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

Ultrasound-guided intravenous catheter survival impacted by amount of catheter residing in the vein

“…Fields et al identified two such factors that include placing IVs in arms veins located more distally in the antecubital fossa and forearm and also aiming for veins that are shallow with a depth <0.4 cm 11. Once an US-guided IV is in place, what other factors should be considered to ensure the longevity of the catheter?…”

“…There are a few studied qualities of US-guided IV placement that have shown to increase catheter survival. Anatomic variations shown to increase US-guided IV longevity include placing catheters more distally in the arms and in veins that are shallow 11. Another study determined that using a catheter over a guidewire improves catheter longevity 9.…”

An Assessment Tool for the Placement of Ultrasound-Guided Peripheral Intravenous Access

“…The resultant 12 articles were reviewed for comments on technique in the skill of USGPIV placement. [3][4][5][10][11][12][13][14][15][16][17][18] Although the literature search yielded information on the benefits of USGPIV placement in pediatrics patients, the articles contained limited information on the procedural steps for placement of the line. Relevant sections of Roberts & Hedges' Clinical Procedures in Emergency Medicine were reviewed to develop a list of essential tasks for this procedure.…”

“…Baseline information about previous experience with USGPIV placement in pediatrics and adult patients and level of training was collected via a survey instrument (provided as online supplemental material). Resident participants were divided into 3 skill levels based on their report of previous experience with the following definitions: novice (0-5 USGPIV), intermediate (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20), and expert (. 20 USGPIV).…”

Pose des cathéters veineux centraux par voie périphérique (PICC line) sous échographie

“…Avant de piquer, il faut enlever le bouchon de l'aiguille ce qui permet de mieux observer le reflux de sang. Il faut utiliser un cathéter de longueur suffisante -6 à 8 cm -car le déplace-ment secondaire du cathéter est la cause la plus fréquente d'échec dans les premiers 24 heures [12,13].…”