The impact of the catheter to vein ratio on peripheral intravenous cannulation success, a post-hoc analyses
Intravenous cannulation is usually the first procedure performed in modern healthcare, although establishing peripheral intravenous access is challenging in some patients. The impact of the ratio between venous diameter and the size of the inserted catheter (catheter to vein ratio, CVR) on the first...
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| description | Intravenous cannulation is usually the first procedure performed in modern healthcare, although establishing peripheral intravenous access is challenging in some patients. The impact of the ratio between venous diameter and the size of the inserted catheter (catheter to vein ratio, CVR) on the first attempt success rate can be of added value in clinical. This study tries to give insight into the consideration that must be made when selecting the target vein and the type of catheter, and proved the null hypothesis that an optimal CVR would not be associated with increased first attempt cannulation success. This was a post-hoc analyses on adult patients admitted for peripheral intravenous cannulation. Intravenous cannulation was performed according to practice guidelines, by applying the traditional landmark approach. The CVR was calculated afterwards for each individual patient by dividing the external diameter of the inserted catheter by the diameter of the target vein, which was multiplied by 100%. In total, 610 patients were included. The median CVR was 0.39 (0.15) in patients with a successful first attempt, whereas patients with an unsuccessful first attempt had a median CVR of 0.55 (0.20) (P |
| doi_str_mv | 10.1371/journal.pone.0252166 |
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J ; Korsten, Hendrikus H. M ; Dierick-van Daele, Angelique T. M ; Bouwman, Arthur R. A</creator><contributor>Chen, Robert Jeenchen</contributor><creatorcontrib>van Loon, Fredericus H. J ; Korsten, Hendrikus H. M ; Dierick-van Daele, Angelique T. M ; Bouwman, Arthur R. A ; Chen, Robert Jeenchen</creatorcontrib><description>Intravenous cannulation is usually the first procedure performed in modern healthcare, although establishing peripheral intravenous access is challenging in some patients. The impact of the ratio between venous diameter and the size of the inserted catheter (catheter to vein ratio, CVR) on the first attempt success rate can be of added value in clinical. This study tries to give insight into the consideration that must be made when selecting the target vein and the type of catheter, and proved the null hypothesis that an optimal CVR would not be associated with increased first attempt cannulation success. This was a post-hoc analyses on adult patients admitted for peripheral intravenous cannulation. Intravenous cannulation was performed according to practice guidelines, by applying the traditional landmark approach. The CVR was calculated afterwards for each individual patient by dividing the external diameter of the inserted catheter by the diameter of the target vein, which was multiplied by 100%. In total, 610 patients were included. The median CVR was 0.39 (0.15) in patients with a successful first attempt, whereas patients with an unsuccessful first attempt had a median CVR of 0.55 (0.20) (P<0.001). The optimal cut-off point of the CVR was 0.41. First attempt cannulation was successful in 92% of patients with a CVR0.41 had a first attempt success rate of 65% (P<0.001). This first introduction of the CVR in relation to cannulation success should be further investigated. Although, measuring the venous diameter or detection of a vein with a specific diameter prior to cannulation may increase first attempt cannulation success.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0252166</identifier><identifier>PMID: 34029356</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Analysis ; Anesthesia ; Anesthesiology ; Biology and Life Sciences ; Cannulation ; Catheters ; Complications and side effects ; Datasets ; Electrical engineering ; Engineering and Technology ; Health risks ; Hospitals ; Hypotheses ; Intensive care ; Intravenous administration ; Intravenous catheterization ; Medical instruments ; Medicine and Health Sciences ; Patients ; People and Places ; Risk factors ; Signal processing ; Success ; Ultrasonic imaging ; Veins ; Veins & arteries</subject><ispartof>PloS one, 2021-05, Vol.16 (5), p.e0252166-e0252166</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 van Loon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 van Loon et al 2021 van Loon et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-6fe481598ad631fb2d9360e701e51043c6d0fa2422f055a3506cdeebe8e4eeb03</citedby><cites>FETCH-LOGICAL-c669t-6fe481598ad631fb2d9360e701e51043c6d0fa2422f055a3506cdeebe8e4eeb03</cites><orcidid>0000-0003-3854-6976</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143382/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8143382/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids></links><search><contributor>Chen, Robert Jeenchen</contributor><creatorcontrib>van Loon, Fredericus H. J</creatorcontrib><creatorcontrib>Korsten, Hendrikus H. M</creatorcontrib><creatorcontrib>Dierick-van Daele, Angelique T. M</creatorcontrib><creatorcontrib>Bouwman, Arthur R. A</creatorcontrib><title>The impact of the catheter to vein ratio on peripheral intravenous cannulation success, a post-hoc analyses</title><title>PloS one</title><description>Intravenous cannulation is usually the first procedure performed in modern healthcare, although establishing peripheral intravenous access is challenging in some patients. The impact of the ratio between venous diameter and the size of the inserted catheter (catheter to vein ratio, CVR) on the first attempt success rate can be of added value in clinical. This study tries to give insight into the consideration that must be made when selecting