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Ultrasound-guided Long Peripheral IV Catheter (USG Long PIVC)
Ultrasound-guided long peripheral IV catheters (PIVCs) provide more flexibility to choose veins for a short-term infusion therapy, last longer and support first-stick success.1,2
Ultrasound-guided long PIVCs allow the access of deeper veins. This development is driven by the increasing number of difficult intravenous access (DIVA) patients. This patient group includes pediatrics, overweight or obese, elderly, chronically-ill (i.e. diabetics), and emergency/ acute (i.e. suffering from skin burn, hematoma, dehydration) patients in which superficial veins are not always suitable to gain peripheral vascular access.
Ultrasound-guided long PIVCs are assumed to have a positive impact on reducing catheter dislodgements, infiltration and thus help to achieve longer indwell times.1
Over
0%
Adults with difficult venous access3
More than
0%
Likelihood of failed catheterization on first attempt in DIVA patients4
References
1. Bahl, Amit, et al. "Ultra long versus standard long peripheral intravenous catheters: a randomized controlled trial of ultrasound-guided catheter survival." Available at SSRN 3401988 (2019).
2. Vinograd, A.M., Chen, A.E., Woodford, A.L., Fesnak, S., Gaines, S., Elci, O.U. and Zorc, J.J., 2019. Ultrasonographic Guidance to Improve First-Attempt Success in Children With Predicted Difficult Intravenous Access in the Emergency [3] Department: A Randomized Controlled Trial. Annals of emergency medicine.
3. Whalen M, Maliszewski B, Baptiste DL. Establishing a Dedicated Difficult Vascular Access Team in the Emergency Department: A Needs Assessment. J Infus Nurs. 2017 May/Jun;40(3):149-154.
4. Riker, Michael W., et al. "Validation and refinement of the difficult intravenous access score: a clinical prediction rule for identifying children with difficult intravenous access." Academic Emergency Medicine 18.11 (2011): 1129-1134.
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