Prospective evaluation of peripheral venous access difficulty in emergency care

Lapostolle, Frédéric; Catineau, Jean; Garrigue, Bruno; Monmarteau, V.; Houssaye, Thierry; Vecci, I.; Tréoux, Virginie; Crocheton, Nicolas; Adnet, Frédéric

doi:10.1007/s00134-007-0634-y

Cited by 139 publications

(123 citation statements)

References 17 publications

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“…So as to prevent this type of complication, attention should be drawn to the positioning of the tourniquet as distal as possible to the area of insertion of the catheter, with a view to reducing intravascular pressure (11) The children's non-alterable factors, such as age, sex and skin color, do not show contribution to PIP failure, which corroborates other studies (4,7,(12)(13) .…”

Section: Discussionsupporting

confidence: 78%

Predisposing factors for peripheral intravenous puncture failure in children

Negri

Avelar

Andreoni

et al. 2012

Rev. Latino-Am. Enfermagem

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Objective: To identify predisposing factors for peripheral intravenous puncture failure in children.Methods: Cross-sectional cohort study conducted with 335 children in a pediatric ward of a university hospital after approval of the ethics committee. The Wald Chi-squared, Prevalence Fatores predisponentes para insucesso da punção intravenosa periférica em criançasObjetivo: verificar fatores predisponentes para o insucesso da punção intravenosa periférica realizada em crianças. Método: trata-se de estudo de coorte transversal, realizado com 335 crianças internadas em unidade pediátrica de um hospital universitário, após aprovação do mérito ético. Utilizaram-se testes qui-quadrado de Wald, razão de prevalência (RP) e procedimento de backward (p≤0,05). Resultados: evidenciou-se sucesso da punção em 300 (89,5%) crianças e insucesso em 35 (10,4%). Influenciaram significantemente as proporções de fracasso: apresentar história clínica para dificuldade na punção, estar desnutrido, uso prévio de cateter central de inserção periférica, uso prévio de cateter venoso central e antecedentes de flebite e de infiltração. No modelo multivariado, estar desnutrido e ter sido submetido previamente a cateterização venosa central foram os fatores predisponentes para o insucesso.Conclusões: a proporção de 10,4% de insucesso na punção é similar à identificada em estudos sobre a temática e foi influenciada por características da criança e da terapia. Em associação, as variáveis desnutrição e uso prévio de cateter venoso central foram as características mais importantes para o aumento da proporção de insucesso da punção intravenosa periférica.Este estudo traz novas evidências sobre os fatores de risco que contribuem para o insucesso na punção intravenosa periférica de crianças, constituindo aspecto a ser considerado no planejamento e execução da prática assistencial de enfermagem pediátrica, com vistas à obtenção de melhores resultados na punção intravenosa periférica e promoção da segurança do paciente.Descritores: Enfermagem Pediátrica; Cateterismo Periférico; Segurança do Paciente; Pediatria. Factores predisponentes para fracaso de la punción intravenosa periférica en niñosObjetivo: Verificar factores predisponentes para el fracaso de la punción intravenosa periférica realizada en niños. Método: Estudio de cohorte transversal realizado con 335 niños internados en unidad pediátrica de un hospital universitario, después de la aprobación del mérito ético.Se utilizaron testes Jue-cuadrado de Wald, Razón de Superioridad (RP) y procedimiento de backward (p≤0,05). Resultados: se evidenció éxito de la punción en 300 (89,5%) niños e fracaso en 35 (10,4%). Influenciaron significantemente las proporciones de fracaso: presentar historia clínica para dificultad en la punción, estar desnutrido, uso previo de catéter central de inserción periférica, uso previo de catéter venoso central y antecedentes de flebitis y de infiltración.En el modelo multivariado, estar desnutrido y haber sido sometido antepasadamente a cateterización venosa central fuero...

