Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access
(1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collec...
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MDPI AG
2022-01-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/2/261 |
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| author | Ángeles Rodríguez-Herrera Álvaro Solaz-García Enrique Mollá-Olmos Dolores Ferrer-Puchol Francisca Esteve-Claramunt Silvia Trujillo-Barberá Pedro García-Bermejo Jorge Casaña-Mohedo |
| author_facet | Ángeles Rodríguez-Herrera Álvaro Solaz-García Enrique Mollá-Olmos Dolores Ferrer-Puchol Francisca Esteve-Claramunt Silvia Trujillo-Barberá Pedro García-Bermejo Jorge Casaña-Mohedo |
| author_sort | Ángeles Rodríguez-Herrera |
| collection | DOAJ |
| description | (1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collected from a population with non-palpable or not visible veins, classified into size risk groups for 6 months. In the comparative analysis, the patients were divided into two groups: the cases group was composed of patients to whom the peripheral venous cannulation was performed with the ultrasound-guided technique (UST), while the control was composed of patients with whom the standard technique (ST) was performed. The ultrasound LOGIQ P5 750VA from General Electric Healthcare, with an 11 mHz linear probe, was utilized, along with peripheral venous catheters model Insyte<sup>TM</sup> Autoguard<sup>TM</sup> with gauges of 14G to 26G. (3) Results. Seventy-two cases. The use of the ultrasound decreased the time (618.34s ST, 126s UST) and the number of punctures (2.92 ST, 1.23 UST); about 25% of the patients did not have complications with the UST, as compared to 8% with the ST. The use of the ultrasound decreased the pain experienced by 1.44 points in the visual analog scale, as compared to 0.11 points with the ST. The rate of success of the first try with the UST was 76%, as compared to 16% of the ST. The gauge of the catheter increased with the UST, with successful cannulations obtained with 20G (56%) and 18G (41%) gauges. (4) Conclusions. The use of ultrasound facilitates venous cannulation according to the variables of the study. The ultrasound visualization of the vessels is associated with the selection of the catheter gauge. There was no relation between the complications and the depth of the blood vessels. |
| first_indexed | 2024-03-09T21:50:20Z |
| format | Article |
| id | doaj.art-dce59311060b40f887a8c43c67b72dc8 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T21:50:20Z |
| publishDate | 2022-01-01 |
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| spelling | doaj.art-dce59311060b40f887a8c43c67b72dc82023-11-23T20:09:04ZengMDPI AGHealthcare2227-90322022-01-0110226110.3390/healthcare10020261Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult AccessÁngeles Rodríguez-Herrera0Álvaro Solaz-García1Enrique Mollá-Olmos2Dolores Ferrer-Puchol3Francisca Esteve-Claramunt4Silvia Trujillo-Barberá5Pedro García-Bermejo6Jorge Casaña-Mohedo7Department of Health Sciences, Faculty of Health Sciences, Universidad Europea de Valencia, 46010 Valencia, SpainDepartment of Health Sciences, Faculty of Health Sciences, Universidad Europea de Valencia, 46010 Valencia, SpainEmergency Department, Hospital de La Ribera, 46600 Valencia, SpainEmergency Department, Hospital de La Ribera, 46600 Valencia, SpainDepartment of Health Sciences, Faculty of Health Sciences, Universidad Europea de Valencia, 46010 Valencia, SpainDepartment of Health Sciences, Faculty of Health Sciences, Universidad Europea de Valencia, 46010 Valencia, SpainDepartment of Health Sciences, Faculty of Health Sciences, Universidad Europea de Valencia, 46010 Valencia, SpainDepartment of Health Sciences, Universidad Internacional de Valencia, 46002 Valencia, Spain(1) Objective. We aimed to demonstrate that the use of the ultrasound-guided technique facilitates peripheral venous cannulation as compared to the standard technique in patients with difficult access at emergency services. (2) Method. A case–control study, randomized research. Variables were collected from a population with non-palpable or not visible veins, classified into size risk groups for 6 months. In the comparative analysis, the patients were divided into two groups: the cases group was composed of patients to whom the peripheral venous cannulation was performed with the ultrasound-guided technique (UST), while the control was composed of patients with whom the standard technique (ST) was performed. The ultrasound LOGIQ P5 750VA from General Electric Healthcare, with an 11 mHz linear probe, was utilized, along with peripheral venous catheters model Insyte<sup>TM</sup> Autoguard<sup>TM</sup> with gauges of 14G to 26G. (3) Results. Seventy-two cases. The use of the ultrasound decreased the time (618.34s ST, 126s UST) and the number of punctures (2.92 ST, 1.23 UST); about 25% of the patients did not have complications with the UST, as compared to 8% with the ST. The use of the ultrasound decreased the pain experienced by 1.44 points in the visual analog scale, as compared to 0.11 points with the ST. The rate of success of the first try with the UST was 76%, as compared to 16% of the ST. The gauge of the catheter increased with the UST, with successful cannulations obtained with 20G (56%) and 18G (41%) gauges. (4) Conclusions. The use of ultrasound facilitates venous cannulation according to the variables of the study. The ultrasound visualization of the vessels is associated with the selection of the catheter gauge. There was no relation between the complications and the depth of the blood vessels.https://www.mdpi.com/2227-9032/10/2/261emergenciesnursing peripheral cannulationultrasound |
| spellingShingle | Ángeles Rodríguez-Herrera Álvaro Solaz-García Enrique Mollá-Olmos Dolores Ferrer-Puchol Francisca Esteve-Claramunt Silvia Trujillo-Barberá Pedro García-Bermejo Jorge Casaña-Mohedo Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access Healthcare emergencies nursing peripheral cannulation ultrasound |
| title | Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access |
| title_full | Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access |
| title_fullStr | Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access |
| title_full_unstemmed | Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access |
| title_short | Use of the Ultrasound Technique as Compared to the Standard Technique for the Improvement of Venous Cannulation in Patients with Difficult Access |
| title_sort | use of the ultrasound technique as compared to the standard technique for the improvement of venous cannulation in patients with difficult access |
| topic | emergencies nursing peripheral cannulation ultrasound |
| url | https://www.mdpi.com/2227-9032/10/2/261 |
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