Document Type
Article
Publication Date
9-1-2012
Abstract
INTRODUCTION: Ultrasound-guided peripheral intravenous catheters (USGPIVs) have been observed to have poor durability. The current study sets out to determine whether vessel characteristics (depth, diameter, and location) predict USGPIV longevity.
METHODS: A secondary analysis was performed on a prospectively gathered database of patients who underwent USGPIV placement in an urban, tertiary care emergency department. All patients in the database had a 20-gauge, 48-mm-long catheter placed under ultrasound guidance. The time and reason for USGPIV removal were extracted by retrospective chart review. A Kaplan-Meier survival analysis was performed.
RESULTS: After 48 hours from USGPIV placement, 32% (48/151) had failed prematurely, 24% (36/151) had been removed for routine reasons, and 44% (67/151) remained in working condition yielding a survival probability of 0.63 (95% confidence interval [CI], 0.53-0.70). Survival probability was perfect (1.00) when placed in shallow vessels (
CONCLUSION: Cannulation of deep and proximal vessels is associated with poor USGPIV survival. Careful selection of target vessels may help improve success of USGPIV placement and durability.
Recommended Citation
Fields, J Matthew; Dean, Anthony J; Todman, Raleigh W; Au, Arthur K; Anderson, Kenton L; Ku, Bon S; Pines, Jesse M; and Panebianco, Nova L, "The effect of vessel depth, diameter, and location on ultrasound-guided peripheral intravenous catheter longevity." (2012). Department of Emergency Medicine Faculty Papers. Paper 13.
https://jdc.jefferson.edu/emfp/13
AJEM Table 2.pdf (31 kB)
Figure 1- KM Survival Curve USGPIVs.pdf (42 kB)
Figure 2a- Survival by Depth.pdf (39 kB)
Figure 2b Survival by Vessel Location.pdf (58 kB)
Figure 3 - Multiple Survival Curve Graph.pdf (87 kB)
PubMed ID
22078967
Comments
This is the author's final version prior to publication in the American Journal of Emergency Medicine, Volume 30, Issue 7, September 2012, Pages 1134-1140. DOI: 10.1016/j.ajem.2011.07.027. Copyright © 2012 Elsevier B.V.