Evan Alexandrou1
1University of Wollongong and Liverpool Hospital, Liverpool NSW 2170, alexandrou@uow.edu.au
Abstract
Point-of-care ultrasound (POCUS) has emerged as a valuable diagnostic and clinical tool, especially for vascular access procedures. However, with its rapid adoption, concerns over infection control have emerged. When used optimally, ultrasound-guided vascular access can enhance accuracy, reduce procedural complications, and support optimal sterile dressing and securement of the vascular access device.
This presentation will explore strategies to safely adopt POCUS for vascular access procedures without increasing infection risk. The discussion will focus on the placement of ultrasound-guided PIVCs and CVADs and how POCUS can be used to challenge and change traditional practices and aid infection prevention strategies. Particular attention will be given to optimising the catheter exit site, as poor placement can lead to dressing disruption, catheter movement, and increased infection risk. Using POCUS to select and confirm catheter exit sites strategically allows optimal dressing application and securement, reducing the need for repositioning and minimising infection risks.
The presentation will outline practical, evidence-based strategies for integrating ultrasound guidance into vascular access device placement while ensuring infection prevention, offering a balance of safety and efficiency without compromising the benefits of real-time imaging.