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The aim of the present study was to summarize available evidence of ultrasound (US)-assisted peripheral intravenous (IV) catheterization for catheterization procedures, including a systematic review of the current state of knowledge related to critical clinical aspects. Electronic databases from inception to December 2014 (CINAHL, Embase, Medline, PEDro, and the Cochrane Library) were systematically searched for articles describing US-assisted catheterization procedures. Primary outcomes were success, pain, and complications (femoral, jugular, and other). Secondary outcomes were adverse events (myocardial infarction, stroke, and thromboembolic events), time duration, and success rates for different types of instruments. Out of 3997 titles, 227 articles were included and were graded using the PEDro scale. Twenty-two articles met the inclusion criteria for the systematic review. The majority of the studies were grade B (n = 15; 68.2%), and sample size was grade B (n = 17; 77.3%). The most common procedures performed were central venous catheterization (n = 14), peripheral IV cannulation (n = 10), and femoral vein catheterization (n = 6). The majority of the included studies reported success rates and adverse events, and time duration of the different procedures. The use of US-assisted catheterization to perform peripheral IV catheterization was found to be safe. The addition of US did not increase the success rates, but did reduce the duration of the procedure. The use of US-assisted peripheral IV catheterization should be considered as a potential alternative to fluoroscopy.
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$1.4 trillion for grants to businesses, workers, families, and non-profits;
$710 billion for loans to non-profit organizations to cover coronavirus-related expenses;
$349 billion for small businesses;
$305 billion for expanded unemployment insurance;
$150 billion for forgivable student loans;
$75 billion for hospitals;
and $50 billion for the CDC.
The CARES Act is a huge victory for the $20 trillion economy. It contains one of the largest benefits programs ever enacted in peacetime, about $1.4 trillion in grants to the businesses, workers, and families who will need help the most. It also includes provisions that will help make repaying the loans easier for some.
Perhaps most importantly, it provides trillions of dollars to the US economy in the form of a direct payment to people. The money will be deposited into their bank accounts within 10 days of the bill becoming law. On top of that, the government will be waiving payroll taxes for the next year.
Importantly, the money is not counting against Social Security. Unlike programs that provide people aid after they die, the money goes directly to the people and their families now. It is part of what is being described as a “mandatory national emergency payroll tax holiday.”
The money is also separate from the other $2 trillion that will be spent on everything from the National Institutes of Health to the Federal Reserve. In fact, the money can be spent without having to spend any of it on other programs.
Importantly, this will not be the last such stimulus. The SECURE Act has already passed and signed into law. It is designed to quickly cover expenditures associated with coronavirus. Like the CARES Act, it includes large amounts of money for hospitals and the CDC.
Another $250 billion in funding is expected to go to the Paycheck Protection
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