Accepted but Unacceptable

Helm, Robert E.; Klausner, Jeffrey D.; Klemperer, John D.; Flint, Lori M.; Huang, Emily

doi:10.1097/nan.0000000000000100

Cited by 335 publications

(268 citation statements)

References 113 publications

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“…Por meio de novos dispositivos e tecnologias adjuvantes, a terapia intravenosa é utilizada há mais de 350 anos e tem expandido seus limites em números e em possibilidades terapêuticas (4) .…”

Section: Introductionunclassified

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

2017

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RESUMO: O objetivo deste estudo foi analisar os fatores associados ao sucesso na primeira tentativa de punção venosa periférica guiada por ultrassonografia em adultos. Estudo transversal analítico em uma unidade de pronto atendimento na região sul do Brasil, entre 1º e 30 de abril de 2015. Os participantes foram submetidos à punção venosa periférica guiada por ultrassonografia. Foram incluídos 97 participantes. A razão de prevalência de sucesso foi 43% maior nas veias visíveis e 128% maior nas veias retilíneas. Não foi encontrada relação significativa entre as variáveis analisadas e a diminuição da prevalência de sucesso na primeira tentativa. A presença de veia retilínea e visível foi o principal fator associado ao sucesso na primeira tentativa. DESCRITORES: Enfermagem baseada em evidências; Tecnologia biomédica; Pesquisa em enfermagem clínica; Cateterismo periférico; Ultrassonografia.PUNÇÃO VENOSA PERIFÉRICA GUIADA POR ULTRASSONOGRAFIA:PREVALÊNCIA DE SUCESSO E FATORES ASSOCIADOS* ULTRASOUND-GUIDED PERIPHERAL VENIPUNCTURE: PREVALENCE OF SUCCESS AND ASSOCIATED FACTORSABSTRACT: The objective of this study was to analyze factors associated with a successful first attempt to ultrasound-guided peripheral venipuncture in adults. An analytical cross-sectional study was carried out in an emergency care unit in the South region of Brazil in April 2015. The participants were submitted to ultrasound-guided peripheral venipuncture. Ninety-seven participants were included. The prevalence ratio of success was 43% higher in visible veins and 128% higher in rectilinear veins. No significant association was found between the variables analyzed and the reduction of the prevalence of success at the first attempt. No se encontró diferencia significativa entre las variables analizadas y la disminución de la prevalencia de éxito en el primer intento. La presencia de vena rectilínea y visible fue el principal factor asociado al éxito en el primero intento.

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Section: Introductionunclassified

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

2017

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“…Improper injections can result in 21–50% change in SUV measurements [1, 2]. A recent summary of findings from six prospective, randomized controlled studies evaluating peripheral IV catheter infiltration rates found a mean incidence of 23.9% [3]. In the few published studies measuring infiltration rates in PET, tracer infiltration occurs in 10–21% of clinical exams [2, 4, 5].…”

Section: Introductionmentioning

confidence: 99%

Towards real-time topical detection and characterization of FDG dose infiltration prior to PET imaging

