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Patients and methods The US system we tested consists of a 5-13 MHz linear probe connected by wireless technology (8 GHz ultra wide band) to a compact, keyboardless device. The probe can be completely wrapped up in a sterile cover so to perform the procedure with maximal barrier precautions. The main functions (gain, depth, freeze, save, etc.) can be operated either by controls built-in in the transducer or directly on the screen of the device. We adopted this wireless systems in 38 consecutive VAD placements (25 PICCs, 12 ports and 1 cuffed-tunneled catheter). US was used for US-guided puncture and cannulation of different veins (20 basilic veins, 5 brachial veins, 9 axillary-subclavian veins, 3 internal jugular veins and 1 brachio-cephalic vein), for US detection of potential misplacement of the guidewire and/or of the catheter, as well as for ruling out pneumothorax by US scan of the pleura in the intercostal space.

A new wireless ultrasound probe for ultrasound guided central venous access