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Section: Discussionsupporting

confidence: 78%

Predisposing factors for peripheral intravenous puncture failure in children

Negri

Avelar

Andreoni

et al. 2012

Rev. Latino-Am. Enfermagem

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“…2016; 26(6):e6321. 92% of adults (14) and in 86% of children (15). The success rate within two attempts is 95.47% in this study, which is higher than that in the reports mentioned above, meaning that 4.53% of patients require three or more attempts before success.…”

Section: Discussioncontrasting

confidence: 67%

Grade Management in Establishing Pediatric Peripheral Venous Access

Yan

Gong

et al. 2016

Iran J Pediatr

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Background: Establishing venous access is a challenging job for pediatric nurses, especially in the emergency department. Measures to ensure higher success rates on the first attempt are important to provide quality nursing care. Objectives: To explore the effect of grade management on the success of establishing peripheral venous access in the child population of China and to analyze the factors influencing failed IV access on the first attempt. Methods: This is an observational study on children aged 0 -16 years old undergoing peripheral venous catheterization in a children's hospital. Patient information was collected before attempting each puncture. Logistic regression was used to identify independent factors for success prediction. Results: A total of 1,016 subjects enrolled. The success rate of intravenous puncture on the first attempt was 86.02%. This can be influenced by several factors, such as patient age, department, venous condition, and nurse experience. The success rate within two attempts was 96.85%; the number of catheters used per IV attempt was 1.21. Conclusions: To date, only a few studies have explored the success rate of peripheral IV catheterization in the pediatric population of China. Grade management of peripheral veins and pediatric nurses facilitated higher first-attempt success than in previously published reports. Failures of catheterization were multifactorial. The success rate of peripheral intravenous insertion in children can be improved through applying assistance devices or enhancing the venipuncture skills of pediatric nurses.

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“…Improved success rate was reported when attempts were performed by a nurse specialized in emergency care in patients without a particular medical history like chemotherapy, diabetes, or previous multiple hospitalizations. Initial teaching and regular practice significantly increased the success rate [15]. In our study, one of our participating centers solved the problem of difficulties in establishing venous access by a transmural infusion team composed of trained infusion nurses working both at the hospital and in the home situation, thus providing regular practice in inserting infusion needles.…”

Section: Discussionmentioning

confidence: 93%

“…In our study, the peripheral venous cannula had to be inserted at home by the home nurse of the infusion team. Lapostolle et al [15] reported a study on a total of 671 attempts to obtain peripheral intravenous access in 495 patients in emergency care in out-of-hospital settings. The first attempt was successful in 368 cases (74%) and unsuccessful in 127 (26%).…”

Section: Discussionmentioning

confidence: 99%

Treatment adherence and patients’ acceptance of home infusions with adenosine 5′-triphosphate (ATP) in palliative home care

Beijer

Wijckmans

Rossum

et al. 2008

Support Care Cancer

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Goals of work In preterminal cancer patients, provision of palliative care in the patients' own environment is preferred. The aim of the present study was to evaluate patients' and caregivers' treatment adherence and patients' acceptance of home infusions with adenosine 5′-triphosphate (ATP). Patients and methods Preterminal cancer patients (life expectancy <6 months) with mixed tumor types were eligible for the study. Patients received a maximum of eight weekly intravenous 8-10 h ATP infusions. Evaluation of treatment adherence was based on registration of protocol deviations and patients' acceptance by structured interviews with patients. Main results Fifty-one patients received a total of 266 intravenous ATP infusions. The infusion protocol was well executed: mean duration ≈8.30 h, stepwise achievement of the maximum infusion rate within 30 min in 65% of the infusions, and almost no delay in weekly administration. All except one patient were not burdened by the administration of the infusions at home and none of them had felt afraid.

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Prospective evaluation of peripheral venous access difficulty in emergency care

Abstract: Peripheral intravenous access was achieved in 99% of the patients in out-of-hospital settings. Improved success rate was reported when attempts were performed by a nurse specialized in emergency care using a 16- or 18-G catheter in clean patients without a particular medical history.

Cited by 139 publications

References 17 publications

Predisposing factors for peripheral intravenous puncture failure in children

Predisposing factors for peripheral intravenous puncture failure in children

Grade Management in Establishing Pediatric Peripheral Venous Access

Treatment adherence and patients’ acceptance of home infusions with adenosine 5′-triphosphate (ATP) in palliative home care

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