Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

Loon, Fredericus H. J. van; Scholten, Harm J.; Erp, Irene van; Bouwman, R. Arthur; Daele, A.T.M. Dierick-van

doi:10.11152/mu-2120

Cited by 21 publications

(21 citation statements)

References 53 publications

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“…4 Current research shows that the most effective approach to US-guided PIV training consists of didactic training, hands-on training, and then skills training with supervised US-guided PIV insertions. 5…”

Section: Available Knowledgementioning

confidence: 99%

“…There is no current research available to support that vascular nursing is superior to trained critical care nurses in US-guided PIV insertions 4 . Current research shows that the most effective approach to US-guided PIV training consists of didactic training, hands-on training, and then skills training with supervised US-guided PIV insertions 5 …”

Section: Available Knowledgementioning

confidence: 99%

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Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Education Program for Critical Care Nurses

Bagley¹

2022

Dimens Crit Care Nurs

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BackgroundUltrasound-guided (US-guided) peripheral intravenous (PIV) insertion is a skill used by specially trained nurses for patients with difficult vascular access. It can result in potential complications such as occlusive thrombus, phlebitis, infiltration, and pain. Complications can be prevented or minimized with clinical training to achieve competency. Current research shows that the most effective approach to US-guided PIV training consists of a comprehensive structured educational program that includes didactic, hands-on training and skills application.ObjectivesThis study aimed to develop and implement a US-guided PIV education program for critical care nurses.MethodsStructured education was developed using a step-wise method. Critical care nurse practitioners in the intensive care unit (ICU) developed training materials including hands-on training, ultrasound reference material, and supervised skills application. Afterward, US-guided PIV–trained critical care nurses were enabled to train other nurses in the ICU.ResultsThe total number of US-guided PIV–trained registered nurses in the ICU increased from 5.8% to 26% of staff, but represents only 20% of those trained at current staffing levels. The percentage of US-guided PIV–trained nightshift/weekend staff increased from 3.9% to 24%, but represents 14% at current staffing levels. One hundred five US-guided PIVs showed a 97% success rate of US-guided PIV placement during an 11-month timeframe, similar to success rates published in the literature that ranged from 86% to 100%. There was 1.9% complication rate for occlusive thrombus, which is below published rates ranging up to 10%.DiscussionCritical care nurse practitioners in the ICU collaborated with vascular nursing and hospital clinical education to successfully develop and implement a US-guided PIV training program to meet patient needs within a growing community facility. The results of the training program yielded similar success and complication rates as those reported in the literature. Ongoing training is essential for program sustainability.ConclusionsCritical care nurse practitioners training registered nurses in US-guided PIV placement is an effective approach to training. Critical care nurses trained in US-guided PIV insertion can safely and effectively train other critical care nurses in US-guided PIV insertion.

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Section: Available Knowledgementioning

confidence: 99%

Section: Available Knowledgementioning

confidence: 99%

Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Education Program for Critical Care Nurses

Bagley¹

2022

Dimens Crit Care Nurs

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“…Nepaisant to, kad PVK pasaulyje yra labiausiai paplitę invaziniai medicinos prietaisai, bendras intraveninių punkcijų nesėkmės dažnis svyruoja tarp 35-50 procentų [8,13,18,30,38]. Net labiausiai patyrusių specialistų, reguliariai atliekančių intraveninį punktavimą, pirmojo punkcijos bandymo nesėkmės dažnis sudaro iki 19 procentų [28]. Kaip rodo tyrimai, net iki 28 procentų PVK intraveniškai nėra būtinas, todėl rekomenduojama gydytojų ir slaugytojų komandoje apsvarstyti kitą medikamentų administravimo būdą (per burną, nosį, tiesiąją žarną) [12].…”

Section: Periferinio Venos Kateterio Kaniulės Lūžis: Klinikinis Atvej...unclassified

