Failed attempts and improvement strategies in peripheral intravenous catheterization
Abstract
Background Access to peripheral veins is necessary for sample collection, transfusion and infusion of fluids or medications. The peripheral intravenous catheterization (PIVC) procedure is the introduction of a short catheter into a peripheral vein and can be problematic, leading to multiple failed attempts. Purpose To analyze scientific literature regarding difficulties in establishing peripheral intravenous access and improvement strategies. Method A literature search was undertaken and secondary references were retrieved from the papers obtained from the initial search. A total of 128 papers published from 1975 to 2011 were reviewed. Results The first attempt of PIVC fails in 12-26% of adults and 24-54% of children. Factors associated with the currently utilized PIVC success include: (1) patient's characteristics such as age, gender, race, weight/BMI, co-existing medical conditions and skin/vein characteristics, (2) procedure related factors such as the insertion site and catheter caliber, and (3) the operator's expertise. Strategies to improve PIVC success include: (1) bedside techniques such as venodilation, vascular visualization and vein entry indication, (2) pain management and (3) engagement of expert health care providers. Conclusion Bedside techniques have shown more improvement in PIVC success rates as opposed to pain management. Expert health care providers have shown higher performance levels with regard to the difficult cases of PIVC.
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- Authors
- Sabri, A., Szalas, J., Holmes, K. S., Labib, L., & Mussivand, T.
- Affiliations
- Ottawa Heart Institute (CA)
- ORCID
- Mussivand, Tofy
- Venue
- Bio-Medical Materials and Engineering
- Publisher
- SAGE Publications
- Published
- 2013
- Volume
- 23
- Issue
- 1-2
- Pages
- 93-108
- ISSN
- 0959-2989 (ISSN-L)
- OpenAlex
- W1539231526
- Cited by
- 146
- References
- 77
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 10 · 2023: 12 · 2022: 21 · 2021: 22 · 2020: 22 · 2019: 9 · 2018: 6 · 2017: 14 · 2016: 11 · 2015: 2 · 2014: 6 · 2013: 1
- FWCI
- 10.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Bio-Medical Materials and Engineering (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
- Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
- Keywords
- peripheral venous catheterization, venous access, catheter insertion success rate, venodilation, vascular imaging, pain management, operator experience, difficult venous access, pediatric patients
- MeSH terms
- Age Factors, Body Weight, Catheterization, Peripheral, Equipment Design, Ethnicity, Humans, Sex Factors, Veins, Catheters, Administration, Intravenous
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