Abstract
Objectives: The purpose of this study was to evaluate the performance of a handheld ultrasound device for difficult peripheral intravenous (PIV) access performed by nurses and paramedics in the emergency department (ED). Methods: This was a retrospective review at an academic medical center. Participants were ED nurses and paramedics with competence in ultrasound-guided PIV placement. Participants were asked to log their use of the handheld device when used on patients deemed to have “difficult” access and complete a questionnaire, which consisted of items related to the effectiveness and ease of use of the device. Data were collected over the course of 1 year. An electronic medical record review was performed to track the success rates and the occurrence of any associated complications throughout the hospital stay. Results: Nurses and paramedics logged a total of 483 cases in which PIV access was attempted with the handheld ultrasound device. Ninety-two percent (95% confidence interval [CI], 89%–94%) of the ultrasound-guided PIV lines attempted were placed successfully. Eighty-four percent (95% CI, 80%–87%) of the lines were placed successfully on the first attempt. In most cases (396 of 483 [82%]), no complications associated with the PIV occurred. A total of 429 questionnaires were completed over the study period. Most of the operators (84%; 95% CI, 80%–87%) stated that the handheld device was adequate to perform ultrasound-guided PIV access. Conclusions: The handheld ultrasound device performed well in terms of usability and reliability for PIV access.
Original language | English (US) |
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Pages (from-to) | 1985-1991 |
Number of pages | 7 |
Journal | Journal of Ultrasound in Medicine |
Volume | 39 |
Issue number | 10 |
DOIs | |
State | Published - Oct 1 2020 |
Externally published | Yes |
Keywords
- catheterization
- emergency medicine
- intravenous access
- nursing
- ultrasound
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
- Radiology Nuclear Medicine and imaging