Emergency Nursing Resource: Difficult Intravenous Access

Crowley, Melanie; Brim, Carla; Proehl, Jean A.; Barnason, Susan; Leviner, Sherry; Lindauer, Cathleen; Naccarato, Mary; Storer, Andrew; Williams, Jennifer; Papa, AnnMarie

doi:10.1016/j.jen.2012.05.010

Cited by 47 publications

(24 citation statements)

References 37 publications

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“…Emergency nursing resource: difficult intravenous access (14) 2012/ United States Literature Review/ n=not informed 96% of nurses considered the procedure easy.…”

Section: / Canadamentioning

confidence: 99%

Nursing knowledge and practices regarding subcutaneous fluid administration

et al. 2017

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Objective: To describe the evidence in the literature regarding the knowledge and practices of the nursing team about subcutaneous administration of drugs and fl uids in adults. Method: Integrative review of the literature using the descriptors "nursing", "hypodermoclysis", "drug administration routes", "adult health," and "knowledge," in English, Spanish, and Portuguese, with no publication deadline. Of the 569 articles found, eight made up the sample. Results: A predominance of international journals (75%) with more than fi ve years of publication (62.5%). The analysis of the methodological characteristics showed a predominance of literature reviews (25%), quantitative studies (62.5%), cross-sectional studies (50%), and nonexperimental studies (50%). Conclusion: Although it is an old technique with proven effi cacy, hypodermoclysis is still little used, a puzzling fact due to its advantages and indications for any age. Descriptors: Nursing; Hypodermoclysis; Drug Administration Routes; Knowledge; Practical Nursing. RESUMO Objetivo: descrever as evidências, na literatura, sobre os conhecimentos e as práticas da equipe de enfermagem na administração de medicamentos e de fl uidos por via subcutânea no adulto. Método: revisão integrativa da literatura utilizando os descritores enfermagem, hipodermóclise, vias de administração de medicamentos, saúde do adulto e conhecimento; nos idiomas inglês, espanhol e português, sem data limite de publicação. Dos 569 artigos encontrados, oito compuseram a amostra. Resultados: predomínio de revistas internacionais (75%) e com mais de cinco anos de publicação (62,5%). Ao analisarem-se as características metodológicas, predominaram: revisões de literatura (25%), estudos quantitativos (62,5%), estudos transversais (50%) e não-experimentais (50%). Conclusão: apesar de se tratar de uma técnica antiga com efi cácia comprovada, a hipodermóclise ainda é pouco utilizada, fato incoerente pelas suas vantagens e suas indicações para qualquer idade.

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“…Emergency nursing resource: difficult intravenous access (14) 2012/ United States Literature Review/ n=not informed 96% of nurses considered the procedure easy.…”

Section: / Canadamentioning

confidence: 99%

Nursing knowledge and practices regarding subcutaneous fluid administration

et al. 2017

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“…At present about 60% of hospital inpatients would have a PIVC inserted, 1,2 and up to 90% of patients attending the emergency department (ED) would require a PIVC at any time during care. 3 Almost 70% of these patients experience catheter-related complications, mainly infection, phlebitis, occlusion, dislodgement, infiltration and extravasation, that lead to extended hospital stay and costs and increase the risk of vascular damage and bloodstream infections. 2,4À7 Despite its ubiquity and frequency, cannulation may be often difficult or even not possible.…”

Section: Introductionmentioning

confidence: 99%

Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis

et al. 2020

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Peripheral venous catheterization is a common technique in hospitals which is not always successful, resulting in multiple punctures and degradation of the vessels. This scenario, which we have termed 'difficult peripheral venous access', is associated to delays in care, obtention of samples or diagnosis, as well as a higher use of central catheters. This study intends to identify risk factors associated to the incidence of 'difficult peripheral venous access' in adults at hospital. We designed a systematic review of published studies (protocol PROSPERO 2018 CRD42018089160). We conducted structured electronic searches using key words and specific vocabulary, as well as directed searches in several databases. After validity analysis, we selected 7 studies with observational methodology. We found great variability in the definition of 'difficult peripheral venous access' and in the variables proposed as risk factors. Statistically significant factors through studies include demographic and anthropometric variables (gender, Body Mass Index), as well as medical and health conditions (diabetes, renal insufficiency, parenteral drug abuse, cancer chemotherapy), together with variables related to the vein or vascular access (vein visibility and palpability, vessel diameter, previous history of difficulty). Some studies have also considered variables related to the professional performing the technique. Meta-analyses were carried out for gender and obesity as potential risk factors. Only obesity appeared as a statistically significant risk factor with OR of 1.48; 95% CI (1.03 to 1.93; p = 0.016). Methodological heterogeneity prevented the development of further meta-analyses. It is essential to design future studies with diverse hospital populations, in which a wide selection of potential risk factors can be studied in a unique analysis. Our work identifies the most relevant variables that should be included in those studies.

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“…Tem-se ainda redução de complicações, tais como o hematoma e a flebite, e melhoria para o conforto e satisfação do paciente (9)(10) . Recomendada como nível "A" de evidência pela Associação Americana de Enfermagem de Emergência, a ultrassonografia constitui procedimento não invasivo, que não utiliza radiação ionizante e pode visualizar vasos mais profundos, difíceis de serem acessados pela palpação às cegas ou mesmo por alguns procedimentos que utilizam raios próximos do infravermelho (11) . Destaca-se que em situações de urgência e emergência o estabelecimento de acesso venoso, de forma rápida e efetiva, pode ser essencial para melhora do quadro clínico do paciente.…”

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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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Emergency Nursing Resource: Difficult Intravenous Access

Cited by 47 publications

References 37 publications

Nursing knowledge and practices regarding subcutaneous fluid administration

Nursing knowledge and practices regarding subcutaneous fluid administration

Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis

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

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