The selection of the suitable long peripheral catheter in DIVA patients: The significance of ultrasonography.

IF 1.6 3区医学 Q3 PERIPHERAL VASCULAR DISEASE Journal of Vascular Access Pub Date : 2024-11-01 Epub Date: 2023-07-12 DOI:10.1177/11297298231187028

Katerina Lisova, Katerina Pavelkova, Petra Šimkova, Dana Mokra, Sabina Palova, Jiri Charvat

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Abstract

Background: There are several types of LPC (long peripheral catheters) that vary in length, size, insertion method, and cost. The aim of the study was to evaluate whether ultrasonography can be useful for the selection of the suitable LPC in DIVA (difficult intravenous access) patients.

Methods: Based on the ultrasonographic examination, a long peripheral catheter was selected. A 6.4 cm LPC into a vein at a depth of up to 0.5 cm, a 8.5 cm LPC into a vein at a depth up to 1.5 cm, and a 9.8 cm catheter at a depth up to 2 cm using the cannula over needle method. A 12 cm catheter was inserted into the deeper veins using the direct Seldinger method. The catheter diameter was no more than 33% vein diameter. Dwell time and the number of complications of four vascular devices were recorded and compared.

Results: One thousand one hundred fifty-six patients, average age 76 years (19-102), 501 men and 655 women, were included in the study. Average dwelling time was 10 days (1-30), there were 136 complications (11.7%). A catheter 6.4 cm long was inserted in 346 (29.8%), 8.5 cm in 140 (12.1%), 9.8 cm in 320 (27, 5%), and 12 cm in 356 (30.6%) patients. There were no significant differences in dwelling time, rate, and type of complications among the four catheters used.

Conclusion: Our results confirm that ultrasound examination can be useful for the selection of the suitable long peripheral catheter in DIVA patients.

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为 DIVA 患者选择合适的长外周导管：超声波检查的意义。

背景：外周长导管（LPC）有多种类型，其长度、尺寸、插入方法和成本各不相同。本研究旨在评估超声波检查是否有助于为 DIVA（静脉通路困难）患者选择合适的长外周导管：方法：根据超声波检查结果选择长外周导管。方法：根据超声波检查结果，选择长外周导管。采用套管套针方法，将 6.4 厘米长的 LPC 插入静脉，深度达 0.5 厘米；将 8.5 厘米长的 LPC 插入静脉，深度达 1.5 厘米；将 9.8 厘米长的导管插入静脉，深度达 2 厘米。采用直接塞尔丁格法将 12 厘米长的导管插入更深的静脉。导管直径不超过静脉直径的 33%。记录并比较了四种血管装置的停留时间和并发症数量：研究共涉及 156 名患者，平均年龄 76 岁（19-102 岁），其中男性 501 名，女性 655 名。平均住院时间为 10 天（1-30 天），并发症 136 例（11.7%）。346名患者（29.8%）的导管长度为6.4厘米，140名患者（12.1%）的导管长度为8.5厘米，320名患者（27.5%）的导管长度为9.8厘米，356名患者（30.6%）的导管长度为12厘米。所使用的四种导管在停留时间、并发症发生率和类型方面没有明显差异：我们的研究结果证实，超声检查有助于为 DIVA 患者选择合适的长外周导管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.