A GAVeCeLT-IVAS bundle for Safe Insertion of Long Peripheral Catheters: The SILPeC protocol

Area of Science:

• Vascular Access Devices
• Clinical Procedures
• Patient Safety

Background:

• Long peripheral catheters (LPCs) are increasingly used for medication and fluid administration, particularly in patients with challenging venous access.
• Existing literature shows variability in LPC terminology and insertion techniques, leading to inconsistent clinical outcomes.
• Standardization is needed to improve the safety and efficacy of LPC insertion.

Purpose of the Study:

• To develop and present a standardized, evidence-based protocol for the insertion of long peripheral catheters (LPCs).
• To promote safer and more effective LPC placement and maintenance in clinical practice.

Main Methods:

• Development of a six-step insertion bundle named SILPeC (Safe Insertion of Long Peripheral Catheters).
• The SILPeC protocol includes pre-insertion assessment, optimal site selection, asepsis, ultrasound-guided puncture, safe connection, and device stabilization.
• Integration of current scientific evidence and clinical expertise.

Main Results:

• The SILPeC bundle offers a standardized and reproducible method for LPC placement and maintenance.
• This protocol addresses inconsistencies in current practices.
• It aims to improve clinical outcomes and patient safety.

Conclusions:

• The SILPeC bundle provides a comprehensive, evidence-based approach to LPC insertion.
• Implementation of SILPeC can lead to safer and more consistent vascular access practices.
• This protocol complements existing guidelines for vascular access devices.