Williams

Arlinghaus

Rani

et al. 2016

Eur J Nucl Med Mol Imaging

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Purpose To dynamically detect and characterize 18F-fluorodeoxyglucose (FDG) dose infiltrations and evaluate their effects on positron emission tomography (PET) standardized uptake values (SUV) at the injection site and in control tissue. Methods Investigational gamma scintillation sensors were topically applied to patients with locally advanced breast cancer scheduled to undergo limited whole-body FDG-PET as part of an ongoing clinical study. Relative to the affected breast, sensors were placed on the contralateral injection arm and ipsilateral control arm during the resting uptake phase prior to each patient’s PET scan. Time activity curves (TACs) from the sensors were integrated at varying intervals (0–10, 0–20, 0–30, 0–40, and 30–40 min) post-FDG and the resulting areas-under-the-curve (AUCs) were compared to SUVs obtained from PET. Results In cases of infiltration, observed in three sensor recordings (30%), the injection arm TAC shape varied depending on the extent and severity of infiltration. In two of these cases TAC characteristics suggested the infiltration was partially resolving prior to image acquisition, although it was still apparent on subsequent PET. Areas under the TAC 0–10 and 0–20 min post-FDG were significantly different in infiltrated versus non-infiltrated cases (Mann-Whitney, p < 0.05). When normalized to control, all TAC integration intervals from the injection arm were significantly correlated with SUVpeak and SUVmax measured over the infiltration site (Spearman ρ ≥ 0.77, p < 0.05). Receiver operating characteristic (ROC) analyses, testing the ability of the first 10 minutes of post-FDG sensor data to predict infiltration visibility on the ensuing PET, yielded an area under the ROC curve of 0.92. Conclusion Topical sensors applied near the injection site provide dynamic information from the time of FDG administration through the uptake period and may be useful in detecting infiltrations regardless of PET image field of view. This dynamic information may also complement the static PET image to better characterize the true extent of infiltrations.

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“…Health care practitioner PIVC knowledge and skill deficits were identified as one of three primary factors leading to catheter failure and premature removal. 7 …”

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confidence: 99%

“…2,8,10–13 Furthermore, complication rates due to premature removal of PIVCs include phlebitis (15.4%), infiltration (23.9%), catheter occlusion (18.8%), catheter dislodgement (6.9%), and catheter-related infection (0.2%). 7 …”

mentioning

confidence: 99%

“…The average cost of an uncomplicated PIVC insertion is estimated to be US $28 to $35. 7 Existing data report first attempt success for staff nurses and more educated and experienced IV nurses, in diverse patient populations, to range from 44% to 76.9% and 91% to 98%, respectively. 8–10 Other researchers have reported a range of 2.18 and 2.35 PIVC insertion attempts to establish a patent peripheral IV site.…”

mentioning

confidence: 99%

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Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program

Keleekai¹,

Schuster

Murray³

et al. 2016

Sim Healthcare

131

107

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IntroductionPeripheral intravenous catheter (PIVC) insertion is one of the most common invasive procedures performed in a hospital, but most nurses receive little formal training in this area. Blended PIVC insertion training programs that incorporate deliberate simulated practice have the potential to improve clinical practice and patient care.MethodsThe study was a randomized, wait-list control group with crossover using nurses on three medical/surgical units. Baseline PIVC knowledge, confidence, and skills assessments were completed for both groups. The intervention group then received a 2-hour PIVC online course, followed by an 8-hour live training course using a synergistic mix of three simulation tools. Both groups were then reassessed. After crossover, the wait-list group received the same intervention and both groups were reassessed.ResultsAt baseline, both groups were similar for knowledge, confidence, and skills. Compared with the wait-list group, the intervention group had significantly higher scores for knowledge, confidence, and skills upon completing the training program. After crossover, the wait-list group had similarly higher scores for knowledge, confidence, and skills than the intervention group. Between the immediate preintervention and postintervention periods, the intervention group improved scores for knowledge by 31%, skills by 24%, and decreased confidence by 0.5%, whereas the wait-list group improved scores for knowledge by 28%, confidence by 16%, and skills by 15%.ConclusionsResults demonstrate significant improvements in nurses' knowledge, confidence, and skills with the use of a simulation-based blended learning program for PIVC insertion. Transferability of these findings from a simulated environment into clinical practice should be further explored.

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Accepted but Unacceptable

Cited by 335 publications

References 113 publications

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

Punção Venosa Periférica Guiada Por Ultrassonografia: Prevalência De Sucesso E Fatores Associados

Towards real-time topical detection and characterization of FDG dose infiltration prior to PET imaging

Improving Nurses' Peripheral Intravenous Catheter Insertion Knowledge, Confidence, and Skills Using a Simulation-Based Blended Learning Program

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