Cateterización periférica ecoguiada frente a la técnica tradicional

Salleras-Duran, Laia; Fuentes-Pumarola, Concepció

doi:10.1016/j.enfcli.2015.04.002

Cited by 5 publications

(1 citation statement)

References 30 publications

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“…Moreover, to reduce pain reducing the attempts, ultrasound-guided intravenous catheterization and dry heat technique with non-controlled pressure were effective for PVC at first attempt. However, the ultrasound-guided intravenous catheterization increased risk of nerve (up to 2.4%) or artery (up to 9.8%) puncture (Salleras-Duran & Fuentes-Pumarola, 2016), whereof none of them occurred or the expected erythema after the application of heat (Fink et al, 2009;Yamagami et al, 2017).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Benefits of the application of heat and pressure on peripheral venous cannulation in adults: A randomized controlled trial

Simón-López

Luquero-Bueno

Ovejero‐Benito

et al. 2020

Journal of Advanced Nursing

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Aim To evaluate the effectiveness of the application of topical heat, high pressure or a combination of both on antebrachial venous cannulation. Design A cross‐over clinical trial blinded for haemolysis analysis. Methods This cross‐over clinical trial with two periods was performed in the Clinical Trial Unit of Hospital Universitario de La Princesa (Madrid) during June–July of 2017 in 59 healthy adults who were randomly allocated to one of three interventions: (1) Using dry topical heat for 7 min produced by two hot seed bags (N = 21), (2) Applying controlled pressure from a sphygmomanometer inflated to 100 mmHg (N = 18) and (3) combining heat and pressure (N = 20) in one period out of two. All interventions were contrasted to standard clinical practice in the other period. The comparator involved a standard tourniquet around the upper arm to restrict venous blood flow. The primary outcome was effectiveness measured as vein cannulation at first attempt. Secondary outcomes were vein perception, pain, haemolysis in blood samples and adverse events. Results All the interventions were more effective than comparator. Vein perception was optimized in about all individuals. Moreover, pain relief was significantly higher when high pressure was applied. Haemolysis was not affected in any of the three interventions. In addition, no serious adverse events appeared. Conclusion High pressure is determined to be the most effective in vein catheterization, pain relief, vein perception and quality of blood sample inalterability. Moreover, it is safe considering that only one adverse event appeared. Impact Vein cannulation is a very common invasive technique, where repeated failures have been registered. Thus, we consider it relevant to develop interventions to achieve venous catheterization at first attempt to alleviate the pain and anxiety associated with this technique. We advocate using high pressure intervention for emergency, due to swiftest method and feasible in case of lacking resources, such as sphygmomanometers in the ambulance. Interventions can be extrapolated to healthy young adults, adults and patients who have healthy vein status perception. Pressure intervention could be an alternative to heat intervention when performing vein cannulation due to its lower risk of transient paresthesia for older people who often suffer from arterial hypertension.

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Section: Backg Rou N Dmentioning

confidence: 99%

Benefits of the application of heat and pressure on peripheral venous cannulation in adults: A randomized controlled trial

Simón-López

Luquero-Bueno

Ovejero‐Benito

et al. 2020

Journal of Advanced Nursing

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Ultrasound-Guided Peripheral Venipuncture Decreases the Procedure’s Pain and Positively Impacts Patient’s Experience: The PRECISE Randomized Clinical Trial

Junges,

Hansel,

Santos

et al. 2024

Journal of Infusion Nursing

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This study aimed to compare patients’ experience of pain during ultrasound (US)-guided peripheral venipuncture versus conventional peripheral venipuncture. This randomized clinical trial was conducted at a public university hospital in 2021. Adult patients with indication for intravenous therapy compatible with peripheral intravenous catheters (PIVCs) were included: intervention group (IG), US peripheral venipuncture executed by specialist nurses; control group (CG), conventional peripheral venipuncture executed by clinical practice nurses. The primary outcome was patient experience of pain during the procedure and patient experience related to the PIVC placement method. Sixty-four patients were included, 32 for each group. The pain experienced was none-to-mild in the IG for 25 patients (78.1%) and moderate-to-severe in the CG for 21 patients (65.7%; P < .001). The overall pain rating was 2 (1-3) in the IG and 4 (3-6) in the CG (P < .001). The recommendation of the procedure in IG (net promoter score [NPS] + 90.6%) versus CG (NPS + 18.8%) was considered excellent and good, respectively (P < .001). Patients had less pain and significantly recommended the US-guided procedure. Patient experience with US-guided PIVC, performed by a specialist nurse, was superior to that of conventional peripheral venipuncture.

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Conocimiento en acceso a la vía periférica definitiva y vascular de estudiantes de atención prehospitalaria

Calderón

Matta

Bru

et al. 2018

IPSA Scientia rev. cient. multidiscip.

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We evaluated the knowledge of access to the definitive airway and peripheral vascular of the Technologists in Prehospital Care in training, through a knowledge questionnaire. The sample was applied to the 84 students enrolled and active in the Prehospital Care Technology program of the Corporación Universitaria Rafael Nuñez in the second period of 2018 from the second to the sixth semester. When evaluating the students it was found that they have little empowerment of the basic knowledge to perform invasive procedures in the peripheral vascular pathway, highlighting the lack of protocols, management and function of crystalloid solutions, venoclisis equipment and catheters according to their enumeration which are used. There was also a lack of knowledge in protocols for airway management, adequate management of endotracheal intubation equipment, indications and contraindications for definitive endotracheal intubation and the benefits it generates in patients.

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Cateterización periférica ecoguiada frente a la técnica tradicional

Cited by 5 publications

References 30 publications

Benefits of the application of heat and pressure on peripheral venous cannulation in adults: A randomized controlled trial

Benefits of the application of heat and pressure on peripheral venous cannulation in adults: A randomized controlled trial

Ultrasound-Guided Peripheral Venipuncture Decreases the Procedure’s Pain and Positively Impacts Patient’s Experience: The PRECISE Randomized Clinical Trial

Conocimiento en acceso a la vía periférica definitiva y vascular de estudiantes de atención prehospitalaria

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