Periferinio Venos Kateterio Kaniulės Lūžis: Klinikinis Atvejis Ir Literatūros Apžvalga

Zakarienė¹

2022

Health Sciences

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Periferinio venos kateterio lūžis praktikoje labai retai pasitaikantis atvejis, galintis sukelti daug įvairių komplikacijų (nepageidaujamų įvykių) ir problemų, susijusių su paciento sveikatos būkle, didinančia sveikatos priežiūros išlaidas. Išsamios statistinės analizės, pateikiančios lūžių etiologiją bei nuoseklias rekomendacijas, kurios padėtų išvengti klaidų šią procedūrą atliekantiems darbuotojams, nėra. Literatūroje apsiribojama ataskaitomis apie lūžusios kateterio kaniulės fragmento lokalizacijos metodus, migracijos aspektus, embolizacijos pavojus bei chirurginį pašalinimą. Lūžusi periferinė intraveninė kaniulė ir jos fragmento migracija gali turėti rimtų pasekmių paciento sveikatai, todėl kuo operatyvesnis lūžio ir tikslios lokalizacijos vietos nustatymas bei skubus pašalinimas yra proceso valdymo pagrindas. Rizikos veiksnių žinojimas, jų įvertinimas, tinkamos kaniulės dūrio vietos parinkimas, punkcijos bandymų sumažinimas ir periferinio venos kateterio priežiūra gali užkirsti kelią kaniulės lūžiui. Straipsnyje apibendrintai pateikiami įvairūs pastebėjimai dėl periferinio venos kateterio įkišimo bei kaniulės lūžio rizikos veiksnių ir išryškinamas poreikis mokyti darbuotojus, dirbančius su periferiniais venos kateteriais.

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“…Unfortunately, no consensus has been reached on either the best educational methods or the ideal setup for courses in US guidance. [ 14 – 17 ]…”

Section: Introductionmentioning

confidence: 99%

Teaching ultrasound-guided peripheral venous catheter placement through immersive virtual reality

Andersen

Jensen

Posth³

et al. 2021

Medicine

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Introduction: Immersive virtual reality (IVR)-based training is gaining ground as an educational tool in healthcare. When combined with well-established educational methods, IVR can potentially increase competency and autonomy in ultrasound (US)-guided peripheral venous cannulation. The aim of this study was to examine the impact of adding IVR training to a course in US-guided peripheral venous cannulation. Methods: Medical students (n = 19) from the University of Southern Denmark with no former standardized US education were recruited to voluntarily participate in a pilot study, designed as a randomized controlled trial. The primary outcome was the proportion of successful peripheral venous cannulations on a phantom. Secondary outcomes included the proportion of surface punctures on the phantom and procedure time. Participants received e-learning on the basic US before randomization to either IVR (n = 10) or no further training (n = 9). The additional IVR training comprised 10 virtual scenarios for US-guided peripheral venous catheter (PVC) placement. Students were subsequently evaluated in peripheral venous cannulation by a blinded assessor. Results: The proportion of successful peripheral venous cannulations was significantly higher in the IVR group ( P ≤ .001). The proportions of successful cannulations were significantly higher in the IVR group compared to the control group for the 1st and 2nd PVC ( P = .011, P = .023), but not for the 3rd PVC ( P = .087). Similar results were found for the proportion of surface punctures (1st: P ≤ .001, 2nd: P = .001, and 3rd: P = .114). No significant differences in procedure times were found between the groups. Conclusion: This pilot study showed that adding an IVR-based training simulation to an existing e-learning curriculum significantly increased the learning efficacy of US-guided PVC placement for medical students.

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Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

Cited by 21 publications

References 53 publications

Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Education Program for Critical Care Nurses

Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Education Program for Critical Care Nurses

Periferinio Venos Kateterio Kaniulės Lūžis: Klinikinis Atvejis Ir Literatūros Apžvalga

Teaching ultrasound-guided peripheral venous catheter placement through immersive virtual reality

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