ULTRASON YARDIMIYLA PERİFERAL İNTRAVENÖZ KATETER UYGULAMASININ GİRİŞİM SÜRESİ, KATETER ÖMRÜ VE OLASI KOMPLİKASYONLARI: LİTERATÜR TARAMASI

Öz

ÖZ

Amaç: Son on yılda yürütülmüş, intravenöz erişimi zor olan hastalarda periferal kateterin ultrason yardımıyla uygulanmasını; işlemin süresi, komplikasyon gelişme durumu ve yerleştirilen kateterlerin kalış süresi açısından inceleyen çalışmaların sistematik olarak incelenmesi hedeflenmiştir.

Yöntem: “Pubmed”, “Google Scholar”, “Science Direct”, “Cochrane” veri tabanlarında taranan anahtar kelimelerle ortaya çıkan tüm çalışmalar bağımsız olarak araştırmacılar tarafından incelendi. Araştırmaya dâhil edilme kriterleri; çalışmaların Ocak 2014-Aralık 2018 tarihleri arasında yayınlanmış olması, örneklem grubunun ultrason rehberliğinde periferal intravenöz girişim uygulaması olması, uygulamanın erişkin bireylere yapılmış olması, tanımlayıcı veya ilişkisel araştırmalar olması, yayın dilinin Türkçe ve ya İngilizce olması şeklinde belirlenmiştir. Tarama sonucunda dâhil etme kriterlerine uyan on dört çalışmaya ulaşılmıştır. Değişkenler; ultrason rehberliğinde Periferik İntravenöz kateterizasyonda gelişen komplikasyonlar, girişimin süresi, yerleştirilen kateterlerin hastada kalış süresi idi. Araştırmaların kalitesi Jadad skoru ve Newcastle Ottawa ölçütü kullanılarak değerlendirildi. 

Bulgular: İncelenen çalışmalara göre ultrason yardımıyla kateter yerleştirilirken harcanan sürenin en az 10 saniye en fazla 12 dakika olduğu görülmüştür. Kateterlerin kalış süresi; kateterlerin damar içindeki mesafesi, uygulanan extremite bölgesi ve kateterin kullanım ömrü ile ilişkili olduğu görülmektedir. Komplikasyon oranları açısından, ultrason kullanımının standart tekniğe üstünlüğünün olmadığı, komplikasyon oranlarının yakın olduğu görülmektedir. Randomize kontrollü çalışmaların kalite ölçütü Jadad skoruna (0-5) göre en fazla 3 puan, randomize kontrollü olmayan çalışmalar ise Newcastle Ottawa skoruna (0-9) göre en fazla 7 puan değerindedir.

Sonuç: Ultrason rehberliğinde Periferik İntravenöz kateterizasyon uygulamasının geleneksel yöntem ile kıyaslandığında özellikle uygulama süresi açısından avantajlı olduğu fakat damar içindeki kalış süresi ve gelişebilecek komplikasyonlar açısından daha detaylı çalışmalara ihtiyaç olduğu görülmektedir.

Anahtar Kelimeler

• intravenöz,kateterizasyon,periferal,ultrason

Systematic Examination in Terms of Duration of Intervention, Catheter Life and Potential Complications on Ultrasound-Guided Peripheral Intravenous Catheterization

Öz

ABSTRACT

Aim: Study aimed to systematically examine the ultrasound-guided peripheral catheterization in patients in terms of duration of the procedure, the development of the complication and the duration of the catheters.

Method: Studies were independently reviewed by the researchers after searching databases “Pubmed”, “Google Scholar”, “Science Direct”, “Cochrane”. Studies included if carried out between January 2014 and December 2018, individuals were adult, were descriptive or correlational, and in Turkish or English. Fourteen studies were meet the inclusion criteria. Variables were; complications of ultrasound guided Peripheral Intravenous catheterization, duration of intervention, duration of catheter placement. The quality of the studies was evaluated using Jadad score and Newcastle Ottawa criteria.

Results: According to the studies, the time spent in placing the catheter with the ultrasound was at least 10 seconds and maximum 12 minutes. Duration of catheters stay is related with the distance of the catheters within the vein, the extremity region applied and the life of the catheter. In terms of complication rates, the use of ultrasound was not superior to the standard technique. According to the Jadad score (0-5), randomized controlled trials are rated for a maximum of 3 points and nonrandomized studies are rated at a maximum of 7 points according to Newcastle Ottawa score (0-9).

Conclusions: Ultrasound-guided Peripheral Intravenous catheterization is advantageous especially in terms of application time compared to the traditional method, but more detailed studies are needed in terms of the duration of the vessel and the complications that may develop. 

