Back
 OJN  Vol.5 No.12 , December 2015
Comparison of Dwell-Times of Two Commonly Placed Peripheral Intravenous Catheters: Traditional vs. Ultrasound-Guided
Abstract: Introduction: Because establishing venous access in patients can be difficult and time consuming, the use of ultrasound to guide the insertion of peripheral intravenous catheters has become more common. Anecdotal evidence indicates ultrasound-guided catheter insertion may result in decreased catheter survival in the vein (dwell-time), but there is little evidence to support this observation. The purpose of this study was to compare dwell-times for peripheral intravenous catheters placed with ultrasound guidance with intravenous catheters placed by means of traditional anatomic insertion in patients in an acute care hospital. Methods: This secondary data analysis examined outcomes of 298 patients who received ultrasound-guided catheter insertion and 299 patients who received traditionally placed intravenous catheters. Multivariable linear regression was used to identify significant predictors of dwell-time for both the traditional and US-guided catheters. Results: The average dwell-times for ultrasound-guided and traditionally placed catheters were significantly different (p < 0.0001) with traditionally placed catheters surviving over twice as long as those placed with ultrasound guidance. The average dwell-time of traditionally placed catheters was 62.21 hours compared to 27.91 hours for catheters placed with ultrasound guidance. BMI, sex, age, and catheter insertion method were all significant predictors of dwell time (R2 = 0.22). Discussion: Dwell-times of catheters placed with ultrasound guidance are shorter than traditionally placed catheters. Ultrasound-guided catheters should be monitored closely for inadvertent removal or infiltration. A plan to place a more permanent type of intravenous access should be considered for patients admitted for patients longer than 24 hours.
Cite this paper: Miles, G. , Newcomb, P. and Spear, D. (2015) Comparison of Dwell-Times of Two Commonly Placed Peripheral Intravenous Catheters: Traditional vs. Ultrasound-Guided. Open Journal of Nursing, 5, 1082-1088. doi: 10.4236/ojn.2015.512115.
References

[1]   INS Position Paper. Recommendations for Improving Safety Practices with Short Peripheral Catheters.
https://www.learningcenter.ins1.org/

[2]   American Institute of Ultrasound in Medicine (AIUM) (2012) AIUM Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures. AIUM, Laurel, MD.
http://www.aium.org/resources/guidelines/usgva.pdf

[3]   White, A., Lopez, F. and Stone, P. (2010) Developing and Sustaining an Ultrasound-Guided Peripheral Intravenous Access Program for Emergency Nurses. Advanced Emergency Nursing Journal, 32, 173-188.
http://dx.doi.org/10.1097/TME.0b013e3181dbca70

[4]   Aponte, H., Acosta, S., Rigamonti, D., Sylvia, B., Austin, P. and Samolitis, T. (2007) The Use of Ultrasound for Placement of IV Catheters. AANA Journal, 75, 212-216.

[5]   Constantino, T., Parikh, A., Satz, W. and Fortis, J. (2005) Ultrasonography-Guided Peripheral Intravenous Access versus Traditional Approaches Inpatient with Difficult Intravenous Access. Annals Emergency Medicine, 46, 456-461.
http://dx.doi.org/10.1016/j.annemergmed.2004.12.026

[6]   Miles, G., Salcedo, A. and Spear, D. (2012) Implementation of a Successful Registered Nurse Peripheral Ultrasound-Guided Intravenous Catheter Program in an Emergency Department. Journal Emergency Nursing, 38, 353-356.
http://dx.doi.org/10.1016/j.jen.2011.02.011

[7]   Dargin, J., Rebholz, C., Lowenstein, R., Mitchell, P. and Feldman, J. (2010) Ultrasonography-Guided Peripheral Intravenous Catheter Survival in ED Patients with Difficult Access. American Journal Emergency Medicine, 28, 1-7.
http://dx.doi.org/10.1016/j.ajem.2008.09.001

[8]   Moore, C. (2013) An Emergency Department Nurse-Driven Ultrasound-Guided Peripheral Intravenous Line Program. Journal Vascular Access, 18, 45-51.
http://dx.doi.org/10.1016/j.java.2012.12.001

[9]   Schub, T. and Caple, C. (2014) Peripheral Intravenous Cannula: Over-the-Needle Catheter Insertion. Nursing Practice and Skill. Cinahl Information Systems, Glendale.

