Insertion of Peripheral Intravenous Cannulae in the Emergency Department: Factors Associated with First-time Insertion Success

Abstract

Peripheral intravenous cannulation insertion success could be improved if performed by clinicians with greater procedural experience and increased perception of the likelihood of success. Some patient factors predict cannulation success: 'normal' body weight, visible vein/s and cubital fossa placement; venepuncture may be a cheaper alternative for others if intravenous therapy is not imperative.

Tools, Clinical Prediction Rules, and Algorithms for the Insertion of Peripheral Intravenous Catheters in Adult Hospitalized Patients: A Systematic Scoping Review of Literature

“…3,19,[24][25][26][27]30 One study was titled exclusively for the nursing profession, 20 5 studies were reported in medical journals, 3,24,26,29,30 and 6 were reported in nursing journals, [19][20][21][22]25,27 with the remainder published in a vascular access journal. 23,28 General Characteristics of Included Studies…”

“…One TRA which was registered as a clinical trial 24 involved a standardized reporting tool as is recommended by the EQUATOR Network. 18 Nine of the 13 papers reported that TRA components were chosen based on identifi ed predictors of successful insertion from observational data 3,19,[23][24][25][26][27][28]30 , with 5 papers using multivariate logistic regression to identify independent predictors. 3,23,24,26,2 At least 4330 insertion attempts on patients were reported.…”

“…Seven papers reported FTIS, which ranged from 61%-90%. 3,[23][24][25][26][27]30 Two clinical settings accounted for 10 of the 13 included Full-text articles assessed for eligibility (n = 25)…”

Predicting and preventing peripheral intravenous cannula insertion failure in the emergency department: Clinician ‘gestalt’ wins again

“…This study used data from a prospective cohort study conducted from 11 December 2013 to 3 January 2014. That study aimed to identify factors associated with first‐time insertion success . The Sir Charles Gairdner Hospital human research ethics committee approved the study as a Quality Initiative (QI3065).…”

Risk factors for a difficult intravenous access: A multicentre study comparing nurses' beliefs to evidence

“…Strategies to improve PIVC success include bedside techniques (venodilation, vascular visualisation and vein entry indication), pain management and involvement of expert healthcare providers, such as a nursing intravenous team (Harpel, 2013;Lapostolle et al, 2007;Sabri et al, 2013;Spina et al, 2018). Factors associated with PIVC success include operator's expertise, patient characteristics (e.g., weight, body mass index [BMI], co-existing medical conditions) and procedure-related factors such as vein palpability/visibility, insertion site and features of vascular access device (Carr, Rippey, Budgeon, et al, 2016;Rodriguez-Calero et al, 2018).…”