Comparison of Standard Technique, Ultrasonography, and Near-Infrared Light in Difficult Peripheral Vascular Access: A Randomized Controlled Trial
| Autor: | Sercan Yalçınlı, Funda Karbek Akarca, Özge Can, İlhan Uz, Gülbin Konakçı |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
spectroscopy
Efficacy interventional Emergency-Department Metaanalysis Emergency Nursing Ultrasound-Guidance near-infrared Catheterization Peripheral Vein Cannulation Emergency Medicine Humans Intravenous Cannulation Prospective Studies peripheral Emergency Service Hospital catheterization Interventions Ultrasonography Interventional Placement Ultrasonography |
| Zdroj: | Prehospital and Disaster Medicine. 37:65-70 |
| ISSN: | 1945-1938 1049-023X |
| DOI: | 10.1017/s1049023x21001217 |
| Popis: | Objectives: Successful placement of a peripheral intravenous catheter (PIVC) on the first attempt is an important outcome for difficult vascular access (DVA) patients. This study compared standard technique, ultrasonography (USG), and near-infrared light (NIR) in terms of success in the first attempt in patients with DVA. Methods: This was a prospective, randomized controlled study. The study was conducted in a tertiary care hospital. Emergency department patients who describe DVA history, have no visible or palpable veins, and were assessed by the nurse to have a difficult PIVC were included to study. The PIVC procedure was performed on patients by standard, USG, or NIR device techniques. For all approaches, the success of the first attempt was the primary aim. Total procedure time, the total number of attempts, and the need for rescue intervention were secondary aims. Results: This study evaluated 270 patients. The first attempt success rates for USG, standard, and NIR methods were 78.9%, 62.2%, and 58.9%, respectively. The rate of first attempt success was higher in patients who underwent USG (USG versus standard, P = .014; USG versus NIR, P = .004; standard versus NIR, P = .648). The total median (IQR) procedure time for USG, standard, and NIR methods was 107 (69-228), 72 (47-134), and 82 (61-163) seconds, respectively. The total procedure time was longer in patients undergoing USG (standard versus USG, P Ege University Planning and Monitoring Coordination of Organizational Development; Directorate of Library and Documentation The authors are grateful to Ege University Planning and Monitoring Coordination of Organizational Development and Directorate of Library and Documentation for their support in editing and proofreading service of this study. |
| Databáze: | OpenAIRE |
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