[10]   O’Grady, N., Alexander, M., Burns, L., Dellinger, E., Garland, J., Heard, S., et al. (2011) Guidelines for the Prevention of Intravascular Catheter-Related Infections. Centers for Disease Control and Prevention.
http://www.cdc.gov/hicpac/BSI/BSI-guidelines-2011.html

[11]   Fields, J., Dean, A., Todman, R., Au, A., Anderson, K. and Ku, B., et al. (2011) The Effect of Vessel Depth, Diameter, and Location on Ultrasound-Guided Peripheral Intravenous Catheter Longevity. American Journal Emergency Medicine, 30, 1134-1140.
http://dx.doi.org/10.1016/j.ajem.2011.07.027

[12]   Elia, F., Ferrari, G., Molino, P., Converso, M., De Fillippi, G., Milan, A. and Apra, F. (2012) Standard-Length Catheters vs Long Catheters in Ultrasound-Guided Peripheral Vein Cannulation. American Journal Emergency Medicine, 30, 712-716.
http://dx.doi.org/10.1016/j.ajem.2011.04.019

[13]   El-Shafey, E. and Tammam, T. (2012) Ultrasonography-Guided Peripheral Intravenous Access: Regular Technique versus Seldinger Technique in Patients with Difficult Vascular Access. European Journal General Practice, 94, 216-222.

[14]   Mills, C., Liebman, O., Stone, M. and Frazee, B. (2007) Ultrasonographically Guided Insertion of a 15-cm Catheter into the Deep Brachial or Basilica Vein in Patients with Difficult Intravenous Access. Annals Emergency Medicine, 50, 68-72.
http://dx.doi.org/10.1016/j.annemergmed.2007.02.003

[15]   Keyes, L., Frazee, B., Snoey, E., Simon, B. and Christy, D. (1999) Ultrasound-Guided Brachial and Basilic Vein Cannulation in Emergency Department Patients with Difficult Intravenous Access. Annals Emergency Medicine, 34, 711-714.
http://dx.doi.org/10.1016/S0196-0644(99)70095-8

[16]   Walker, E. (2009) Piloting a Nurse-Led Ultrasound Cannulation Scheme. British Journal Nursing, 18, 854-859.
http://dx.doi.org/10.12968/bjon.2009.18.14.43352

[17]   Blaivas, M. and Lyon, M. (2006) The Effect of Ultrasound Guidance on the Perceived Difficulty of Emergency Nurse-Obtained Peripheral IV Access. Journal Emergency Medicine, 31, 407-410.
http://dx.doi.org/10.1016/j.jemermed.2006.04.014

[18]   Arbique, D., Bordelon, M., Dragoo, R. and Huckabee, S. (2014) Ultrasound-Guided Access for Peripheral Intravenous Therapy. Academy Medical-Surgical Nurses, 23, 9-15.

[19]   Panebianco, N., Fredette, J., Szyld, D., Sagalyn, E., Pines, J. and Dean, A. (2009) What You See (Sonographically) Is what You Get: Vein and Patient Characteristics Associated with Successful Ultrasound-Guided Peripheral Intravenous Placement in Patients with Difficult Access. Journal Academy Emergency Medicine, 16, 1298-1303.
http://dx.doi.org/10.1111/j.1553-2712.2009.00520.x

[20]   Schoenfeld, E., Shokoohi, H., and Boniface, K. (2011) Ultrasound-Guided Peripheral Intravenous Access in the Emergency Department: Patient-Centered Survey. Western Journal Emergency Medicine, 12, 475-477.
http://dx.doi.org/10.5811/westjem.2011.3.1920

[21]   Blaivas, M., Brannam, L. and Fernandez, E. (2003) Short-Axis versus Long-Axis Approaches for Teaching Ultrasound-Guided Vascular Access on a New Inanimate Model. Academy Emergency Medicine, 10, 1307-1311.
http://dx.doi.org/10.1111/j.1553-2712.2003.tb00002.x

 
 
Top