Performance of peripheral catheters inserted with ultrasound guidance versus landmark technique after a simulation-based mastery learning intervention
- 15 September 2021
- journal article
- research article
- Published by SAGE Publications in The Journal of Vascular Access
- Vol. 24 (4), 630-638
- https://doi.org/10.1177/11297298211044363
Abstract
Ultrasound-guided peripheral intravenous catheter (USGPIV) insertion is an effective method to gain vascular access in patients with difficult intravenous access (DIVA). While USGPIV success rates are reported to be high, some studies have reported a concerning incidence of USGPIV premature failures. The purpose of this study was to compare differences in USGPIV and landmark peripheral intravenous catheter (PIV) utilization and failure following a hospital-wide USGPIV training program for nurses. The authors performed a retrospective, electronic medical record review of all USGPIVs and PIVs inserted at a tertiary, urban, academic medical center from September 1, 2018, through September 30, 2019. The primary outcome was differences between USGPIV and PIV time to failure. A total of 43,470 short peripheral intravenous catheters (PIVCs) were inserted in 23,713 patients. Of these, 7972 (16.8%) were USGPIV. At 30 days of follow-up, for PIVCs with an indication for removal documented, USGPIVs had higher Kaplan–Meier survival probabilities than PIVs (p < 0.001). The use of simulation-based mastery associated with USGPIVs, demonstrated lower failure rates than standard PIVs after 2 days and USGPIVs exhibited improved survival rates in patients with DIVA. These findings suggest that rigorous simulation-based insertion training demonstrates improved USGPIV survival when compared to traditional PIVCs. SBML is an extremely useful tool to ensure appropriately trained clinicians acquire the necessary knowledge and skillset to improve USGPIV outcomes.Keywords
This publication has 54 references indexed in Scilit:
- Risk Factors for Peripheral Intravenous Catheter Failure: A Multivariate Analysis of Data from a Randomized Controlled TrialInfection Control & Hospital Epidemiology, 2014
- Ultrasound-guided peripheral venous accessEuropean Journal of Emergency Medicine, 2013
- Ultrasound-Guided Peripheral Intravenous Access Program Is Associated With a Marked Reduction in Central Venous Catheter Use in Noncritically Ill Emergency Department PatientsAnnals of Emergency Medicine, 2012
- Decrease in central venous catheter placement due to use of ultrasound guidance for peripheral intravenous cathetersThe American Journal of Emergency Medicine, 2012
- IV Access Difficulty: Incidence and Delays in an Urban Emergency DepartmentThe Journal of Emergency Medicine, 2012
- The effect of vessel depth, diameter, and location on ultrasound-guided peripheral intravenous catheter longevityThe American Journal of Emergency Medicine, 2011
- Ultrasonography-guided peripheral intravenous catheter survival in ED patients with difficult accessThe American Journal of Emergency Medicine, 2010
- Peripheral venous catheters: an under-evaluated problemInternational Journal of Antimicrobial Agents, 2009
- Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit*Critical Care Medicine, 2009
- Use of simulation‐based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unitJournal of Hospital Medicine, 2009