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Difficult Vascular Access

MedGen UID:
476709
•Concept ID:
C3275076
•
Finding

Definition

Access to the subject''s vasculature is troublesome or formidable. (ACC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDifficult Vascular Access

Professional guidelines

PubMed

Longer length peripheral catheters in sickle cell treatment: a more efficient and cost-effective care pathway.
Moreta JA
Br J Nurs 2023 Oct 26;32(19):S14-S19. doi: 10.12968/bjon.2023.32.19.S14. PMID: 37883315
Home therapy with subcutaneous immunoglobulins for patients with primary immunodeficiency diseases.
Haddad É, Barnes D, Kafal A
Transfus Apher Sci 2012 Jun;46(3):315-21. Epub 2012 Apr 12 doi: 10.1016/j.transci.2012.03.022. PMID: 22503304
Bronchiolitis management in pediatric emergency departments in Australia and New Zealand: a PREDICT study.
Babl FE, Sheriff N, Neutze J, Borland M, Oakley E
Pediatr Emerg Care 2008 Oct;24(10):656-8. doi: 10.1097/PEC.0b013e318188498c. PMID: 19242132

Recent clinical studies

Etiology

Clinical and demographic factors associated with pediatric difficult intravenous access in the operating room.
Ballard HA, Hajduk J, Cheon EC, King MR, Barsuk JH
Paediatr Anaesth 2022 Jul;32(7):792-800. Epub 2022 Mar 23 doi: 10.1111/pan.14438. PMID: 35293066Free PMC Article
Comparison of Standard Technique, Ultrasonography, and Near-Infrared Light in Difficult Peripheral Vascular Access: A Randomized Controlled Trial.
Yalçınlı S, Karbek Akarca F, Can Ö, Uz İ, Konakçı G
Prehosp Disaster Med 2022 Feb;37(1):65-70. Epub 2021 Dec 6 doi: 10.1017/S1049023X21001217. PMID: 34865664
Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study.
Swaminathan L, Flanders S, Horowitz J, Zhang Q, O'Malley M, Chopra V
JAMA Intern Med 2022 Jan 1;182(1):50-58. doi: 10.1001/jamainternmed.2021.6844. PMID: 34842905Free PMC Article
The impact of the difficult vascular access, fear, and anxiety level in children on the success of first-time phlebotomy.
Gerçeker GÖ, Ayar D, Özdemir EZ, Bektaş M
J Vasc Access 2018 Nov;19(6):620-625. Epub 2018 Mar 22 doi: 10.1177/1129729818765598. PMID: 29562830
Ultrasound-guidance vs. standard technique in difficult vascular access patients by ED technicians.
Bauman M, Braude D, Crandall C
Am J Emerg Med 2009 Feb;27(2):135-40. doi: 10.1016/j.ajem.2008.02.005. PMID: 19371518

Diagnosis

Calcinosis Universalis: Cause for a Hard Airway.
Centimole Z, Rose G
AANA J 2022 Apr;90(2):100-104. PMID: 35343890
Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study.
Swaminathan L, Flanders S, Horowitz J, Zhang Q, O'Malley M, Chopra V
JAMA Intern Med 2022 Jan 1;182(1):50-58. doi: 10.1001/jamainternmed.2021.6844. PMID: 34842905Free PMC Article
The impact of the difficult vascular access, fear, and anxiety level in children on the success of first-time phlebotomy.
Gerçeker GÖ, Ayar D, Özdemir EZ, Bektaş M
J Vasc Access 2018 Nov;19(6):620-625. Epub 2018 Mar 22 doi: 10.1177/1129729818765598. PMID: 29562830
Establishing a Dedicated Difficult Vascular Access Team in the Emergency Department: A Needs Assessment.
Whalen M, Maliszewski B, Baptiste DL
J Infus Nurs 2017 May/Jun;40(3):149-154. doi: 10.1097/NAN.0000000000000218. PMID: 28419011
Imaging and quantification of aortic regurgitation after TAVI.
Ewe SH, Delgado V, Bax JJ
EuroIntervention 2012 Sep;8 Suppl Q:Q21-30. doi: 10.4244/EIJV8SQA6. PMID: 22995108

