Recommendations for Improving Safety Practices With Short Peripheral Catheters

Vizcarra, Cora; Cassutt, Carolynn; Corbitt, Nancy; Richardson, D; Runde, Daniel; Stafford, Kathy

doi:10.1097/nan.0000000000000028

Cited by 59 publications

(56 citation statements)

References 15 publications

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“…De acordo com as estatísticas, foram vendidos 330 milhões de cateteres intravenosos periféricos (CIP) nos Estados Unidos em 2012 (1) , e registros reforçam que 70% dos pacientes são submetidos a esse procedimento em algum momento da internação (2) . No Brasil estes dados são escassos.…”

Section: Introductionunclassified

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

2017

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RESUMO: O objetivo deste estudo foi analisar os fatores associados ao sucesso na primeira tentativa de punção venosa periférica guiada por ultrassonografia em adultos. Estudo transversal analítico em uma unidade de pronto atendimento na região sul do Brasil, entre 1º e 30 de abril de 2015. Os participantes foram submetidos à punção venosa periférica guiada por ultrassonografia. Foram incluídos 97 participantes. A razão de prevalência de sucesso foi 43% maior nas veias visíveis e 128% maior nas veias retilíneas. Não foi encontrada relação significativa entre as variáveis analisadas e a diminuição da prevalência de sucesso na primeira tentativa. A presença de veia retilínea e visível foi o principal fator associado ao sucesso na primeira tentativa. DESCRITORES: Enfermagem baseada em evidências; Tecnologia biomédica; Pesquisa em enfermagem clínica; Cateterismo periférico; Ultrassonografia.PUNÇÃO VENOSA PERIFÉRICA GUIADA POR ULTRASSONOGRAFIA:PREVALÊNCIA DE SUCESSO E FATORES ASSOCIADOS* ULTRASOUND-GUIDED PERIPHERAL VENIPUNCTURE: PREVALENCE OF SUCCESS AND ASSOCIATED FACTORSABSTRACT: The objective of this study was to analyze factors associated with a successful first attempt to ultrasound-guided peripheral venipuncture in adults. An analytical cross-sectional study was carried out in an emergency care unit in the South region of Brazil in April 2015. The participants were submitted to ultrasound-guided peripheral venipuncture. Ninety-seven participants were included. The prevalence ratio of success was 43% higher in visible veins and 128% higher in rectilinear veins. No significant association was found between the variables analyzed and the reduction of the prevalence of success at the first attempt. No se encontró diferencia significativa entre las variables analizadas y la disminución de la prevalencia de éxito en el primer intento. La presencia de vena rectilínea y visible fue el principal factor asociado al éxito en el primero intento.

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Section: Introductionunclassified

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

2017

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“…The sheer pervasiveness of use of PVADs demands attention to prevention of complications and reduction of harm. Unfortunately, many experts 4,8,16,33 suspect that PVAD complications are underrecognized among health care providers, partly because of persistent overestimation of the safety of these devices.…”

Section: Pvad Complications: General Considerationsmentioning

confidence: 99%

“…According to the Infusion Nurses Society, 8 approximately 330 million SPCs are sold annually in the United States, and experts estimate that 80% of hospitalized patients have insertion of at least 1 SPC. 6 SPCs are often described as the most commonly used VAD in health care.…”

Section: Short Peripheral Cathetersmentioning

confidence: 99%

“…6 SPCs are often described as the most commonly used VAD in health care. 6,8,32 Peripherally Inserted Central Catheters…”

Section: Short Peripheral Cathetersmentioning

confidence: 99%

“…Key elements of prevention of these complications include reevaluating basic knowledge and skills related to insertion, management, use (including device stabilization), and removal of PVADs. 7,8 Nurses with expertise and experience in PVAD management have the opportunity to lead (or consult on) development of device-related competencies and strategies to improve device-related safety and quality. In addition, nurses with enhanced awareness of device-related hazards are critical members of product acquisition and review teams, evidence-based practice committees, and work groups focused on patient safety, quality improvement, and system design or redesign.…”

Section: Nursing Implicationsmentioning

confidence: 99%

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Complications of Peripheral Venous Access Devices: Prevention, Detection, and Recovery Strategies

Mattox

2017

Critical Care Nurse

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Most hospitalized patients have placement of a peripheral venous access device, either a short peripheral catheter or a peripherally inserted central catheter. Compared with central venous catheters that are not peripherally inserted, the other 2 types are generally perceived by health care providers as safer and less complicated to manage, and less emphasis is placed on the prevention and management of complications. Expertise of nurses in inserting, managing, and removing these devices may reduce the likelihood of complications, and increased recognition of complications associated with use of the devices is important to ensure continued improvements in the safety, quality, and efficiency of health care. Complications associated with short peripheral catheters and peripherally inserted central catheters include tourniquet retention, tubing and catheter misconnections, phlebitis, air embolism, device fragment embolization, and inadvertent discharge with a retained peripheral venous access device. Integration of prevention, detection, and recovery strategies into personal nursing practice promotes the quality and safety of health care delivery.

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Trendelenburg (Head‐Down tilt) and head rotation: Ultrasonographic effects on the internal jugular vein for catheterization safety

et al. 2022

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Most guidelines fail to specify patient positioning during central venous catheterization. The objective was to determine the effects of head‐down tilt (Trendelenburg position) and head rotation on the internal jugular vein (IJV). A prospective, observational, longitudinal, and descriptive study using healthy adult volunteers, of both sexes, was performed. The change in position and cross‐sectional areas (CSA) of the right IJV and common carotid artery (CA) were measured by ultrasonography during Trendelenburg position (TP) (0°, 5°, 10°, and 15°) and contralateral head‐rotation (HR) (0°, 45°, and 90°) for a total of 12 positions. The neutral supine position was first, randomizing the other 11 positions, with 5‐min rest intervals in between. Vital signs and symptoms were recorded. A total of 54 volunteers were recruited between the ages of 21 and 32, of which 30 were men. Any degree of TP or HR significantly increased the CSA. The largest area obtained was 1.78 cm2 with a TP15HR90 which did not have a statistical difference with TP10HR45 1.59 cm2. A HR90 tended to displace the IJV medially, overlaying the CA. Any degree of TP or HR will significantly increase CSA or the right IJV. A 5° to 10° TP is recommended when the patient's condition allows it, with a 45° HR, without significantly displacing the IJV anterior to the CCA.

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Recommendations for Improving Safety Practices With Short Peripheral Catheters

Cited by 59 publications

References 15 publications

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

Complications of Peripheral Venous Access Devices: Prevention, Detection, and Recovery Strategies

Trendelenburg (Head‐Down tilt) and head rotation: Ultrasonographic effects on the internal jugular vein for catheterization safety

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