A new device for ultrasound-guided peripheral venous access

Brugioni, Lucio; Barchetti, Marco; Tazzioli, Giovanni; Gelmini, Roberta; Girardis, Massimo; Bianchini, Marcello; Schepis, Filippo; Nicolini, Matteo; Pinelli, Giovanni; Martella, Pietro; Barozzi, Marco; Mori, Francesca; Scarabottini, Serena; Righetti, Andrea; Ravazzini, Mirco; Bertellini, Elisabetta

doi:10.1177/1129729818801302

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…Following assessment of full-text documents, 11 articles were excluded: six studies [6][7][8][9][10][11] used guidewire-inserted PIVCs, two studies 12,13 used standard PIVCs, one study 14 did not report the number of LPCs used and one study 15 did not report the number of patients investigated. A final study 16 was excluded as the authors primarily described LPCs placed in the internal jugular vein (95.1%) -a decision was made to exclude this article as the results would be difficult to compare with LPCs placed in limb veins. Overall, 16 studies were included in the final analysis (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Long peripheral catheters for intravenous access in adults and children: A systematic review of the literature

et al. 2020

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Background: Long peripheral catheters are peripheral intravenous catheters of 6–15 cm in length. They are commonly inserted into the forearm, antecubital fossa or upper arm using a direct Seldinger technique. They have proven to be valuable for peripheral intravenous catheters, particularly in patients with difficult intravenous access. Methods: We conducted a systematic review of studies reporting the use of long peripheral catheters. The following keywords were used: ‘long’, ‘Seldinger’, ‘guidewire’, ‘peripheral’, ‘venous’, ‘intravenous’, ‘IV’, ‘vascular’, ‘cannula’ and ‘catheter’. Results: Three hundred forty-one publications were identified; 16 were included in the systematic review. There were 11 adult studies and 5 paediatric studies documenting 1288 long peripheral catheters in 1271 patients. Majority of studies (12/16) were conducted in acute care settings, (emergency department, n = 6; intensive care unit, n = 3; high dependency unit, n = 1; surgical unit, n = 2). The most frequently studied long peripheral catheter was 8 cm in length and 20 G in size. Nine studies recruited patients with difficult intravenous access; 11 studies used ultrasound guidance. Insertion success rate and mean procedural time ranged between 86% and 100% and 8 and 16.8 minutes, respectively. Average catheter duration ranged between 4 and 14.7 days (mean) and 1.1 and 9 days (median). Catheter failure occurred in 4.3–52.5% of long peripheral catheters, with leakage, infiltration and dislodgement being the most frequent causes of failure. In 3 randomised controlled trials, long peripheral catheters outperformed peripheral intravenous catheters in terms of duration and failure rate. Conclusion: Long peripheral catheters are safe and reliable in both adults and children. In addition, long peripheral catheters may provide improved quality of care over peripheral intravenous catheters for multi-day intravenous therapy.

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Section: Resultsmentioning

confidence: 99%

Long peripheral catheters for intravenous access in adults and children: A systematic review of the literature

et al. 2020

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“…2 Multiple attempts due to difficult PIVC placement induce patient distress and pain, complications, and extra treatment costs. [5][6][7][8] There have been multiple reports on risk factors for patients whose veins present difficulty in placing PIVCs. Those factors include small vein size, vascular fragility, dehydration, collapse of the vessel, and thinned subcutaneous tissue.…”

Section: Introductionmentioning

confidence: 99%

“…2 Multiple attempts due to difficult PIVC placement induce patient distress and pain, complications, and extra treatment costs. 5–8…”

Section: Introductionmentioning

confidence: 99%

Effect of a thin-tipped short bevel needle for peripheral intravenous access on the compressive deformation and displacement of the vein: A preclinical study

et al. 2022

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Background: Peripheral intravenous catheter (PIVC) insertion often fails on the first attempt. Risk factors include small vein size and dehydration, causing vein deformation and displacement due to puncture resistance of the vessel. The authors developed a short, thin-tipped bevel needle and compared its puncture performance with needles of four available PIVCs using an ex vivo model. Methods: The PIVC with the thin-tipped short bevel needle was compared to four available PIVCs using an ex vivo model which simulated the cephalic vein of the human forearm. The ex vivo model consisted of a porcine shoulder and porcine internal jugular vein, and was used for evaluation of the rate of vein deformation and vessel displacement during needle insertion. Results: An ex vivo model was created with a vessel diameter of 2.7–3.7 mm and a depth of 2–5 mm. The thin-tipped short bevel PIVC needle was associated with a significantly lower compressive deformation rate and venous displacement compared to the needles of the other four PIVCs. Conclusion: The thin-tipped short bevel needle induced lower compressive deformation and displacement of the vein than the conventional needles. This needle has the potential to improve the first-attempt success rate of peripheral intravenous catheterization in patients with difficult venous access.

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“…In our institution, mini-midline catheters 18 are commonly inserted both in the ordinary wards and in the ICUs and sub-ICUs. The placement of these devices (mini-midlines "off-label" in the IJV or in the vein of the arms) is especially indicated in patients with DIVA and in those who are expected to need venous access for prolonged periods.…”

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confidence: 99%

Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

et al. 2020

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Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

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A new device for ultrasound-guided peripheral venous access

Cited by 6 publications

References 15 publications

Long peripheral catheters for intravenous access in adults and children: A systematic review of the literature

Long peripheral catheters for intravenous access in adults and children: A systematic review of the literature

Effect of a thin-tipped short bevel needle for peripheral intravenous access on the compressive deformation and displacement of the vein: A preclinical study

Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

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