Therapy

Comparison of Standard Technique, Ultrasonography, and Near-Infrared Light in Difficult Peripheral Vascular Access: A Randomized Controlled Trial.
Yalçınlı S, Karbek Akarca F, Can Ö, Uz İ, Konakçı G
Prehosp Disaster Med 2022 Feb;37(1):65-70. Epub 2021 Dec 6 doi: 10.1017/S1049023X21001217. PMID: 34865664
Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study.
Swaminathan L, Flanders S, Horowitz J, Zhang Q, O'Malley M, Chopra V
JAMA Intern Med 2022 Jan 1;182(1):50-58. doi: 10.1001/jamainternmed.2021.6844. PMID: 34842905Free PMC Article
The impact of the difficult vascular access, fear, and anxiety level in children on the success of first-time phlebotomy.
Gerçeker GÖ, Ayar D, Özdemir EZ, Bektaş M
J Vasc Access 2018 Nov;19(6):620-625. Epub 2018 Mar 22 doi: 10.1177/1129729818765598. PMID: 29562830
Imaging and quantification of aortic regurgitation after TAVI.
Ewe SH, Delgado V, Bax JJ
EuroIntervention 2012 Sep;8 Suppl Q:Q21-30. doi: 10.4244/EIJV8SQA6. PMID: 22995108
Home therapy with subcutaneous immunoglobulins for patients with primary immunodeficiency diseases.
Haddad É, Barnes D, Kafal A
Transfus Apher Sci 2012 Jun;46(3):315-21. Epub 2012 Apr 12 doi: 10.1016/j.transci.2012.03.022. PMID: 22503304

Prognosis

Evaluation of the difficulty of peripheral venous cannulation during anesthesia induction in children: Is DIVA score sufficient?
Keskin G, Akin M, Senayli Y, Saydam S, Kurt DT
J Vasc Access 2022 Mar;23(2):240-245. Epub 2021 Jan 13 doi: 10.1177/1129729820987947. PMID: 33438490
Ultrasound-guided cannulation for medical students.
Armson AM, Moynihan R, Stafford N, Jacobs C
Clin Teach 2021 Jun;18(3):295-300. Epub 2021 Feb 9 doi: 10.1111/tct.13334. PMID: 33565228
Central venous catheter placement after ultrasound guided peripheral IV placement for difficult vascular access patients.
Pare JR, Pollock SE, Liu JH, Leo MM, Nelson KP
Am J Emerg Med 2019 Feb;37(2):317-320. Epub 2018 Nov 17 doi: 10.1016/j.ajem.2018.11.021. PMID: 30471933
Imaging and quantification of aortic regurgitation after TAVI.
Ewe SH, Delgado V, Bax JJ
EuroIntervention 2012 Sep;8 Suppl Q:Q21-30. doi: 10.4244/EIJV8SQA6. PMID: 22995108
Efficacy and safety of the EZ-IO™ intraosseous device: Out-of-hospital implementation of a management algorithm for difficult vascular access.
Gazin N, Auger H, Jabre P, Jaulin C, Lecarpentier E, Bertrand C, Margenet A, Combes X
Resuscitation 2011 Jan;82(1):126-9. Epub 2010 Oct 14 doi: 10.1016/j.resuscitation.2010.09.008. PMID: 20947238

Clinical prediction guides

Teaching Module on Ultrasound-Guided Venous Access Using a Homemade Gel Model for Fourth-Year Medical Students.
Adrian RJ, Choi A, Lamba S, Ostrovsky I, Ramdin C, Traba C, Chen S, Sudyn A, Alerhand S
MedEdPORTAL 2022;18:11222. Epub 2022 Feb 2 doi: 10.15766/mep_2374-8265.11222. PMID: 35136837Free PMC Article
Safety and Outcomes of Midline Catheters vs Peripherally Inserted Central Catheters for Patients With Short-term Indications: A Multicenter Study.
Swaminathan L, Flanders S, Horowitz J, Zhang Q, O'Malley M, Chopra V
JAMA Intern Med 2022 Jan 1;182(1):50-58. doi: 10.1001/jamainternmed.2021.6844. PMID: 34842905Free PMC Article
Central venous catheter placement after ultrasound guided peripheral IV placement for difficult vascular access patients.
Pare JR, Pollock SE, Liu JH, Leo MM, Nelson KP
Am J Emerg Med 2019 Feb;37(2):317-320. Epub 2018 Nov 17 doi: 10.1016/j.ajem.2018.11.021. PMID: 30471933
The impact of the difficult vascular access, fear, and anxiety level in children on the success of first-time phlebotomy.
Gerçeker GÖ, Ayar D, Özdemir EZ, Bektaş M
J Vasc Access 2018 Nov;19(6):620-625. Epub 2018 Mar 22 doi: 10.1177/1129729818765598. PMID: 29562830
Imaging and quantification of aortic regurgitation after TAVI.
Ewe SH, Delgado V, Bax JJ
EuroIntervention 2012 Sep;8 Suppl Q:Q21-30. doi: 10.4244/EIJV8SQA6. PMID: 22995108

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