{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T21:06:13Z","timestamp":1771707973434,"version":"3.50.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,3,26]],"date-time":"2016-03-26T00:00:00Z","timestamp":1458950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> Vein punctures are performed daily to sample blood. Ultrasound (US) offers an alternative to the blind landmark technique for difficult vascular access. A challenge for this procedure is the presence of US gel in the puncture area. We present a technique for US-guided puncture from extremity veins not palpable or visible to the human eye, while keeping the puncture area dry and gel-free. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Ten healthy volunteers underwent two US-guided vein punctures from veins that were neither palpable nor visible. One was drawn from an antebrachial vein and another from a brachial vein. A sterile barrier drape was made from a commercially available dressing and a piece of transparent sterile plastic. The barrier drape consists of an adhesive part placed on the skin designed for sonography and a free transparent flap constituting the barrier between the unsterile sonographic site and the sterile gel-free puncture site. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The success rate for vein puncture was 100% in both locations. A total of 22 skin punctures were performed (11 antebrachial and 11 brachial). Gain output was increased 7% (4-12%), and 8% (4-15%), respectively, to compensate for attenuation of the US signal due to the drape. Alignment of the centre of the transducer with the long-axis of the target vein during the procedure was reported as a challenge. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> US-guided blood sampling from a brachial and antebrachial vein was possible with a 100% success rate, while ensuring a dry and gel-free venipuncture area on one side and the transducer on the other side of a sterile barrier. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000540","type":"journal-article","created":{"date-parts":[[2016,3,29]],"date-time":"2016-03-29T09:11:18Z","timestamp":1459242678000},"page":"265-268","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["A Technique for Ultrasound-Guided Blood Sampling from a Dry and Gel-Free Puncture Area"],"prefix":"10.1177","volume":"17","author":[{"given":"Sofie","family":"Thorn","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus - Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigopan","family":"Gopalasingam","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus - Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas Fichtner","family":"Bendtsen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus - Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Knudsen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus - Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"Sloth","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus - Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,3,26]]},"reference":[{"key":"bibr1-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2012.03651.x"},{"key":"bibr2-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2012-201652"},{"key":"bibr3-jva.5000540","unstructured":"SherrySP HamB Challenges and solutions in difficult vascular access. http:\/\/www.sccm.org\/Communications\/Critical-Connections\/Archives\/Pages\/Challenges-and-Solutions-in-Difficult-Vascular-Access.aspx Dec 2010: 01.03.2013. Accessed Jan 18, 2016."},{"issue":"2","key":"bibr4-jva.5000540","first-page":"135","volume":"27","author":"Bauman M","year":"2009","journal-title":"standard technique in difficult vascular access patients by ED technicians. Am J Emerg Med"},{"key":"bibr5-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2004.12.026"},{"key":"bibr6-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2012.03830.x"},{"key":"bibr7-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1111\/aas.12299"},{"key":"bibr8-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3903-4"},{"key":"bibr9-jva.5000540","doi-asserted-by":"publisher","DOI":"10.3109\/09593985.2014.900836"},{"key":"bibr10-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1312824"},{"key":"bibr11-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2009.02434.x"},{"key":"bibr12-jva.5000540","unstructured":"World Health Organization. WHO Guidelines on Drawing Blood: Best Practice in Phlebotomy. World Health Organization: Geneva, Switzerland, 2010, 1-125. Available from: http:\/\/leechmenow.com\/wp-content\/uploads\/2011\/10\/Blood-handling-techniques.pdf. Accessed Jan 18, 2016."},{"key":"bibr13-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2004.08.027"},{"key":"bibr14-jva.5000540","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2009.11.021"},{"key":"bibr15-jva.5000540","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2009.18.14.43352"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000540","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/jva.5000540","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T02:11:59Z","timestamp":1740967919000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/jva.5000540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,26]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.5301\/jva.5000540"],"URL":"https:\/\/doi.org\/10.5301\/jva.5000540","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,26]]}}}