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Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Ultrasound education improves safety for peripheral intravenous catheter insertion in critically ill children

Vidit Bhargava1, Erik Su2, Bereketeab Haileselassie3,4

  • 1Department of Pediatrics, Division of Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. vbhargava@uabmc.edu.

Pediatric Research
|June 2, 2021
PubMed

Insights

Implementing an ultrasound-guided peripheral IV (PIV) curriculum for pediatric intensive care unit nurses significantly improved first-attempt success and catheter longevity. This training enhances PIV placement outcomes in critically ill children.

Area of Science:

  • Pediatric Intensive Care
  • Vascular Access Procedures
  • Medical Education

Background:

  • Peripheral vascular access is challenging in pediatric intensive care units (PICUs).
  • Ultrasound guidance can enhance vascular access success rates.
  • This study assessed ultrasound-guided peripheral IV (USGPIV) placement by nurses before and after a curriculum implementation.

Purpose of the Study:

  • To evaluate the impact of an ultrasound-guided peripheral IV (USGPIV) placement curriculum on nurses' success and PIV longevity in a PICU.
  • To determine if nurses can be effectively trained in USGPIV placement.
  • To provide a scalable training model for USGPIV insertion.

Main Methods:

  • A prospective quality improvement study involving PICU nurses.
  • Nurses performed 10 peripheral IV (PIV) insertions using landmark (LM) methods.
  • Following an USGPIV curriculum, nurses performed 10 USGPIVs.

Main Results:

  • First-attempt success for USGPIVs was 85.9% compared to 47.3% for LM PIVs (p < 0.001).
  • Overall success rates were 94.3% for USGPIVs versus 57.3% for LM PIVs (p < 0.001).
  • USGPIVs demonstrated longer median survival (4 days) than LM PIVs (3 days) (p < 0.050).

Conclusions:

  • A standardized USGPIV placement curriculum successfully enhances first-stick success, overall success, and PIV catheter longevity in the PICU.
  • Registered nurses can be trained to perform USGPIV insertions effectively.
  • The developed curriculum is applicable to other clinical settings and institutions.
Abstract

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