Ultrasound (US)-guided peripheral IV (US-PIV) placement is a well-established procedure
in patients with difficult IV access [
[1]
,
[2]
]. Ultrasound has proven to improve success rates and decrease complications in patients
with difficult IV access due to obesity, IV drug abuse, and chronic illness or hospitalization;
it also reduces the need for central venous catheters (CVC) in this population [
1
,
2
,
3
]. While the majority of research has focused on physician-performed US-PIVs, some
studies have evaluated US-PIV insertion by emergency medical technicians and registered
nurses (RNs), documenting successful US-PIV insertion rates of 87–97% [
[1]
,
[3]
,
[4]
]. The Emergency Nursing Association endorsed the use of US-PIVs in 2011 [
[5]
].To read this article in full you will need to make a payment
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References
- Use of ultrasound guidance for peripheral intravenous placement in difficult-to-access patients: advancing practice with evidence.J Nurs Care Qual Jan-Mar. 2012; 27: 51-55
- Ultrasound-guided peripheral intravenous access program is associated with a marked reduction in central venous catheter use in noncritically ill emergency department patients.Ann Emerg Med Feb. 2013; 61: 198-203
- A randomized controlled trial assessing the use of ultrasound for nurse-performed IV placement in difficult access ED patients.Am J Emerg Med. 2016 Oct; 34: 1950-1954
- ED technicians can successfully place ultrasound-guided intravenous catheters in patients with poor vascular access.Am J Emerg Med. 2011 Jun; 29: 496-501
- ENA emergency nursing resources development committee. Emergency nursing resource: difficult intravenous access.J Emerg Nurs. 2011; 38 (Jul 2012): 335-343
Article Info
Publication History
Published online: April 20, 2018
Accepted:
April 17,
2018
Received in revised form:
April 14,
2018
Received:
April 9,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
