UltraSound guided PEripheral Catheterization increases first-atTempt success RAte in hospitalized patients when compared with conventional technique: SPECTRA - Randomized Clinical Trial

Autor: Leandro Augusto Hansel, Marina Junges, Marina Scherer Santos, Vânia Naomi Hirakata, Rodrigo Ceratti do Nascimento, Gabriela Petró Valli Czerwinski, Marco Aurélio Lumertz Saffi, Eduarda Bordini Ferro, Daniele Volkmer Jacobsen, Eneida Rejane Rabelo-Silva
Rok vydání: 2023
Předmět:
Zdroj: The Journal of Vascular Access. :112972982311621
ISSN: 1724-6032
1129-7298
DOI: 10.1177/11297298231162132
Popis: Background: Peripheral intravenous catheter (PIVC) insertion is the most common invasive procedure in the hospital setting. Ultrasound guided PIVC insertion in specific populations and settings has shown patient care benefits. Objective: To compare the success rate of first attempts of ultrasound guided PIVC insertion performed by nurse specialists with conventional PIVC insertion performed by nurse assistants. Method: Randomized, controlled, single-center clinical trial registered on the ClinicalTrials.gov platform under registration NTC04853264, conducted at a public university hospital from June to September 2021. Adult patients hospitalized in clinical inpatient units with an indication for intravenous therapy compatible with a peripheral venous network were included. Participants in the intervention group (IG) received ultrasound guided PIVC performed by nurse specialists from the vascular access team, while those in the control group (CG) received conventional PIVC by nurse assistants. Results: The study included a total of 166 patients: IG ( n = 82) and CG ( n = 84), mean age 59.5 ± 16.5 years, mostly women ( n = 104, 62.7%) and white ( n = 136, 81.9%). Success rate on the first attempt of PIVC insertion in IG was 90.2% and in CG was 35.7% ( p Conclusion(s): Successful first-try insertion was higher in the group receiving ultrasound-guided PIVC. Moreover, there were no insertion failures and IG presented lower insertion time rates and incidence of unfavorable outcomes.
Databáze: OpenAIRE
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