Ultrasonography Versus Landmark for Peripheral Intravenous Cannulation: A Randomized Controlled Trial

McCarthy, Melissa L.; Shokoohi, Hamid; Boniface, Keith; Eggelton, Russell; Lowey, Andrew; Lim, Kelvin; Shesser, Robert; Li, Ximin; Zeger, Scott L.

doi:10.1016/j.annemergmed.2015.09.009

Cited by 71 publications

(72 citation statements)

References 17 publications

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“…In the recent few years, there has been improvement in techniques for ultrasound‐guided peripheral intravenous catheter placements for patients with anticipated difficulty . However, even with the use of ultrasonography to aid cannulation of peripheral veins, there are multiple clinical situations when the catheters are positional, get dislodged, are questionably intravascular after periods of use, and the standard confirmatory tests listed above are not helpful to confirm their intravascular location.…”

Section: Introductionmentioning

confidence: 99%

Introduction of color‐flow injection test to confirm intravascular location of peripherally placed intravenous catheters

Gautam

Bober

Cai

2017

Pediatric Anesthesia

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Section: Introductionmentioning

confidence: 99%

Introduction of color‐flow injection test to confirm intravascular location of peripherally placed intravenous catheters

Gautam

Bober

Cai

2017

Pediatric Anesthesia

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“…At study design, we estimated that a median survival time for the standard long catheter of 30 hours (1.3 days) could be clinically relevant. [2][3][4][5] A sample size of 182 subjects (91 per group) achieved a power of 80% to detect a hazard ratio of 0.63 or less for line failure of ultralong catheters, based on a log-rank test with a loss-of-completion rate of 10% in both groups.…”

Section: Primary Data Analysismentioning

confidence: 99%

“…1 Nearly 90% of all hospitalized patients require intravenous access for treatment, with up to one third qualifying as having difficult vascular access, and in 75% of whom the traditional palpation method of intravenous line insertion fails and ultrasonographically guided intravenous peripheral catheter insertion offers improved success. Although ultrasonographically guided intravenous peripheral catheter placement is successful in 76% to 100% of patients with difficult vascular access, [2][3][4][5][6] the catheter dwell rate is concerning, with 46% to 56% of catheter failures occurring prematurely compared with intravenous line failure rates of 19% to 25% [2][3][4]7,8 with nondifficult vascular access. Causes of catheter failure include infiltration, dislodgment, phlebitis, and infection.…”

Section: Introductionmentioning

confidence: 99%

Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival

Bahl

Hijazi

Chen

et al. 2020

Annals of Emergency Medicine

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Study objective: Ultrasonographically guided intravenous peripheral catheters have dismal dwell time, with most intravenous lines failing before completion of therapy. Catheter length in the vein is directly related to catheter longevity. We investigate the survival of an ultralong ultrasonographically guided intravenous peripheral catheter compared with a standard long one. Methods: We conducted a single-site, nonblinded, randomized trial of catheter survival. Adult patients presenting to the emergency department with difficult vascular access were recruited and randomized to receive either standard long, 4.78-cm, 20gauge ultrasonographically guided intravenous peripheral catheters or ultralong, 6.35-cm, 20-gauge ultrasonographically guided intravenous peripheral catheters. The primary outcome was duration of catheter survival. The secondary outcome was the optimal length of the catheter in the vein to maximize survival. Additional intravenous-related endpoints included first-stick success, time to insertion, number of attempts, thrombosis, and infection. Results: Between October 2018 and March 2019, 257 patients were randomized, with 126 in the standard long ultrasonographically guided intravenous peripheral catheter group and 131 in the ultralong group. Kaplan-Meier estimate of catheter median survival time in the ultralong group was 136 hours (95% confidence interval [CI] 116 to 311 hours) compared with 92 hours (95% CI 71 to 120 hours) in the standard long group, for a difference of 44 hours (95% CI 2 to 218 hours). The optimal catheter length in the vein was 2.75 cm, and intravenous lines with greater than 2.75 cm inserted had a median survival of 129 hours (95% CI 102 to 202 hours) compared with 75 hours (95% CI 52 to 116 hours) for intravenous lines with less than or equal to 2.75 cm, for a difference of 54 hours (95% CI 10 to 134 hours). Insertion characteristics were similar between the groups: 74.1% versus 79.4% first-stick success (95% CI for the difference-2% to 5%), 1.4 versus 1.3 for number of attempts (95% CI for the difference-0.1 to 0.3), and 6.9 versus 5.9 minutes to completion (95% CI for the difference-1.3 to 3.4) with ultralong versus standard long, respectively. There were no cases of infection or thrombosis. Conclusion: This study demonstrated increased catheter survival when the ultralong compared with the standard long ultrasonographically guided intravenous peripheral catheter was used, whereas insertion characteristics and safety appeared similar. [

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“…Only one randomised study conducted in selected trained emergency nurses has demonstrated that, in anticipated difficult intravenous access patients, an ultrasound-guided method was associated with a higher success rate compared with the LM. Vascular access in ICU is, on the other hand, a specific condition which cannot be compared with the emergency department setting [5][6][7]. B-ultrasound guided indwelling needle puncture of external jugular vein achieved satisfactory results in establishing fast venous access for critical patients with microcirculation failure before setting up CVC access from September 2018 to June 2019.…”

Section: Introductionmentioning

confidence: 99%

Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU

Su¹,

Guo²,

Weitao³

et al. 2019

AJIM

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The paper aims to investigate the advantage of B-ultrasound guidance in indwelling needle puncture of external jugular vein in the emergency treatment for critical patients with microcirculation failure. We included 70 microcirculation failure patients induced by different factors and with unclear external jugular veins that were admitted to the general ICU from September 2018 to June 2019 and performed indwelling needle puncture on them. We used random number table to divide the patients into control group and observation group with 35 patients in each group. The control group received traditional indwelling needle puncture and the observation group was given B-ultrasound guided indwelling needle puncture. The success rate, time and cost of indwelling needle puncture of two groups were compared. In the control group, 31 out of 35 cases of indwelling needle puncture were successful. The success rate was 88.6% and the average time consumed in each case was (9.09±2.35) min; in the observation group, 35 out of 35 cases of indwelling needle puncture were successful. The success rate was 100% and the average time consumed in each case was (2.13±0.52) minutes. Statistically, the results of observation group were significantly better than those of the control group (P<0.01). In the emergency treatment for critical patients with microcirculation failure, compared with the doctor-guided central venous catheterization, B-ultrasound guided indwelling needle puncture of the external jugular vein has the advantages of high success rate and time efficiency so as to open the vein access for critical patients quickly and help them take the medicine timely, which reduces the pressure of nurses and is well worth clinical application.

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Ultrasonography Versus Landmark for Peripheral Intravenous Cannulation: A Randomized Controlled Trial

Cited by 71 publications

References 17 publications

Introduction of color‐flow injection test to confirm intravascular location of peripherally placed intravenous catheters

Introduction of color‐flow injection test to confirm intravascular location of peripherally placed intravenous catheters

Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival

Advantage of B-ultrasound Guidance in Indwelling Needle Puncture of External Jugular Vein for Patients in General ICU

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