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2 9 M O N T H 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E guidance in estab- lishing IV access. But quicker IV starts with reduced patient discomfort are only part of the advantage of vascu- lar visualization. It's not always easy to start an IV, and for patients who "have no veins" — elderly, pediatric, diabetic and renally compro- mised patients are often particularly challenging — the technology can mean the difference between efficiently delivering the necessary fluids and medica- tions and repeated sticks that aren't much better than blind luck. Vein-detection devices are not at this point the standard of care for establish- ing peripheral IV access, but the Centers for Disease Control and Prevention has advised that, when it's available, ultrasound should be used for the placement of central venous catheters. The Agency for Healthcare Research and Quality's list of clinical safety guidelines also recommends ultrasound for central lines. It makes sense then that imaging technology would likely improve IV starts. The products that are currently available on the market — ranging from devices that project images of the underlying vasculature onto patients' skin, to handheld ultrasound transducers and monitors, to hands-free video-equipped helmets — are all very useful. One ultrasound device even incorporates sterile, single-use, snap-on gel caps on its wand to better maintain infection prevention at the insertion site. As with any purchasing decision, research your choices. Ask the manufacturers whose equipment you're considering for references in order to seek out the experienced opinions of longtime users. V A S C U L A R A C C E S S SITE~RITE PREVUE+ ® ULTRASOUND SYSTEM LIGHTWEIGHT. PORTABLE. ULTRASOUND. Designed for Vascular Access Up to 4cm of image depth Ultrasound Increases PIV placement success rate over traditional blind sticks 1 5.9 in 2.0 lbs. 4.6 in Indications for use: The Site-Rite Prevue+ ® Ultrasound System is intended to provide ultrasound imaging of the human body. Specific clinical applications include: Adult Cephalic, Neonatal Cephalic, Pediatric, and Peripheral Vessel. Warnings: This product should only be operated by qulified medical personnel. Do not use for ophthalmic indications. Ophthamic use may cause patient injury 1 Success rate was greater for the ultrasonographic group vs. the control group (97% vs. 33%) Constantino, "Ultrasonography-Guided peripheral Intravenous Access Versus Traditional Approaches in Patients With Diffcult Intravenous Access, Annals of Emergency Medicine, Vol 46, no. 5, November 2005. Bard, Pinpoint, and Site-Rite Prevue are trademarks and/or registered trademarks of C. R. Bard, Inc. © 2014 C. R. Bard, Inc. All Rights Reserved. MC-1301-00 1402R WWW.BARDACCESS.COM Pamela Bevelhymer, RN, BSN STEADY PUSH A safety catheter uses a needle to puncture the skin and guide the catheter into the vein. When a flashback of blood is seen, the catheter is advanced. 1404_SurgerysHottestTrends_Layout 1 3/27/14 2:47 PM Page 29