The effect of vessel depth, diameter, and location on ultrasound-guided peripheral intravenous catheter longevity

Abstract Introduction Ultrasound-guided peripheral intravenous catheters (USGPIVs) have been observed to have poor durability. The current study sets out to determine whether vessel characteristics (depth, diameter, and location) predict USGPIV longevity. Methods A secondary analysis was performed o...

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Veröffentlicht in:	The American journal of emergency medicine 2012-09, Vol.30 (7), p.1134-1140
Hauptverfasser:	Fields, J. Matthew, MD, Dean, Anthony J., MD, Todman, Raleigh W., MD, Au, Arthur K., MD, Anderson, Kenton L., MD, Ku, Bon S., MD, MPP, Pines, Jesse M., MD, MSCE, Panebianco, Nova L., MD, MPH
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Age Factors Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Catheterization, Peripheral - adverse effects Catheterization, Peripheral - methods Catheterization, Peripheral - statistics & numerical data Catheters Emergency Emergency and intensive care: techniques, logistics Emergency medical care Equipment Failure - statistics & numerical data Female Humans Intensive care medicine Kaplan-Meier Estimate Longevity Male Medical instruments Medical procedures Medical sciences Middle Aged Perfusions. Catheterizations. Hyperbaric oxygenotherapy Retrospective Studies Secondary analysis Survival Time Factors Ultrasonography, Interventional - adverse effects Ultrasonography, Interventional - statistics & numerical data Veins & arteries Veins - anatomy & histology Working conditions Young Adult
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Zusammenfassung:	Abstract Introduction Ultrasound-guided peripheral intravenous catheters (USGPIVs) have been observed to have poor durability. The current study sets out to determine whether vessel characteristics (depth, diameter, and location) predict USGPIV longevity. Methods A secondary analysis was performed on a prospectively gathered database of patients who underwent USGPIV placement in an urban, tertiary care emergency department. All patients in the database had a 20-gauge, 48-mm-long catheter placed under ultrasound guidance. The time and reason for USGPIV removal were extracted by retrospective chart review. A Kaplan-Meier survival analysis was performed. Results After 48 hours from USGPIV placement, 32% (48/151) had failed prematurely, 24% (36/151) had been removed for routine reasons, and 44% (67/151) remained in working condition yielding a survival probability of 0.63 (95% confidence interval [CI], 0.53-0.70). Survival probability was perfect (1.00) when placed in shallow vessels (
ISSN:	0735-6757 1532-8171
DOI:	10.1016/j.ajem.2011.07.027