* Determine if ultrasound-guided
cannulation of AVFs decreased the number of missed
cannulations.
They were classified in three groups: (1) patients who underwent uncomplicated
cannulations (n=86); (2) patients who required needle repositioning (n=23); and (3) patients who required re-cannulation (more than two needle insertions) (n=6).
In all cases, 0.025-inch guidewires were used for initial
cannulations. A total of 49 patients underwent ERCP using the Swing Tip to access the biliary branch, and 50 patients underwent a procedure to exchange a guidewire for a rigid guidewire (Video 1).
One relatively new initiative, which has the potential to decrease some of the issues with
cannulation in these frailer vessels, is the introduction of plastic cannulae for AVF
cannulation.
Peripheral vein
cannulation (PVC) is one of the most frequently performed invasive skills by nurses working in hospitals, with up to 70-80 percent of hospitalised patients requiring medication delivered through a vein cannula [7, 8].
Unrecognized arterial
cannulation with subsequent dilation and catheter placement is associated with life-threatening hemorrhage and neurologic complications16.
Cannulation for VA ECMO can be described as either peripheral or central (Figure 2) [3].
It is not known whether the medial wall violations are done during or after pedicle
cannulations or if it is possible to cause medial wall breaches after a correct
cannulation of the pedicle.
In my survey of the nurses' responses to the innovation, the score for confidence in
cannulation was initially very low, but the score improved as more
cannulations were successfully completed.
Mechanical complications of central venous
cannulations by experienced operators: a prospective study of 1794 catheterisations in critically ill patients.
Additional data collected included number of P1V
cannulations per day, number of attempts to successfully achieve access, and time the insertions occurred.
All
cannulations were performed by the same anesthesiologist who had equal experience in both techniques.