Ultrasound-guided peripheral venous access

Liu, Yiju Teresa; Alsaawi, Abdulmohsen; Björnsson, Hjalti Már

doi:10.1097/mej.0b013e328363bebc

Cited by 28 publications

(10 citation statements)

References 12 publications

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“… 13 , 29 As concluded by Liu and colleagues, the greatest success rate of ultrasound-guided placement of peripheral intravenous catheters was found in patients with a difficult intravenous access, especially in those whose veins were neither visible nor palpable. 34 In general, we believe it would not improve efficacy nor be cost-efficient to apply new infrared and other devices in all patients. Furthermore, the proposed A-DIVA score may also be valuable in the evaluation of (cost-) efficacy and validation of the many venous access devices available in the market.…”

Section: Discussionmentioning

confidence: 97%

Development of the A-DIVA Scale

et al. 2016

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Placement of a peripheral intravenous catheter is a routine procedure in clinical practice, but failure of intravenous cannulation regularly occurs. An accurate and reliable predictive scale for difficult venous access creates the possibility to use other techniques in an earlier time frame.We aimed to develop a predictive scale to identify adult patients with a difficult intravenous access prospectively: the A-DIVA scale.This prospective, observational, cross-sectional cohort study was conducted between January 2014 and January 2015, and performed at the department of anesthesiology of the Catharina Hospital (Eindhoven, The Netherlands). Patients 18 years or older were eligible if scheduled for any surgical procedure, regardless ASA classification, demographics, and medical history.Experienced and certified anesthesiologists and nurse anesthetists routinely obtained peripheral intravenous access. Cannulation was performed regarding standards for care.A failed peripheral intravenous cannulation on the first attempt was the outcome of interest.A population-based sample of 1063 patients was included. Failure of intravenous cannulation was observed in 182/1063 patients (17%). Five variables were associated with a failed first attempt of peripheral intravenous cannulation: palpability of the target vein (OR = 4.94, 95% CI [2.85–8.56]; P < 0.001), visibility of the target vein (OR = 3.63, 95% CI [2.09–6.32]; P < 0.001), a history of difficult peripheral intravenous cannulation (OR = 3.86, 95% CI [2.39–6.25]; P < 0.001), an unplanned indication for surgery (OR = 4.86, 95% CI [2.92–8.07]; P < 0.001), and the vein diameter of at most 2 millimeters (OR = 3.37, 95% CI [2.12–5.36]; P < 0.001). The scoring system was applied in 3 risk groups: 36/788 patients (5%) suffered from a failed first attempt in the low-risk group (A-DIVA score 0 or 1), whereas the medium (A-DIVA score 2 or 3) and high-risk group (A-DIVA score 4 plus), included 72/195 (37%) and 74/80 (93%) patients with a failed first attempt of inserting a peripheral intravenous catheter, respectively.The additive 5-variable A-DIVA scale is a reliable predictive rule that implies the probability to identify patients with a difficult intravenous access prospectively.Dutch Trial Register (ref: 4595).

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Section: Discussionmentioning

confidence: 97%

Development of the A-DIVA Scale

et al. 2016

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“…Ultrasound-guided peripheral venous access has been demonstrated to be superior to the traditional landmark and palpation approach in achieving successful venous cannulation, since it reduces the number of percutaneous punctures and decreases the overall time of the procedure [ 7 , 10 , 14 , 15 ]. US-guided peripheral access has also been shown to increase patient satisfaction [ 6 , 15 , 16 ] and prevent the insertion of unnecessary CVCs in the ED [ 16 , 17 ]. Recent international recommendations have also advocated US guidance for all venous-access sites.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided “short” midline catheters for difficult venous access in the emergency department: a retrospective analysis

et al. 2016

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BackgroundAcutely ill patients admitted to the emergency department (ED) constantly require at least one fast and reliable peripheral intravenous (PIV) access. In many conditions (morbid obesity, underweight state, chronic diseases, intravenous drug abuse, adverse local conditions, etc.), PIV placement may be challenging.Ultrasound guidance is a useful tool for obtaining a peripheral intravenous access in the emergency department, particularly when superficial veins are difficult to identify by palpation and direct visualization, though standard peripheral intravenous cannulas are not ideal for this technique of insertion and may have limited duration.Long polyurethane catheters inserted with ultrasound guidance and direct Seldinger technique appear to have several advantages over short cannulas in terms of success of insertion and of duration.MethodsA retrospective analysis was conducted on all the ultrasound-guided peripheral venous accesses obtained by insertion of long polyurethane catheters in patients admitted to the emergency department of our university hospital during 1 year. The main indication to the procedure was the urgent need of a peripheral venous access in patients with superficial veins difficult to palpate and/or visualize. All relevant data concerning the insertion and the maintenance of these peripheral lines were collected from the chart.ResultsSeventy-six patients were included in this review. The success rate of insertion was 100 %, with an average of 1.57 punctures per each successful cannulation. The mean time needed for the complete procedure was 9.5 min. In 73 % of patients, the catheter was used for more than 1 week; a minority of catheters were removed prematurely for end of use. No major infective or thrombotic complication was reported.ConclusionsIn our experience, 8- to 10-cm-long polyurethane catheters may offer a fast and reliable peripheral venous access in the emergency department, if placed by ultrasound guidance and with the Seldinger technique. Further studies with prospective, randomized, and controlled design are warranted to confirm our results.

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“…Thus, there is a need to synthesize the evidence that supports the effectiveness of these two technologies in patients requiring peripheral venous catheterization, comparing them and analyzing specific advantages of their use with different patients and in different clinical settings, as well as the desired outcomes. A preliminary search of the JBI Connect+, the Cochrane Database of Systematic Reviews, CINAHL and MEDLINE databases revealed some systematic reviews on the effectiveness of vein visualization technologies on peripheral venous catheterization, namely near-infrared light (Fekonja & Pajnkihar, 2017;Park et al, 2016) and ultrasonography technology (Egan et al, 2012;Heinrichs, Fritze, Vandermeer, Klassen, & Curtis, 2013;Liu, Alsaawi, & Bjornsson, 2014;Stolz et al, 2015). Nonetheless, the inclusion criteria in some of these reviews are restrictive (e.g., limited settings such as emergency department, intensive care units, and operating room; or focus on nurses as the only healthcare professionals who perform this invasive procedure).…”

Section: Introductionmentioning

confidence: 99%

“…Nonetheless, the inclusion criteria in some of these reviews are restrictive (e.g., limited settings such as emergency department, intensive care units, and operating room; or focus on nurses as the only healthcare professionals who perform this invasive procedure). Regarding search temporality, the systematic reviews on the use of ultrasonography searched for articles published until 2012 (Egan et al, 2012;Heinrichs, Fritze, Vandermeer, et al, 2013;Liu et al, 2014;Stolz et al, 2015), emerging the need to update these reviews due to possible loss of recent evidence. More recently, two systematic reviews were conducted by the same group of authors to identify interventions associated with peripheral venous catheterization first attempt success in both adult and pediatric settings (Parker, Benzies, & Hayden, 2016;Parker, Benzies, Hayden, & Lang, 2017).…”

Section: Introductionmentioning

confidence: 99%