Infrared illumination for difficult peripheral venous catheterisation in critically ill adult patients: the prospective, randomised, multicentre ICARE trial

Article

Author: Alves, Aline ; Schmidt, Matthieu ; Ouedraogo, Rachida ; Da Silva, Daniel ; Demeret, Sophie ; Tanguy Dubois, Stéphanie ; Fartoukh, Muriel ; Mekontso Dessap, Armand ; Bouguerra, Meriem ; Sy, Oumar ; Ait Benaissa, Latifa ; Contou, Damien ; Chenal, Amélie ; Pallud, Ann-Cécile ; Krzyzaniak, Laurence ; Carras, Damien ; Bruant, Amélie ; Schortgen, Frédérique ; Petyt, Chirine ; Dezellus, Séverine ; Tabra Osorio, Cécilia ; Starczala, Eric ; Georger, Jean Francois ; Mongardon, Nicolas ; Boussely, Fabien ; Le Joncour, Marianne ; Audureau, Etienne

IntroductionThe insertion of a peripheral venous line is of paramount importance in the stabilisation of critically ill patients. It is a preferred method of venous access over more invasive techniques due to its immediacy and fewer complications. Difficulties of catheterisation can result in delays to treatment, increased complication risks and pain, and a waste of valuable time and healthcare resources. Our hypothesis is that infrared vein illumination could improve the success rate of peripheral venous catheterisation in critically ill patients at risk of difficult catheterisation.Methods and analysisThis is a prospective, multicentre, randomised, open-label controlled trial. It will be conducted in France and will involve critically ill patients at risk of difficult peripheral catheterisation. Patients will be randomly assigned to usual care or infrared vein illumination. The primary outcome is the rate of successful peripheral venous catheterisation at first puncture. Secondary outcomes include time to placement, overall rate of successful peripheral venous catheterisation, number of punctures, quality (calibre of the catheter), replacement rate, need for central line and local complications (dysfunction, diffusion, haematoma and lymphangitis).Ethics and disseminationThe study has been granted ethical approval (CPP Ile de France 1). Following the provision of informed consent, patients will be included in the study. The results will be submitted for publication in peer-reviewed journals.Trial registration numberNCT03932214.

04 Dec 2024·Cureus

A Very Rare Case of an Anomalous Right Coronary Artery Originating From the Proximal Aortic Arch

Article

Author: El Hachem, Georges Y ; Toufayli, Houssein Y ; Salengro, Emmanuel

The anomalous aortic origin of a coronary artery is a rare congenital condition characterized by deviations in the origin, course, or size of coronary arteries. Among these, the anomalous aortic origin of the right coronary artery is a less common variant, particularly when originating from the ascending aorta above the sinotubular junction.

13 Nov 2024·Surgical technology international

Endo-Bag Retrieval Using the "Fishing Technique".

Article

Author: Dahboul, Houssam ; Mouawad, Christian ; Osseis, Michael ; Chakhtoura, Ghassan

In minimally invasive procedures, one of the surgeon's goals is finalizing the surgery safely while using the minimum number and size of trocars. In this article, we present the "fishing technique" which helps to avoid using an extra 10mm trocar in order to deploy specimen retrieval bags.

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