A randomized controlled trial assessing the use of ultrasound for nurse-performed IV placement in difficult access ED patients

Ultrasound-guided intravenous catheter survival impacted by amount of catheter residing in the vein

“…Nine IVs (31%) failed in less than 5 hours, 11 (37.9%) failed between 5 and 24 hours, 7 (24.1%) failed between 24 and 48 hours, and 2 (6.9%) failed after 48 hours. The reasons for failure included infiltration,13 leaking,2 inability to flush,7 infiltration and leaking,1 inability to flush and infiltration,5 and leaking and inability to flush 1. No IVs failed due to infection or thrombosis.…”

Standard long IV catheters versus extended dwell catheters: A randomized comparison of ultrasound-guided catheter survival

“…In these patients, placement of an ultrasound (US) guided IV catheter is a viable and safe option, and has been shown to increase patient satisfaction [3]. With the traditional method of IV placement, cannulation occurs in only 25-35% of DVA patients, as compared 76-100% with the use of USguidance [4][5][6][7]. Patients with a medical history of obesity, IV drug abuse (IVDA), end-stage renal disease (ESRD), and/or sickle cell disease have been shown to have DVA using the traditional technique [8][9][10][11][12].…”

Patterns and predictors of difficult intravenous access among children presenting for procedures requiring anesthesia at a tertiary academic medical center

“…Indeed, use of ultrasound guidance with difficult IV access and achieving successful placement of PIV catheters with as few attempts as necessary save time, reduce safety risks, and increase patient satisfaction, all while decreasing costs . Future studies should analyze the impact of establishing competence with US guided PIV placement and the implementation of an evidence‐based difficult IV access algorithm on number of attempts and time to place intraoperative PIV catheters …”