Failed attempts and improvement strategies in peripheral intravenous catheterization

Sabri, Armin; Szalas, John; Holmes, Kevin S.; Labib, Leah; Mussivand, Tofy

doi:10.3233/bme-120735

Cited by 102 publications

(120 citation statements)

References 70 publications

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“…Our results are consistent with the results of studies where the first-time cannula insertion success rate in the adult population ranged from 74%-89.8% (Sabri, Szalas, Holmes, Labib, & Mussivand, 2013;Solomon Palefski & Stoddard, 2001). In multiple cannulations, the patient is exposed to a prolonged painful procedure at the cost of more expensive solutions.…”

Section: Ta B L E 3 Phlebitis and Infiltration Incidence And Grade Sesupporting

confidence: 92%

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Simin

Milutinović

Turkulov

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To determine the incidence, severity and risk factors of peripheral intravenous cannula‐induced complications. Background Peripheral venous cannulation in hospitalised patients may cause complications such as phlebitis, infiltration, occlusion and dislodgement. A review of the literature reveals the discrepancy in their incidence and identification of a wide range of risk factors, whereas the data on the occurrence and degree of severity are insufficient. Design An observational prospective study. Methods The study observed 1,428 peripheral intravenous cannula insertion among 368 adult patients hospitalised at the tertiary healthcare clinics. The data collection and analysis included patients’ medical data and the data related to each cannula (including placement, monitoring and the reasons for removal), as well as the data on the type of administered medications and solutions. Reporting of this research adheres to the STROBE guidelines. Results Phlebitis ranked first among complications with occurrence of 44%, followed by infiltration of 16.3%, while the incidence of occlusion and catheter dislodgement was 7.6% and 5.6%, respectively. In assessing the occurrence of phlebitis, multivariate analysis highlighted the presence of comorbidity, current infection, catheter size, time in situ and the number of administrations of infusion solutions associated with risk, whereas 20‐gauge catheter, two or more attempts at cannulation and administration of a high‐risk solutions during the first day have been singled out with regard to infiltration. As for the severity, the most common was medium stage of phlebitis, whereas grade 2 was most commonly observed for infiltration. Conclusion The incidence of infiltration, occlusion and dislodgment is almost congruent with the average incidence of previous studies. However, the incidence and degree of severity associated with the occurrence of phlebitis were significantly higher. Relevance to clinical practice The results of the study draw attention to vulnerable groups of patients, cannula‐specific and pharmacological risk factors for the development of peripheral intravenous cannula‐induced complications.

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Section: Ta B L E 3 Phlebitis and Infiltration Incidence And Grade Sesupporting

confidence: 92%

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Simin

Milutinović

Turkulov

et al. 2019

Journal of Clinical Nursing

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“…32 Previously, a comprehensive systematic review on the subject of PIVCs found that the presence of a visible and/or palpable vein is usually associated with FTIS. 33 This current review found evidence of simple scores or cutoff percentage estimates in 2 TRA reports to predict either appropriate PIVC insertion or FTIS. 23,29 If such methods are supported by future experimental trials, then such simple approaches could initiate huge clinical return, particularly given that idle or unused PIVCs are of substantial clinical concern.…”

Section: Discussionmentioning

confidence: 74%

Tools, Clinical Prediction Rules, and Algorithms for the Insertion of Peripheral Intravenous Catheters in Adult Hospitalized Patients: A Systematic Scoping Review of Literature

Carr

Higgins

Cooke

et al. 2017

Journal of Hospital Medicine

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“…First-time PIVC insertion success rates in the literature are varied and range from 18 to 98%. [2][3][4][5] Both clinician and patient factors contribute to PIVC insertion difficulty. [5][6][7][8][9] The major operator factor is previous PIVC insertion experience.…”

Section: Introductionmentioning

confidence: 99%

“…the number, presence and size of visible and palpable veins. 3,5,[9][10][11] The ED is widely regarded as a clinical environment where junior clinicians develop procedural competency in a real-world setting. [12][13][14][15][16] In addition, PIVC insertion is often considered a simple task and a poor use of senior clinician time.…”

Section: Introductionmentioning

confidence: 99%

Predicting and preventing peripheral intravenous cannula insertion failure in the emergency department: Clinician ‘gestalt’ wins again

Rippey

Carr

Cooke

et al. 2016

Emerg Medicine Australasia

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Failed attempts and improvement strategies in peripheral intravenous catheterization

Cited by 102 publications

References 70 publications

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Tools, Clinical Prediction Rules, and Algorithms for the Insertion of Peripheral Intravenous Catheters in Adult Hospitalized Patients: A Systematic Scoping Review of Literature

Predicting and preventing peripheral intravenous cannula insertion failure in the emergency department: Clinician ‘gestalt’ wins again

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