Use Of Ultrasound And The Intravenous Insertion

PICC lines, or peripherally inserted central catheters, are a convenient healthcare treatment. A PICC line is a thin catheter that is inserted in the large veins near your forearm at the flex point. It can be inserted by a physician or by a specially trained nurse and is minimally invasive. People who can get PICC lines include "patients who have to receive IV therapy longer than five days, when there is difficulty maintaining peripheral access, for any infusions known to damage the inside of the vein, for infusion of total parenteral nutrition, patients with respiratory ailments that increase risk for using other central venous access devices, for patients receiving chemotherapy, and for any patients needing prolonged outpatient treatment that requires use of an IV." http://www.cpmc.org/learning/documents/nur-piccline-ws.pdf. I am going to further discuss how a PICC line is inserted, the benefits and the risks, safety of PICC lines, and caring for a PICC line.

The Diagnostic Sonography more commonly known as Ultrasound is a medical procedure in which you use high frequency sound waves to produce visual images of organs tissues or blood flow inside the body. Ultrasound is regularly known as the procedure used to examine women who are expecting. Although, Sonography is used in many different ways other than for expectant mothers. Sonography is also used to detect such things as heart disease, heart attacks, and vascular disease that can lead to stroke. (SDMS, 2010) Moreover, Sonography is also used to examine breasts, abdomens, female reproductive systems,

Being able to identify lumps, swelling, tissue damage, cysts, and the overwhelming news of the sex of a baby all have something in common, an ultrasound. Swelling of the spleen, kidney stones, blood clots, aneurysms, cancer and so much more can be identified through the works of an ultrasound’s imaging technique. Ultrasound involves many concepts, procedures, and careers. The amount of medical possibilities involved with ultrasounds is useful in major medical diagnostics. The field of ultrasounds and career opportunities are widely growing. As medical careers flourish, needs for technicians in many fields of medicine are increasing. Instead of a doctor choosing complex and risky surgery to find out problems within the body, they can now

It can also occur during blood transfusion or during dressing change. The insertion of central catheters can occur in the Interventional Radiology or sometimes at the bedside. Regardless of the where the insertion process occur, a sterile field must always be maintained and sterile techniques must always be employed to prevent any organisms from being introduced to the central line into the patient. According to The Joint Commission (2013), many organizations such as Michigan Keystone Intensive Care Unit Project and Institute for Healthcare Improvement are actually adhering to insertion bundles to reduce the CLABSI rates. The bundles include hand hygiene, maximal barrier precautions, chlorhexidine skin preparation, avoidance of femoral vein, and prompt removal of central catheter. Furuya et al. (2011) studied the effectiveness of the insertion bundle and how it impacts the bloodstream infections for patients in the Intensive Care Unit. As a result, lesser infection have occurred when the compliance is high. As mentioned, the site of the catheter also needs to be considered in the insertion process. Avoiding areas such as the groin to access the femoral artery is recommended because this area can be easily contaminated with urine or feces. In addition, after the insertion of a new central line, all the used IV tubing

4) Significance: This research shows that there is a gap in the evidence, but that the primary concern for nursing staff is to ensure that catheters are removed as soon as it is possible to do so.

Most ultrasounds are done using a transducer on the surface of the skin. Sometimes, however, doctors and technicians can get a better diagnostic image by inserting a special transducer into one of the body's natural openings

Sonography is a non-invasive medical procedure that uses the echoes of high-frequency sound waves to construct an image of internal organs or body structures. The employment rate is is expected to grow 26 percent from 2014 to 2024. Since ultrasound is non-invasive, it is more encouraged than other methods so the career is always in demand. Diagnostic medical sonographers duties are to prepare and maintain diagnostic imaging equipment, taking a patients medical history, answering questions about the procedure, operating the equipment, review images and test results, know the difference between normal and abnormal images, analyze diagnostic information, record findings, and keep track of patient records. Hospitals, offices of physicians, medical

Only when it is absolutely necessary should a catheter be inserted into a patient. Every patient is assessed for the need for a Foley catheter. If the Foley is inserted, assessments are also then done daily to see if the need is still valid. If the reason is not justifiable the catheter must be removed from the patient (Joint Commission releases new NPSG for CAUTI, 2011). Nurses must follow guidelines while inserting indwelling catheters as well. Aseptic technique is critical to maintain during this process. The use of sterile equipment and a sterile procedure helps to reduce the risk of CAUTI. If in any way the catheter becomes contaminated during the process of insertion, the nurse should discard of the entire catheter and start with a new, sterile kit. Proper hand hygiene is very important before and after contact with indwelling catheters to decrease risk of infection. Maintenance of a close drainage is system is also important that way bacteria are not able to get in and cause infection (Revello & Gallo, 2013). Decreasing the number of times Foleys are inserted and how long they stay in for can help reduce the risk of CAUTI since the longer a Foley stays in, the higher the risk of infection becomes. Nurses must keep the catheter line patent, with no kinks to allow urine to flow freely through into the collection bag. When a urine sample must be obtained it must be done in a sterile

Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through the use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in the diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies

Sonography utilizes sound waves to generate an image that can be analyzed to determine or rule out a diagnosis. Ultrasound or ultrasonography is a medical imaging technique that uses high frequency sound waves. It is a high pitch frequency that cannot be heard by the human ear. A diagnostic medical sonographer works directly with patients in a dimly lit room with imaging machines. The sonographer gets the medical history of the patient and prepares the patient for an ultrasound examination. The sonographer explains the noninvasive procedure and answers any question the patient might have. The sonographer positions the patient and covers the patient only exposing the area needed for the procedure. The sonographer

Diagnostic medical sonographers play a key role in the health care team and often work alongside doctors, nurses, and other technologists. They prepare patients by explaining the procedure and collect necessary patient history information prior to examination. An ultrasound is then performed, which is a non-invasive process that enables sonographers to send high-frequency sound waves into the body. The return signals are then analyzed to help visualize internal organs in 2D, 3D or 4D. These images help physicians with medical diagnoses and are also used for monitoring pregnancy. An ultrasound is often executed on many different areas of the body including the abdomen, pelvis, tissues, and vascular and cardiac systems. A DMS may also be required

peripheral line- IV line inserted into a vein in the arm, leg, or scalp in an infant

This is where the research gets very interesting. The truth of the matter is there are two methods to discuss. The first method is commonly known as the “blind” method where the catheter line is threaded by feel through a vein the arm and into the superior vena cava of the heart. The second method is accomplished using ultrasound technology to guide the catheter up through the arm and into the heart chamber.

Ultrasound machines are generally considered as a safe imaging modality without any contraindications, because the patient will not be exposed to radiation or injected with toxic chemicals. Moreover, TUS procedures are bedside procedures. This means that the patients will not be moved to another room or transferred to another bed, which decrease the risk of moving critically ill patients. US machines also give the performing technologist the opportunity to exam the lower venous system to detect the main cause of PE, which is deep vein thrombosis (DVT) (Koenig, S. et al.

It is within this framework that I consider important to study the way in which sound is