Use of Esmarch bandage does not increase peripheral vein size in healthy volunteers: A randomized clinical trial
Ultrasound is used for peripheral intravenous (PIV) cannulation in patients with difficult landmark-guided IV access in the Emergency Department. Distal-to-proximal application of an Esmarch bandage on the target limb has been suggested as a method for increasing vein size and ease of cannulation. T...
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| Veröffentlicht in: | The American journal of emergency medicine 2024-09, Vol.83, p.20-24 |
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| creator | Paterson, Robert Euerle, Brian Salerno, Alexis Miller, Taylor King, Samantha Gatz, J. David |
| description | Ultrasound is used for peripheral intravenous (PIV) cannulation in patients with difficult landmark-guided IV access in the Emergency Department. Distal-to-proximal application of an Esmarch bandage on the target limb has been suggested as a method for increasing vein size and ease of cannulation.
This study was a single-blinded crossover randomized controlled trial comparing basilic vein size under ultrasound with use of an Esmarch bandage in addition to standard IV tourniquet (“tourniquet + Esmarch”) compared to use of a standard IV tourniquet alone. Participant discomfort with the tourniquet + Esmarch was also compared to that with standard IV tourniquet alone.
Twenty-two healthy volunteers were used to measure basilic vein size with and without the Esmarch bandage. There was no difference in basilic vein size between the two groups, with a mean diameter of 6.0 ± 1.5 mm in the tourniquet + Esmarch group and 6.0 ± 1.4 mm in the control group, p = 0.89. Discomfort score (from 0 to 10) was different between the groups, with a mean discomfort score of 2.1 in the tourniquet + Esmarch group and 1.1 in the standard IV tourniquet alone group (p |
| doi_str_mv | 10.1016/j.ajem.2024.06.033 |
| format | Article |
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This study was a single-blinded crossover randomized controlled trial comparing basilic vein size under ultrasound with use of an Esmarch bandage in addition to standard IV tourniquet (“tourniquet + Esmarch”) compared to use of a standard IV tourniquet alone. Participant discomfort with the tourniquet + Esmarch was also compared to that with standard IV tourniquet alone.
Twenty-two healthy volunteers were used to measure basilic vein size with and without the Esmarch bandage. There was no difference in basilic vein size between the two groups, with a mean diameter of 6.0 ± 1.5 mm in the tourniquet + Esmarch group and 6.0 ± 1.4 mm in the control group, p = 0.89. Discomfort score (from 0 to 10) was different between the groups, with a mean discomfort score of 2.1 in the tourniquet + Esmarch group and 1.1 in the standard IV tourniquet alone group (p < 0.001).
This study showed that the use of an Esmarch bandage does not increase basilic vein size in healthy volunteers but is associated with a mild increase in discomfort.</description><identifier>ISSN: 0735-6757</identifier><identifier>ISSN: 1532-8171</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2024.06.033</identifier><identifier>PMID: 38943708</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Bandages ; Cannulation ; Catheterization ; Catheterization, Peripheral - methods ; Clinical significance ; Consent ; Cross-Over Studies ; Emergency medical care ; Emergency medicine ; Emergency service ; Enrollments ; Female ; Healthy Volunteers ; Hospital ; Humans ; Intervention ; Interventional/methods ; Male ; Medical diagnosis ; Middle Aged ; Peripheral/methods ; Phlebotomy ; Single-Blind Method ; Tourniquets ; Ultrasonic imaging ; Ultrasonography ; Ultrasonography, Interventional - methods ; Ultrasound ; Veins & arteries ; Veins - anatomy & histology ; Veins - diagnostic imaging ; Young Adult</subject><ispartof>The American journal of emergency medicine, 2024-09, Vol.83, p.20-24</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. All rights reserved.</rights><rights>2024. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c265t-3833abcff4ebfa607cd2820817de60779345d54d2e33d2647907c010c32129013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3089286524?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994,64384,64386,64388,72240</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38943708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paterson, Robert</creatorcontrib><creatorcontrib>Euerle, Brian</creatorcontrib><creatorcontrib>Salerno, Alexis</creatorcontrib><creatorcontrib>Miller, Taylor</creatorcontrib><creatorcontrib>King, Samantha</creatorcontrib><creatorcontrib>Gatz, J. David</creatorcontrib><title>Use of Esmarch bandage does not increase peripheral vein size in healthy volunteers: A randomized clinical trial</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Ultrasound is used for peripheral intravenous (PIV) cannulation in patients with difficult landmark-guided IV access in the Emergency Department. Distal-to-proximal application of an Esmarch bandage on the target limb has been suggested as a method for increasing vein size and ease of cannulation.
This study was a single-blinded crossover randomized controlled trial comparing basilic vein size under ultrasound with use of an Esmarch bandage in addition to standard IV tourniquet (“tourniquet + Esmarch”) compared to use of a standard IV tourniquet alone. Participant discomfort with the tourniquet + Esmarch was also compared to that with standard IV tourniquet alone.
