Variables influencing intravenous catheter insertion difficulty and failure: An analysis of 339 intravenous catheter insertions

Jacobson, Ann; Winslow, Elizabeth H.

doi:10.1016/j.hrtlng.2005.04.002

Cited by 239 publications

(214 citation statements)

References 24 publications

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“…The researchers in the present study, however, did not observe this association, in view of the restricted number Authors cite that some of these conditions can impede success in the procedure (4)(5)7,14,(18)(19) . In the present study, however, the researchers did not identify which clinical condition was most significant, due to the high number of associations between the same for each child.…”

Section: Discussioncontrasting

confidence: 83%

“…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: 80%

“…However, authors discount the possibility that being female and having dark skin or extreme age impede the obtaining of access; the reasons mentioned result from the smaller caliber of the veins and difficulty in evaluating the vessel (4,(14)(15) .…”

Section: Discussionmentioning

confidence: 99%

“…Studies undertaken with children have shown failure rates for the procedure varying from 9 to 36% (4)(5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

“…The definition for 'yes' (success) was the insertion of the catheter into the vein without resistance to progression characterized by blood reflux, infusion of 2 ml of NaCl 0.9%, an absence of complaints of pain from the child, and without alteration on inspection and palpation of the catheter insertion site (4,(8)(9) ; 'no' (failure) was the absence of the above-mentioned conditions. The study's explanatory variables were selected considering factors which were intrinsic and extrinsic to the child, which could influence the accomplishment of the PIP.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussioncontrasting

confidence: 83%

Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

“…Studies undertaken with children have shown failure rates for the procedure varying from 9 to 36% (4)(5)(6)(7) .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Predisposing factors for peripheral intravenous puncture failure in children

Negri

Avelar

Andreoni

et al. 2012

Rev. Latino-Am. Enfermagem

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Does Test‐enhanced Learning Improve Success Rates of Ultrasound‐guided Peripheral Intravenous Insertion? A Randomized Controlled Trial

Slomer

Chenkin

2017

AEM Education and Training

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Difficult intravenous access as an independent predictor of delayed care and prolonged length of stay in the emergency department

et al. 2020

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Objectives: Difficult intravenous access (DIVA) is common in the emergency department (ED). We investigated the extent to which DIVA is associated with care delay outcomes including time to first laboratory draw, therapies, imaging, and ED disposition. Methods: An observational retrospective cohort analysis of patients with DIVA treated between 2018 and 2020 at 2 urban academic EDs was performed. DIVA was defined as patients requiring ultrasound-guided intravenous access placed by physicians or advanced practice providers (APPs) as opposed to landmark-based intravenous placement by nurses. ED throughput variables and disposition time were compared. We correlated DIVA with time to administration of intravenous pain medications, fluids, imaging contrast, laboratory results, and ED disposition. Results: A total of 108,256 subjects with 161,122 total encounters were included. DIVA occurred in 4961 (3.1%) of ED visits. Patients with DIVA were more likely to be female (3.5% vs 2.6% for males, odds ratio [OR] 1.34, 95% confidence interval [CI]: 1.27-1.42), self-identify as black (OR 1.78, 95% CI: 1.66-1.91), and have higher acuity of illness (P < 0.001). Among pediatric patients, DIVA occurred most often in the first year of life at a rate of 3.25%. In adults, DIVA occurred in 2 age peaks; at 35 years (4.02%), and at 63 years (3.44%). In all workflow metrics, the presence of DIVA was associated with significant delays in median time to completion: 50 minutes for pain

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Variables influencing intravenous catheter insertion difficulty and failure: An analysis of 339 intravenous catheter insertions

Cited by 239 publications

References 24 publications

Predisposing factors for peripheral intravenous puncture failure in children

Predisposing factors for peripheral intravenous puncture failure in children

Does Test‐enhanced Learning Improve Success Rates of Ultrasound‐guided Peripheral Intravenous Insertion? A Randomized Controlled Trial

Difficult intravenous access as an independent predictor of delayed care and prolonged length of stay in the emergency department

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