| Autor: |
Gilmore, CA, Burnett, RH, Straw, RJ, Kroll, WJ, Franklin, IR |
| Zdroj: |
Radiographer; September 2012, Vol. 59 Issue: 3 p73-76, 4p |
| Abstrakt: |
Purpose: Intravenous (IV) access is a necessity for a range of medical imaging department (MID) examinations. A number of patients who require intravenously administered therapy are difficult to cannulate using a blind approach in the hospital ward or MID. The practice of peripheral intravenous cannula (PIVC) insertion is a specialist field, with required skills usually obtained through dedicated clinical training programs. Established as a diagnostic tool, ultrasound is widely used to aid clinicians in gaining vascular access as it increases success and reduces complications. Non-diagnostic application however is poorly reported by non-medical officer or nursing professions. This study is based on the reflective experience of health practitioners with a title of Accredited Medical Sonographer (AMS). Methods: A retrospective study was conducted recounting PIVC insertions under ultrasound (US) guidance during the period 24th June 2010 to 23rd December 2011, at the MID of The Prince Charles Hospital, Australia. Results: During the study period, 957 PIVC insertion procedures were performed and 953 procedures were technically successful (99.6%). Conclusion: The necessity for venous access extends beyond medical imaging examinations in any hospital as it is a necessity for infusion therapy. An AMS with the appropriate PIVC insertion training is equipped with a unique skill set to expertly perform intravenous cannulation of the difficult to cannulate patient. |
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