Abstract
Introduction
Establishing and maintaining peripheral intravenous access in patients with no visible
or palpable veins can be arduous. Intravenous catheters placed with ultrasound do
not survive as long as traditionally placed catheters. This study was performed to
determine the relationship between the catheter length placed into the lumen of the
vein using ultrasound and catheter survival.
Methods
This was a nonrandomized prospective observational study of admitted patients with
difficult intravenous placement in 2017. Subjects had ultrasound-guided peripheral
intravenous placement in the emergency department or intensive care unit. The main
outcome was the time of catheter survival. Data were analyzed using descriptive statistics
and Cox regression.
Results
A total of 98 patients with an average age of 63 years were enrolled. The total number
of cases examined was 97 (N = 97), of which 29 intravenous catheters were removed
for catheter-related problems (events). The mean (SD) survival time for catheters
placed using ultrasound was 3,445 minutes (2,414) or 2.39 days. Peripheral catheter
survival was not significantly related to the in-vein length of the catheter (X2 = 0.03, P = 0.86) nor was it significantly related to any of the covariates.
Discussion
The survival time of ultrasound-guided intravenous access doubled in the present study
from 1674 minutes in a previous 2013 study. The results may have been due to clinician
expertise and experience with the peripheral ultrasound-guided method and the use
of updated equipment.
Keywords
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Biography
Gayla Miles is Staff Nurse, Emergency Department, Texas Health Harris Methodist Hospital, Fort Worth, TX.
Biography
Patricia Newcomb is a Nurse Scientist, Texas Health Resources, Arlington, TX.
Biography
Dave Spear is Emergency Room Physician, Emergency Department, Texas Health Harris Methodist Hospital, Fort Worth, TX.
Article info
Publication history
Published online: September 23, 2020
Identification
Copyright
© 2020 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