the target vein and the type of catheter, and proved the null hypothesis that an optimal CVR would not be associated with increased first attempt cannulation success. This was a post-hoc analyses on adult patients admitted for peripheral intravenous cannulation. Intravenous cannulation was performed according to practice guidelines, by applying the traditional landmark approach. The CVR was calculated afterwards for each individual patient by dividing the external diameter of the inserted catheter by the diameter of the target vein, which was multiplied by 100%. In total, 610 patients were included. The median CVR was 0.39 (0.15) in patients with a successful first attempt, whereas patients with an unsuccessful first attempt had a median CVR of 0.55 (0.20) (P<0.001). The optimal cut-off point of the CVR was 0.41. First attempt cannulation was successful in 92% of patients with a CVR0.41 had a first attempt success rate of 65% (P<0.001). This first introduction of the CVR in relation to cannulation success should be further investigated. Although, measuring the venous diameter or detection of a vein with a specific diameter prior to cannulation may increase first attempt cannulation success.</description><subject>Analysis</subject><subject>Anesthesia</subject><subject>Anesthesiology</subject><subject>Biology and Life Sciences</subject><subject>Cannulation</subject><subject>Catheters</subject><subject>Complications and side effects</subject><subject>Datasets</subject><subject>Electrical engineering</subject><subject>Engineering and Technology</subject><subject>Health risks</subject><subject>Hospitals</subject><subject>Hypotheses</subject><subject>Intensive care</subject><subject>Intravenous administration</subject><subject>Intravenous catheterization</subject><subject>Medical instruments</subject><subject>Medicine and Health Sciences</subject><subject>Patients</subject><subject>People and Places</subject><subject>Risk factors</subject><subject>Signal processing</subject><subject>Success</subject><subject>Ultrasonic imaging</subject><subject>Veins</subject><subject>Veins & arteries</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk2uL1DAUhoso7rr6DwQDgijYMZc2bb8Iy-JlYGFBV7-GTHo6zZhJapIO7r833amylf0ghdz6nPckb3Ky7DnBK8Iq8m7nRm-lWQ3OwgrTkhLOH2SnpGE05xSzh3fGJ9mTEHYYl6zm_HF2wgpMG1by0-zHdQ9I7wepInIdimmmZGojeBQdOoC2yMuoHXIWDeD10IOXBmkbvTyAdWNIAdaOZoIsCqNSEMJbJNHgQsx7p5BM27wJEJ5mjzppAjyb-7Ps28cP1xef88urT-uL88tccd7EnHdQ1KRsatlyRroNbRvGMVSYQElwwRRvcSdpQWmHy1KyEnPVAmyghiJ1mJ1lL466g3FBzD4FQUtGSso5rhOxPhKtkzsxeL2X_kY4qcXtgvNbIX3UyoDgChSGotikLIVialMRUJxxAg1UvFNJ6_2cbdzsoVUwOWMWoss_Vvdi6w6iJgVjNU0Cr2cB736OEKLY66DAGGkh2Tvtm9Iy3S5P6Mt_0PtPN1NbmQ6gbedSXjWJinPOaVWT6pZa3UOlr4W9VulRdTqtLwLeLAISE-FX3MoxBLH--uX_2avvS_bVHbYHaWIfnBmn9xSWYHEElXcheOj-mkywmGrijxtiqgkx1wT7DQCa_gE</recordid><startdate>20210524</startdate><enddate>20210524</enddate><creator>van Loon, Fredericus H. 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J</au><au>Korsten, Hendrikus H. M</au><au>Dierick-van Daele, Angelique T. M</au><au>Bouwman, Arthur R. A</au><au>Chen, Robert Jeenchen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of the catheter to vein ratio on peripheral intravenous cannulation success, a post-hoc analyses</atitle><jtitle>PloS one</jtitle><date>2021-05-24</date><risdate>2021</risdate><volume>16</volume><issue>5</issue><spage>e0252166</spage><epage>e0252166</epage><pages>e0252166-e0252166</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Intravenous cannulation is usually the first procedure performed in modern healthcare, although establishing peripheral intravenous access is challenging in some patients. The impact of the ratio between venous diameter and the size of the inserted catheter (catheter to vein ratio, CVR) on the first attempt success rate can be of added value in clinical. This study tries to give insight into the consideration that must be made when selecting the target vein and the type of catheter, and proved the null hypothesis that an optimal CVR would not be associated with increased first attempt cannulation success. This was a post-hoc analyses on adult patients admitted for peripheral intravenous cannulation. Intravenous cannulation was performed according to practice guidelines, by applying the traditional landmark approach. The CVR was calculated afterwards for each individual patient by dividing the external diameter of the inserted catheter by the diameter of the target vein, which was multiplied by 100%. In total, 610 patients were included. The median CVR was 0.39 (0.15) in patients with a successful first attempt, whereas patients with an unsuccessful first attempt had a median CVR of 0.55 (0.20) (P<0.001). The optimal cut-off point of the CVR was 0.41. First attempt cannulation was successful in 92% of patients with a CVR0.41 had a first attempt success rate of 65% (P<0.001). This first introduction of the CVR in relation to cannulation success should be further investigated. Although, measuring the venous diameter or detection of a vein with a specific diameter prior to cannulation may increase first attempt cannulation success.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34029356</pmid><doi>10.1371/journal.pone.0252166</doi><tpages>e0252166</tpages><orcidid>https://orcid.org/0000-0003-3854-6976</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Anesthesia Anesthesiology Biology and Life Sciences Cannulation Catheters Complications and side effects Datasets Electrical engineering Engineering and Technology Health risks Hospitals Hypotheses Intensive care Intravenous administration Intravenous catheterization Medical instruments Medicine and Health Sciences Patients People and Places Risk factors Signal processing Success Ultrasonic imaging Veins Veins & arteries |
| title | The impact of the catheter to vein ratio on peripheral intravenous cannulation success, a post-hoc analyses |
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