AIMS AND OBJECTIVES: This study aimed to identify risk factors for difficult intravenous cannulation in relation to characteristics of patients, healthcare providers and devices in adult patients accessing a radiology service. BACKGROUND: Early recognition of patients at risk for difficult peripheral intravenous catheterisation is important to adopt strategies able to increase the likelihood of success in intravenous cannulation, as well as to critically evaluate the use of alternative administration routes or venous devices. DESIGN: A prospective observational study was conducted in the radiology service of an Italian university hospital from January to August 2013. METHODS: Thirteen nurses observed 763 patients during intravenous insertion (53% were female, the mean age was 63 years and 65% had a diagnosis of cancer). For each patient, nurses collected data about potential predictors of difficult intravenous cannulation, which was defined as a procedure lasting more than one minute. Data included characteristics of patient, cannula required, venepuncture performed and operator(s) involved. Logistic regression was performed as univariate and multivariate analysis. RESULTS: The intravenous insertion time ranged from 45 seconds to 125 minutes. Overall, variables identified as significant independent predictors were chemotherapy received via peripheral cannula (OR = 1·42), veins with many valves (OR = 3·67), fragility (OR = 3·29), visibility (OR = 0·87) and palpability (OR = 0·79) as perceived by nurses. CONCLUSIONS: Although many risk factors were identified, the overall success rate was very high, suggesting that nurses' attention during cannulation protected at-risk patients from multiple attempts. Multicentre studies should further investigate risk factors across different radiology services and clinical settings. RELEVANCE TO CLINICAL PRACTICE: These results can help nurses to recognise risk factors for difficult intravenous access and pay appropriate attention when attempting a venepuncture to preserve patients' peripheral veins.
AIMS AND OBJECTIVES: This study aimed to identify risk factors for difficult intravenous cannulation in relation to characteristics of patients, healthcare providers and devices in adult patients accessing a radiology service. BACKGROUND: Early recognition of patients at risk for difficult peripheral intravenous catheterisation is important to adopt strategies able to increase the likelihood of success in intravenous cannulation, as well as to critically evaluate the use of alternative administration routes or venous devices. DESIGN: A prospective observational study was conducted in the radiology service of an Italian university hospital from January to August 2013. METHODS: Thirteen nurses observed 763 patients during intravenous insertion (53% were female, the mean age was 63 years and 65% had a diagnosis of cancer). For each patient, nurses collected data about potential predictors of difficult intravenous cannulation, which was defined as a procedure lasting more than one minute. Data included characteristics of patient, cannula required, venepuncture performed and operator(s) involved. Logistic regression was performed as univariate and multivariate analysis. RESULTS: The intravenous insertion time ranged from 45 seconds to 125 minutes. Overall, variables identified as significant independent predictors were chemotherapy received via peripheral cannula (OR = 1·42), veins with many valves (OR = 3·67), fragility (OR = 3·29), visibility (OR = 0·87) and palpability (OR = 0·79) as perceived by nurses. CONCLUSIONS: Although many risk factors were identified, the overall success rate was very high, suggesting that nurses' attention during cannulation protected at-risk patients from multiple attempts. Multicentre studies should further investigate risk factors across different radiology services and clinical settings. RELEVANCE TO CLINICAL PRACTICE: These results can help nurses to recognise risk factors for difficult intravenous access and pay appropriate attention when attempting a venepuncture to preserve patients' peripheral veins.
Authors: Anna Lavrova; Wouter H T Teunissen; Esther A H Warnert; Martin van den Bent; Marion Smits Journal: Front Oncol Date: 2022-05-20 Impact factor: 5.738
Authors: Fredericus H J van Loon; Loes W E van Hooff; Hans D de Boer; Seppe S H A Koopman; Marc P Buise; Hendrikus H M Korsten; Angelique T M Dierick-van Daele; Arthur R A Bouwman Journal: J Clin Med Date: 2019-01-26 Impact factor: 4.241
Authors: Hamid Shokoohi; Michael A Loesche; Nicole M Duggan; Andrew S Liteplo; Calvin Huang; Ahad A Al Saud; Dustin McEvoy; Shan W Liu; Sayon Dutta Journal: J Am Coll Emerg Physicians Open Date: 2020-08-19
Authors: Paulo Santos-Costa; Filipe Paiva-Santos; Liliana B Sousa; Rafael A Bernardes; Filipa Ventura; William David Fearnley; Anabela Salgueiro-Oliveira; Pedro Parreira; Margarida Vieira; João Graveto Journal: J Pers Med Date: 2022-01-24
Authors: Miguel Angel Rodriguez-Calero; Joan Ernest de Pedro-Gomez; Luis Javier Molero-Ballester; Ismael Fernandez-Fernandez; Catalina Matamalas-Massanet; Luis Moreno-Mejias; Ian Blanco-Mavillard; Ana Belén Moya-Suarez; Celia Personat-Labrador; José Miguel Morales-Asencio Journal: J Clin Med Date: 2020-03-15 Impact factor: 4.241
Authors: Paulo Santos-Costa; Liliana B Sousa; Fredericus H J van Loon; Anabela Salgueiro-Oliveira; Pedro Parreira; Margarida Vieira; João Graveto Journal: Int J Environ Res Public Health Date: 2020-10-17 Impact factor: 3.390