Ultrasound for peripheral and arterial access

Oliver, Lori-Ann; Oliver, Jodi-Ann; Ohanyan, Sargis; Park, William; Benelyahoo, Aharon; Vadivelu, Nalini

doi:10.1016/j.bpa.2019.10.002

Cited by 15 publications

(11 citation statements)

References 25 publications

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“…36 Nevertheless, cannulation of veins on the forearm is preferred, because of its reduced risk of catheter dislodgement, extravasation, and obstruction due to movement of the extremity. 4,37 Despite early recognition of flashback of blood being a helpful aid when a blind trial-and-error strategy is applied in patients with no visual and palpable apparent veins, it is strongly discouraged to apply this strategy due to its risks. It is established that a failed first attempt of peripheral intravenous cannulation is likewise expected in patients with a high risk profile according to the A-DIVA scale due to smaller peripheral veins and the impossibly to detect them, for instance.…”

Section: Discussionmentioning

confidence: 99%

The impact of a notched peripheral intravenous catheter on the first attempt success rate in hospitalized adults: Block-randomized trial

et al. 2021

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Introduction: Peripheral intravenous cannulation is the preferred method to obtain vascular access, but not always successful on the first attempt. Evidence on the impact of the intravenous catheter itself on the success rate is lacking. Faster visualization of blood flashback into the catheter, as a result of a notched needle, is thought to increase first attempt success rate. The current study aimed to assess if inserting a notched peripheral intravenous catheter will increase first attempt cannulation success up to 90%, when compared to inserting a catheter without a notched needle. Design: In this block-randomized trial, adult patients in the intervention group got a notched peripheral intravenous catheter inserted, patients in the control group received a traditional non-notched catheter. The primary objective was the first attempt success rate of peripheral intravenous cannulation. Intravenous cannulation was performed according to practice guidelines and hospital policy. Results: About 328 patients were included in the intervention group and 330 patients in the control group. First attempt success was 85% and 79% for the intervention and control group respectively. First attempt success was remarkably higher in the intervention group regarding patients with a high risk for failed cannulation (29%), when compared to the control group (10%). Conclusion: This study was unable to reach a first attempt success of 90%, although first attempt cannulation success was higher in patients who got a notched needle inserted when compared to those who got a non-notched needle inserted, unless a patients individual risk profile for a difficult intravenous access.

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Section: Discussionmentioning

confidence: 99%

The impact of a notched peripheral intravenous catheter on the first attempt success rate in hospitalized adults: Block-randomized trial

et al. 2021

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“…Use of ultrasound guided radial artery cannulation IS associated with an increased success rate and fewer complications, and it is recommended as a best practice approach by several guidelines. 13,14 Reasons behind significantly lower first attempt success rate with dorsal radial artery cannulation is possibly multifactorial. 7 First, dorsal radial artery cannulation is a new technique in the perioperative medicine.…”

Section: Discussionmentioning

confidence: 99%

“…All effect size was reported with 95% confidence interval and a two-tailed p value <0.05 was considered as statistically significant. All analyses were conducted with STATA version 13…”

Section: Sample Size Estimation and Plan For Data Analysismentioning

confidence: 99%

Comparison of ultrasound guided dorsal radial artery cannulation and conventional radial artery cannulation at the volar aspect of wrist: A pilot randomized controlled trial

et al. 2022

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Background: Distal radial artery cannulation at the “anatomical snuffbox” carries several theoretical advantages over conventional radial arterial cannulation at the wrist. However, these two techniques have not been evaluated in perioperative settings. Methods: In this randomized controlled trial, n = 200 patients requiring arterial cannulation for perioperative monitoring were recruited. Patients were randomized to either ultrasound guided distal radial artery cannulation group (group D) or ultrasound guided conventional radial artery cannulation group (group W). Primary outcome of this study was first attempt cannulation success rate. Results: First attempt cannulation success rate was significantly lower in distal radial artery cannulation (57% in group D and 77% in group W; p = 0.003). Use of alternative cannulation site was significantly higher in group D when compared to group W ( p = 0.015) and number of attempts for successful cannulation was significantly higher in group D when compared to group W ( p = 0.015). None of the patients in any group developed thrombosis and related complications and intraoperative catheter dislodgement. Time to puncture the artery ( p < 0.0001), total cannulation time ( p < 0.0001), and actual catheter insertion time ( p < 0.0001) were significantly higher in group D in comparison to group W. Conclusion: Distal radial artery cannulation was associated with lower first attempt cannulation success rate and requires longer time to perform. As distal radial artery is a new technique, further studies are required in different clinical settings.

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“…Accordingly, other studies have described the use of a systematic assessment tool (Carr et al, 2017), scale (Van Loon et al, 2016), or framework (Hallam et al, 2016). In addition there have been studies on the use of intervention tools such as ultrasound (Gottlieb, Sundaram, Holladay, & Nakitende, 2017;Oliver et al, 2019) and near-infrared light (Salgueiro-Oliveira et al, 2018).…”

Section: Avoiding Complications and Paying Attention To The Patientmentioning

confidence: 99%

Characteristics of expert nurses' assessment of insertion sites for peripheral venous catheters in elderly adults with hard‐to‐find veins

Masamoto

Yano

2020

Japan Journal Nursing Sci

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AimTo clarify the characteristics of expert nurses' assessments when selecting an insertion site for a peripheral venous catheter (PVC).MethodsParticipants were 11 competent (control group) and 13 expert nurses. Using a simulated patient, we recorded the procedures participants followed when selecting a site for a PVC insertion. The researchers interviewed the nurses after the procedure by asking targeted questions about the site selection to clarify the factors influencing that selection. During the interview, a video of that nurse's procedure was observed, and each step performed during the procedure was investigated.ResultsWe identified three assessment characteristics specific to expert nurses that influenced their PVC site selection: (a) focusing on a patient's unique characteristics and choosing the appropriate procedure for that individual; (b) avoiding complications and paying attention to the patient's daily self‐care needs; and (c) carefully considering the patient's fear and fatigue during site selection and catheter insertion. Other assessments, based on the general knowledge and skill acquired by nurses in selecting a PVC site, were common to both groups: arm selection based on the patient's preference and site selection to avoid nerve injuries or complications. The control group's approach was assessed on the basis of their confidence in selecting a site for a PVC insertion.ConclusionsExpert nurses assessed the patient's individual characteristics and daily self‐care needs and helped mitigate the patient's anxiety. Our findings provide a basis for educational programs that share how expert nurses assess sites for a PVC insertion.

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Ultrasound for peripheral and arterial access

Cited by 15 publications

References 25 publications

The impact of a notched peripheral intravenous catheter on the first attempt success rate in hospitalized adults: Block-randomized trial

The impact of a notched peripheral intravenous catheter on the first attempt success rate in hospitalized adults: Block-randomized trial

Comparison of ultrasound guided dorsal radial artery cannulation and conventional radial artery cannulation at the volar aspect of wrist: A pilot randomized controlled trial

Characteristics of expert nurses' assessment of insertion sites for peripheral venous catheters in elderly adults with hard‐to‐find veins

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