Twenty-two healthy volunteers were used to measure basilic vein size with and without the Esmarch bandage. There was no difference in basilic vein size between the two groups, with a mean diameter of 6.0 ± 1.5 mm in the tourniquet + Esmarch group and 6.0 ± 1.4 mm in the control group, p = 0.89. Discomfort score (from 0 to 10) was different between the groups, with a mean discomfort score of 2.1 in the tourniquet + Esmarch group and 1.1 in the standard IV tourniquet alone group (p < 0.001).
This study showed that the use of an Esmarch bandage does not increase basilic vein size in healthy volunteers but is associated with a mild increase in discomfort.</description><subject>Adult</subject><subject>Bandages</subject><subject>Cannulation</subject><subject>Catheterization</subject><subject>Catheterization, Peripheral - methods</subject><subject>Clinical significance</subject><subject>Consent</subject><subject>Cross-Over Studies</subject><subject>Emergency medical care</subject><subject>Emergency medicine</subject><subject>Emergency service</subject><subject>Enrollments</subject><subject>Female</subject><subject>Healthy Volunteers</subject><subject>Hospital</subject><subject>Humans</subject><subject>Intervention</subject><subject>Interventional/methods</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Peripheral/methods</subject><subject>Phlebotomy</subject><subject>Single-Blind Method</subject><subject>Tourniquets</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasonography, Interventional - methods</subject><subject>Ultrasound</subject><subject>Veins & arteries</subject><subject>Veins - anatomy & histology</subject><subject>Veins - diagnostic imaging</subject><subject>Young Adult</subject><issn>0735-6757</issn><issn>1532-8171</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU9v1DAQxS0EokvhC3BAlrhwSfC_xAniUlWlIFXiQs-W156wjhI72MlK5dMzqy0cOPRkjfx7TzPvEfKWs5oz3n4cazvCXAsmVM3amkn5jOx4I0XVcc2fkx3Tsqla3egL8qqUkTHOVaNekgvZ9Upq1u3Icl-ApoHelNlmd6B7G739CdQnKDSmlYboMliEFshhOUC2Ez1CiLSE34C_9AB2Wg8P9JimLa4AuXyiVzSjT5oR8dRNIQaHsjUHO70mLwY7FXjz-F6S-y83P66_Vnffb79dX91VTrTNWslOSrt3w6BgP9iWaedFJxge5gEn3UvV-EZ5AVJ60SrdI8I4c1Jw0TMuL8mHs--S068NymrmUBxMk42QtmIkhqO5FP0Jff8fOqYtR9wOqa4XXdsIhZQ4Uy6nUjIMZskBQ3swnJlTH2Y0pz7MqQ_DWoN9oOjdo_W2n8H_k_wtAIHPZwAwi2OAbIoLEB34kMGtxqfwlP8fgOua9g</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Paterson, Robert</creator><creator>Euerle, Brian</creator><creator>Salerno, Alexis</creator><creator>Miller, Taylor</creator><creator>King, Samantha</creator><creator>Gatz, J. 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David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of Esmarch bandage does not increase peripheral vein size in healthy volunteers: A randomized clinical trial</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2024-09</date><risdate>2024</risdate><volume>83</volume><spage>20</spage><epage>24</epage><pages>20-24</pages><issn>0735-6757</issn><issn>1532-8171</issn><eissn>1532-8171</eissn><abstract>Ultrasound is used for peripheral intravenous (PIV) cannulation in patients with difficult landmark-guided IV access in the Emergency Department. Distal-to-proximal application of an Esmarch bandage on the target limb has been suggested as a method for increasing vein size and ease of cannulation.
This study was a single-blinded crossover randomized controlled trial comparing basilic vein size under ultrasound with use of an Esmarch bandage in addition to standard IV tourniquet (“tourniquet + Esmarch”) compared to use of a standard IV tourniquet alone. Participant discomfort with the tourniquet + Esmarch was also compared to that with standard IV tourniquet alone.
Twenty-two healthy volunteers were used to measure basilic vein size with and without the Esmarch bandage. There was no difference in basilic vein size between the two groups, with a mean diameter of 6.0 ± 1.5 mm in the tourniquet + Esmarch group and 6.0 ± 1.4 mm in the control group, p = 0.89. Discomfort score (from 0 to 10) was different between the groups, with a mean discomfort score of 2.1 in the tourniquet + Esmarch group and 1.1 in the standard IV tourniquet alone group (p < 0.001).
This study showed that the use of an Esmarch bandage does not increase basilic vein size in healthy volunteers but is associated with a mild increase in discomfort.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38943708</pmid><doi>10.1016/j.ajem.2024.06.033</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of emergency medicine, 2024-09, Vol.83, p.20-24 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Adult Bandages Cannulation Catheterization Catheterization, Peripheral - methods Clinical significance Consent Cross-Over Studies Emergency medical care Emergency medicine Emergency service Enrollments Female Healthy Volunteers Hospital Humans Intervention Interventional/methods Male Medical diagnosis Middle Aged Peripheral/methods Phlebotomy Single-Blind Method Tourniquets Ultrasonic imaging Ultrasonography Ultrasonography, Interventional - methods Ultrasound Veins & arteries Veins - anatomy & histology Veins - diagnostic imaging Young Adult |
| title | Use of Esmarch bandage does not increase peripheral vein size in healthy volunteers: A randomized clinical trial |
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