Effects of Vein Width and Depth on Ultrasound-Guided Peripheral Intravenous Success Rates

Witting, Michael D.; Schenkel, Stephen M.; Lawner, Benjamin J.; Euerle, Brian D.

doi:10.1016/j.jemermed.2009.01.003

Cited by 99 publications

(80 citation statements)

References 14 publications

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“…Thus, the analysis of the two groups of nurses showed that data regarding success on the first puncture attempt (p = 0.0427) and data regarding time spent with the procedure (p < 0.0001) showed statistically significant differences between them, which is corroborated in previous publications (5)(6)21) . Thus, we observed that the nurse with more experience in center B (B2) also showed higher rates of success on the first attempt and better performance with the use of ultrasonography in PVP (n = 37, 61.67% USPVP); (37, 43.53% USPVP) (p = 0.0427).…”

Section: Discussionsupporting

confidence: 85%

“…Aiming at the adoption of safe practices to infusion therapy, authors recommend that nurses who perform the puncture use the puncture procedure that is more familiar to them. Thus, before the difficult venous access, inexperienced operators should attempt traditional puncture procedure, the jugular vein puncture, or consider the need of a central venous access, avoiding multiple attempts of ultrasound-guided puncture (21,28) .…”

Section: Discussionmentioning

confidence: 99%

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Inovação tecnológica para punção venosa periférica: capacitação para uso da ultrassonografia

2016

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Objective: to evaluate the training of nurses in the use of ultrasound in peripheral venipuncture. Method: descriptive research of quantitative approach performed with nurses as part of an analytical cross-sectional study in two patient care centers: an intensive care unit and an adult emergency center. Results: the results showed contributions of training for professional skill and visibility of nurses, requiring, however, more time for complete assimilation of this technological innovation as a safer clinical practice. Conclusion: as the use of this technology represents an innovation aimed to facilitate diffi cult venipuncture and to provide subsidies to the most appropriate clinical decision-making, it is urgent to qualify nurses for its use. Descriptors: Evidence-based Nursing; Technology; Training; Ultrasound; Peripheral Catheterization. RESUMO Objetivo: avaliar a capacitação dos enfermeiros para o uso da tecnologia da ultrassonografi a na punção venosa periférica. Método: pesquisa descritiva de abordagem quantitativa, realizada com enfermeiros como etapa de um estudo transversal analítico em dois centros de atendimento ao paciente crítico: uma unidade de terapia intensiva e uma unidade de pronto atendimento adulto. Resultados: os resultados demonstraram contribuições da capacitação na habilidade e visibilidade profi ssional dos enfermeiros, com necessidade, entretanto, de maior tempo de vivência e aprendizado dos participantes para o domínio e assimilação desta inovação tecnológica enquanto prática clínica mais segura. Conclusão: na medida em que o uso desta tecnologia representa uma inovação destinada a facilitar o procedimento de punção venosa de difícil acesso e prover subsídios à tomada da decisão clínica mais adequada para cada paciente, faz-se premente à enfermagem capacitar-se para o seu uso. Descritores: Enfermagem Baseada em Evidências; Tecnologia; Capacitação; Ultrassonografi a; Cateterismo Periférico. RESUMEN Objetivo: evaluar la capacitación de enfermeros para el uso de la tecnología de la ecografía en la punción venosa periférica. Método: estudio descriptivo con enfoque cuantitativo realizado con enfermeros como una etapa de un estudio analítico transversal en dos centros de atención a pacientes en estado crítico: una unidad de cuidados intensivos y una unidad de emergencia para adultos. Resultados: los resultados mostraron contribuciones de la capacitación en las habilidades y la visibilidad profesional de los enfermeros. Sin embargo, se necesita más tiempo de experiencia y de aprendizaje de los participantes para alcanzar el dominio y asimilar esta innovación tecnológica como una práctica clínica más segura. Conclusión: en la medida en que el uso de esta tecnología es una innovación para facilitar el procedimiento de punción venosa de difícil acceso y proporcionar subsidios para tomar la decisión clínica más adecuada para cada paciente, la capacitación de la enfermería es urgente para utilizar tal tecnología. Descriptores: Enfermería Basada en la Evidencia; Tecnología; Capacitación...

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Inovação tecnológica para punção venosa periférica: capacitação para uso da ultrassonografia

2016

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“…11,13 The current study shows that after successful cannulation the continued survival of the IV is also influenced by depth, and, in addition, by IV location. Vessel diameter did not affect catheter survival after successful placement.…”

Section: Discussionmentioning

confidence: 66%

The effect of vessel depth, diameter, and location on ultrasound-guided peripheral intravenous catheter longevity

Fields

Dean

Todman

et al. 2012

The American Journal of Emergency Medicine

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“…Multiple IV attempts not only compromise the patients' trust and confidence in the nursing staff and/or the hospital but also cause pain and complications for patients. For these reasons, new technology for peripheral IV catheterization has been applied to improve success rates and to avoid the problems associated with placement (7,(10)(11)(12). According to the reports, the success rate of peripheral IV catheterization with the traditional method was between 33% and 70.6%, whereas the ultrasound-guided peripheral IV access resulted in a success rate of 80.5% -97% (11,12).…”

Section: Discussionmentioning

confidence: 99%

Grade Management in Establishing Pediatric Peripheral Venous Access

Yan

Gong

et al. 2016

Iran J Pediatr

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Background: Establishing venous access is a challenging job for pediatric nurses, especially in the emergency department. Measures to ensure higher success rates on the first attempt are important to provide quality nursing care. Objectives: To explore the effect of grade management on the success of establishing peripheral venous access in the child population of China and to analyze the factors influencing failed IV access on the first attempt. Methods: This is an observational study on children aged 0 -16 years old undergoing peripheral venous catheterization in a children's hospital. Patient information was collected before attempting each puncture. Logistic regression was used to identify independent factors for success prediction. Results: A total of 1,016 subjects enrolled. The success rate of intravenous puncture on the first attempt was 86.02%. This can be influenced by several factors, such as patient age, department, venous condition, and nurse experience. The success rate within two attempts was 96.85%; the number of catheters used per IV attempt was 1.21. Conclusions: To date, only a few studies have explored the success rate of peripheral IV catheterization in the pediatric population of China. Grade management of peripheral veins and pediatric nurses facilitated higher first-attempt success than in previously published reports. Failures of catheterization were multifactorial. The success rate of peripheral intravenous insertion in children can be improved through applying assistance devices or enhancing the venipuncture skills of pediatric nurses.

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Effects of Vein Width and Depth on Ultrasound-Guided Peripheral Intravenous Success Rates

Cited by 99 publications

References 14 publications

Inovação tecnológica para punção venosa periférica: capacitação para uso da ultrassonografia

Inovação tecnológica para punção venosa periférica: capacitação para uso da ultrassonografia

The effect of vessel depth, diameter, and location on ultrasound-guided peripheral intravenous catheter longevity

Grade Management in Establishing Pediatric Peripheral Venous Access

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