Perceived Difficulty and Success Rate of Standard Versus Ultrasound‐Guided Peripheral Intravenous Cannulation in a Novice Study Group

Abstract

Our study shows a decrease in perceived difficulty and a concomitant increased ability to cannulate a vein using US versus traditional landmark guidance techniques, even in the novice phlebotomist.

Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

“…Trainees in ultrasound techniques focused on: differentiating veins from arteries, nerves and muscles; applying venous compression or (color) Doppler to identify venous structures; appropriate selection of the cannulation site, vein and needle entry point; the approach of visualizing the needle or the guidance technique (dynamic short-axis out-of-plane or dynamic long-axis in-plane); and optimization of images, acquisition and screen settings (gain and depth) [10,14,15,[17][18][19][20][21][22][23][24][25][26]. Theoretical considerations of the anatomy include the vascular anatomy of the upper extremity and physiology of the circulation [10,14,15,18,20,21,27]. Besides these three main topics, didactic training covers subjects as disinfection and catheter care, prevention of infections, disinfection and cleaning of the machine, and care of equipment [14,18,20,24].…”

“…A 1:1 hands-on session using a nonhuman tissue model, to continue, creates a possibility for trainees in emphasizing confirmation and visualizing of the needle tip while deforming the target vein prior to cannulation, the dexterity to insert an intravenous catheter while holding the probe and watching the screen (eye-hand coordination), and visualization of venous cannulation on the ultrasound screen in real-time [10,[14][15][16][17][18][19][21][22][23][24][25][26]28,31,32]. A simulated training session could also focus on sterility and aseptic techniques without consequences for the patient [24,27]. According to Adhikari et al practitioners had a high level of comfort using ultrasound for intravenous cannulation after a focused simulation training session, resulting in the accurate identification of the vascular anatomy and performing ultrasound-guided vascular access [34].…”

“…According to the statement of Edwards et al the biggest question on determining competency was how many supervised successful procedures needed to be performed before a trainee could function independently [15]. Of the included studies, most recommend 10 supervised attempts in life cases [15,17,24,27,29]. Oliveira [10,15,17,19].…”

A Scoping Review of Ultrasound Teaching in Undergraduate Medical Education

“…Procedures [82][83][84][85][86][87][88][89][90][91] Ultrasound has been used in conjunction with 'phantom' simulators [82][83][84][85] or cadavers [86,87] to teach invasive procedures such as venous and arterial line placement and nerve blocks. McCrary et al [88] used a fresh cadaver model to teach ultrasound-guided breast biopsy to medical students on surgery clerkship.…”

Maintenance of Skill Proficiency for Emergency Skills With and Without Adjuncts Despite the Use of Level C Personal Protective Equipment

“…Conflicting evidence exists in the literature as to whether the use of PPE impedes the ability to simply successfully intubate, and this is further complicated by the impact of VL when using PPE [4][5][6][7][8][9][10][11][12]. While there is also conflicting evidence regarding the impact of ultrasound on intravenous (IV) cannulation, there are no studies that address its use with PPE [13][14]. Our study is the first to examine these parameters while using both VL for intubation and ultrasound for intravenous cannulation.…”