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dc.contributor.authorCarr, Peter J
dc.contributor.authorRippey, James CR
dc.contributor.authorBudgeon, Charley A
dc.contributor.authorCooke, Marie L
dc.contributor.authorHiggins, Niall
dc.contributor.authorRickard, Claire M
dc.date.accessioned2018-10-23T02:21:45Z
dc.date.available2018-10-23T02:21:45Z
dc.date.issued2016
dc.identifier.issn1129-7298
dc.identifier.doi10.5301/jva.5000487
dc.identifier.urihttp://hdl.handle.net/10072/142807
dc.description.abstractBackground We sought to identify the reasons for peripheral intravenous cannulae insertion in the emergency department (ED), and the first-time insertion success rate, along with patient and clinician factors influencing this phenomenon. Methods A prospective cohort study of patients requiring peripheral cannulae insertion in a tertiary ED. Clinical and clinician data were obtained. Results A total 734 peripheral intravenous cannula (PIVC) insertions were included in the study where 460 insertions were analysed. The first-time insertion success incidence was 86%. The antecubital fossa (ACF) site accounted for over 50% of insertions. Multivariate logistic regression modelling to predict first-time insertion success for patient factors found: age <40 versus 80+ years, emaciated versus normal patient size, having a visible or palpable vein/s, and ACF versus forearm insertion site to be statistically significant. Statistically significant clinician factors predicting success were: higher number of prior cannulation procedures performed, and increased clinician perception of the likelihood of a successful insertion. When patient and clinician factors were combined in a logistic regression model, emaciated versus normal, visible vein/s, ACF versus forearm site, higher number of prior PIVC procedures performed and increased clinician perceived likelihood of success were statistically associated with first-time insertion success. Conclusions Peripheral intravenous cannulation insertion success could be improved if performed by clinicians with greater procedural experience and increased perception of the likelihood of success. Some patient factors predict cannulation success: 'normal' body weight, visible vein/s and cubital fossa placement; venepuncture may be a cheaper alternative for others if intravenous therapy is not imperative.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWichtig Publishing
dc.relation.ispartofpagefrom182
dc.relation.ispartofpageto190
dc.relation.ispartofissue2
dc.relation.ispartofjournalJournal of Vascular Access
dc.relation.ispartofvolume17
dc.subject.fieldofresearchCardiovascular medicine and haematology
dc.subject.fieldofresearchCardiovascular medicine and haematology not elsewhere classified
dc.subject.fieldofresearchcode3201
dc.subject.fieldofresearchcode320199
dc.titleInsertion of peripheral intravenous cannulae in the Emergency Department: factors associated with first-time insertion success
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.hasfulltextNo Full Text
gro.griffith.authorCooke, Marie L.


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