Higher success rates and satisfaction in difficult venous access patients with a guide wire–associated peripheral venous catheter

Chiricolo, Gerardo; Balk, A.; Raio, Christopher; Wen, Wendy; Mihailos, Athena; Ayala, Samuel

doi:10.1016/j.ajem.2015.08.005

Cited by 14 publications

(24 citation statements)

References 8 publications

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“…, Chiricolo et al . ). Some of these studies assessed the difficulty of venous access based on a physical examination and characteristics of the veins (Jacobson & Winslow , Sebbane et al .…”

Section: Discussionmentioning

confidence: 97%

“…, Chiricolo et al . ). The results of our study show a high prevalence of difficult venous access in highly complex patients, notably higher than the rates observed in studies focused on other population groups (Lapostolle et al .…”

Section: Discussionmentioning

confidence: 97%

“…, Chiricolo et al . ). Unlike in these previous studies, however, we have quantified the number of intravenous placements retrospectively, finding a high percentage of patients had undergone multiple venipunctures.…”

Section: Discussionmentioning

confidence: 97%

“…, Chiricolo et al . ). In highly complex patients, difficult venous access may lead to serious consequences at various different levels.…”

Section: Introductionmentioning

confidence: 97%

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Prevalence of difficult venous access and associated risk factors in highly complex hospitalised patients

Armenteros-Yeguas

Gárate-Echenique²,

Tomás-López

et al. 2017

Journal of Clinical Nursing

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Aims and objectivesTo estimate the prevalence of difficult venous access in complex patients with multimorbidity and to identify associated risk factors.BackgroundIn highly complex patients, factors like ageing, the need for frequent use of irritant medication and multiple venous catheterisations to complete treatment could contribute to exhaustion of venous access.DesignA cross‐sectional study was conducted.Methods‘Highly complex’ patients (n = 135) were recruited from March 2013–November 2013. The main study variable was the prevalence of difficult venous access, assessed using one of the following criteria: (1) a history of difficulties obtaining venous access based on more than two attempts to insert an intravenous line and (2) no visible or palpable veins. Other factors potentially associated with the risk of difficult access were also measured (age, gender and chronic illnesses). Univariate analysis was performed for each potential risk factor. Factors with p < 0·2 were then included in multivariable logistic regression analysis. Odds ratios were also calculated.ResultsThe prevalence of difficult venous access was 59·3%. The univariate logistic regression analysis indicated that gender, a history of vascular access complications and osteoarticular disease were significantly associated with difficult venous access. The multivariable logistic regression showed that only gender was an independent risk factor and the odds ratios was 2·85.ConclusionsThe prevalence of difficult venous access is high in this population. Gender (female) is the only independent risk factor associated with this. Previous history of several attempts at catheter insertion is an important criterion in the assessment of difficult venous access.Relevance to clinical practiceThe prevalence of difficult venous access in complex patients is 59·3%. Significant risk factors include being female and a history of complications related to vascular access.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

“…, Chiricolo et al . ). In highly complex patients, difficult venous access may lead to serious consequences at various different levels.…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Prevalence of difficult venous access and associated risk factors in highly complex hospitalised patients

Armenteros-Yeguas

Gárate-Echenique²,

Tomás-López

et al. 2017

Journal of Clinical Nursing

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“…A 2015 study reported a firstattempt success rate of 85% with a guidewire-associated peripheral venous catheter (GAPIV) versus 22% with the conventional peripheral venous catheter. A second attempt was required for 62% of patients with the conventional catheter compared to 15% with the GAPIV (1). IV placement can be challenging in pediatric patients; the failure rate can reach 47% on the first attempt, and 9% of patients require more than four attempts before peripheral IV access is obtained (2).…”

Section: Introductionmentioning

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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Ultrasound-guided peripheral vein cannulation

Tekindur

Kılıçkaya

2016

The American Journal of Emergency Medicine

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Higher success rates and satisfaction in difficult venous access patients with a guide wire–associated peripheral venous catheter

Cited by 14 publications

References 8 publications

Prevalence of difficult venous access and associated risk factors in highly complex hospitalised patients

Prevalence of difficult venous access and associated risk factors in highly complex hospitalised patients

Grade Management in Establishing Pediatric Peripheral Venous Access

Ultrasound-guided peripheral vein cannulation

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