheterization in pediatric patient. This was actually 2 studies in 1, or 2 phases as the authors call…