An evidence-based review of outcomes in patients with ultrasound guided peripheral IV placement Meeting Abstract
| Authors: | Reilly, L.; King, K.; Clark, C.; Fischer-Cartlidge, E. |
| Abstract Title: | An evidence-based review of outcomes in patients with ultrasound guided peripheral IV placement |
| Meeting Title: | 47th Annual Congress of the Oncology Nursing Society (ONS) |
| Abstract: | Oncology patients are known to have poor venous access and may require treatment with caustic drugs, worsening vein health and increasing extravasation risk. The need to explore alternatives to traditional methods of visualization and palpation for peripheral intravenous (PIV) insertion is becoming more necessary. The patient population at an NCI-designated Comprehensive Cancer Center frequently experienced multiple PIV stick attempts or central venous catheter (CVC) placement for chemotherapy treatments. Reducing the number of attempts can preserve vein health and improve patient outcomes and satisfaction. CVCs are less desirable due to the increased risk of infection. The purpose of this project is to determine best practice for utilizing vein visualization technology and evaluate outcomes. The PICO(T) question, "In patients requiring vascular access, how does use of vein visualization technology compared to no vein visualization technology affect patient outcomes?" guided an extensive literature search in CINHAL, PubMed, Joanne Briggs, EMBASE, Scopus, and Cochrane Library. 732 articles resulted; 66 articles were critically appraised; 40 were considered high quality and relevant to the clinical inquiry. An additional 7 articles were found through citation searching. Of the 47 articles, 39 supported use of ultrasound (US) guidance for PIV placement. Synthesis found US guidance reduces infection, number of IV attempts, delays in treatment, CVC placement and improves successful cannulation and patient satisfaction. Additional synthesis found the most common operator for US guided PIV placement is nurses. Criteria to define a difficult stick was synthesized across all articles. The 6 most common criteria to define a difficult stick were identified in the literature. None of the articles discussed chemotherapy extravasation or the oncology population, however criteria for difficult sticks include this population as one to benefit from US guidance for PIV placement. Final presentation will review a full synthesis of the evidence and associated institutional changes made based on these findings. Using the outcomes and difficult stick criteria, as well as the clinical expertise of oncology nurses, an algorithm was created to determine when US guidance should be used for PIV placement. This evidence-based algorithm will be used for future implementation of US guided PIV placement at the cancer center and can be applied in other settings for decision making. |
| Keywords: | ultrasonography; treatment outcomes; california; medical practice, evidence-based; congresses and conferences -- california; peripherally inserted central catheters |
| Journal Title: | Oncology Nursing Forum |
| Volume: | 49 |
| Issue: | 2 |
| Meeting Dates: | 2022 Apr 27-May 1 |
| Meeting Location: | Anaheim, CA |
| ISSN: | 0190-535X |
| Publisher: | Oncology Nursing Society (ONS) |
| Date Published: | 2022-03-01 |
| Start Page: | E41 |
| Language: | English |
| DOI: | 10.1188/22.Onf.E2 |
| PROVIDER: | EBSCOhost |
| PROVIDER: | cinahl |
| PUBMED: | 35191905 |
| DOI/URL: | |
| Notes: | Meeting Abstract: P71 -- in PDF named "2022 ONS Congress Poster Abstracts" -- Source: Cinahl |
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