Anahtar Kelimeler

• intravenous,catheterization,peripheral,ultrasound

Kaynakça

1. Acar F, Cander B, Girişgin S, Gül M. Central venous catheter interventions in emergency department; A retrospective study. JAEM. 2009; 8, 35–38.
2. Adhikari S, Blaivas M, Morrison D, Lander L. Comparison of infection rates among ultrasound-guided versus traditionally placed peripheral intravenous lines. J Ultrasound Med. 2010; 29:741–747.
3. Au AK, Rotte MJ, Grzybowski RJ, Ku BS, Fields JM. Decrease in central venous catheter placement due to use of ultrasound guidance for peripheral intravenous catheters. The American Journal of Emergency Medicine. 2012; 30(9), 1950–1954. https://Doi.Org/10.1016/J.Ajem.2012.04.016.
4. Bahl A, Hang B, Brackney A, Joseph S, Karabon P, Mohammad A et al. Standard long IV catheters versus extended dwell catheters: A randomized comparison of ultrasound-guided catheter survival. Am J Emerg Med. 2018, Jul 19. pii: S0735-6757(18)30590-4. doi: 10.1016/j.ajem.2018.07.031. [Epub ahead of print]PMID: 30037560
5. Bauman M, Braude D, Crandall C. Ultrasound-guidance vs standard technique in difficult vascular access patients by ED technicians. Am J Emerg Med. 2009; 27(2):135-40.
6. Blaivas M. Ultrasound-guided peripheral iv insertion in the ED: A two-hour training session improves placement success rates in one ED. American Journal of Nursing. 2005; 105(10), 54-57.
7. Boniface KS, LeSaux MA, Mandoorah S, Patel A, Neander KL, Shokoohi H. Ultrasound-guided intravenous access in adults using SonoStik®, a novel encapsulated sterile guidewire: A prospective cohort trial. J Vasc Access. 2018 Sep; 19(5):441-445. doi: 10.1177/1129729818758228. Epub 2018 Mar 12. PMID: 29529917
8. Brannam L, Blaivas M, Lyon M, Flake M. Emergency nurses’ utilization of ultrasound guidance for placement of peripheral intravenous lines in difficult-access patients. Academic Emergency Medicine. 2004; 11(12), 1361-1363.

9. Crowley M, Brim C, Proehl J, Barnason S, Leviner S, Lindauer C et al. Emergency Nursing Resource: difficult intravenous access. J Emerg Nurs. 2012; 38 (4):335-343.
10. Dychter SS, Gold DA, Carson D, Haller M. Intravenous therapy: a review of complications and economic considerations of peripheral access. Journal of Infusion Nursing, 2012; 35(2): 84–91.
11. Egan G, Healy D, O’Neill H, Clarke-Moloney M, Grace PA, Walsh RS. Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis. Emerg Med J. 2013; 30:521–526.
12. Fabiani A, Lorella D, Gianfranco S. Ultrasound-guided deep-arm veins insertion of long peripheral catheters in patients with difficult venous access after cardiac surgery .Heart & Lung. 2017; (46) 46-53. doi: 10.1016/j.hrtlng.2016.09.003.
13. Fields MJ, Dean AJ, Todman RW, Au AK, Anderson KL, Ku BS et al. The effect of vessel depth,diameter, and location on ultrasound-guided peripheral intravenous catheter longevity. Am J Emerg Med. 2012; 30:1134–1140.
14. Gallen BT, Southern WN. Ultrasound-guided peripheral intravenous catheters to reduce central venous catheter use on the inpatient medical ward. Q Manage Health Care. 2018; Vol. 27, No. 1, Pp. 30–32. Doı: 10.1097/Qmh.0000000000000156.
15. Gottlieb M, Sundaram T, Holladay D, Nakitende D. Ultrasound-guided peripheral intravenous line placement: a narrative review of evidence-based best practices. West J Emerg Med. 2018 Oct; 18(6):1047-1054. doi: 10.5811/westjem.2017.7.34610.
16. Grau D, Clarivet B, Lotthé A, Bommart S, Parer S. Complications with peripherally inserted central catheters (pıccs) used in hospitalized patients and outpatients: A prospective cohort study. Antimicrobial Resistance and Infection Control. 2017; 6. Https://Doi.Org/10.1186/S13756-016-0161-0
17. Hart A, Chenkin J, Craig B, Simard R, Alexandre C. Ultrasound-guided peripheral intravenous access in the emergency department: a randomized controlled trial comparing single and dual-operator technique. Canadian Journal Of Emergency Medicine. May 2018; Volume 20, Supplement S1, p. S79. DOI: https://doi.org/10.1017/cem.2018.261.
18. Heinrichs J, Fritze Z, Vandermeer B, Klassen T, Curtis S. Ultrasonographically guided peripheral intravenous cannulation of children and adults: a systematic review and meta-analysiset al. Emerg Med J. 2013 April; Volume 61, no:4. https://doi.org/10.1016/j.annemergmed.2012.11.014.
19. Jacobson AF, Winslow EH. Variables influencing intravenous catheter insertion difficulty and failure: an analysis of intravenous catheter insertions. Heart Lung. 2005; 34:345–59.
20. Joshi G, Tobias J. The use of intraosseous infusions in the operating room. J Clin Anesth. 2008; 20(6):469-73.
21. Keyes LE, Frazee BW, Snoey ER, Simon BC, Christy D. Ultrasound-guided brachial and basilic vein cannulation in emergency department patients with difficult intravenous access. Ann Emerg Med 1999; 34:711–4. PMID: 10577399.
22. Kuensting LL, Deboer S, Holleran BL, Shultz B, Steinmann R, Venella J. Difficult venous access in children: taking control. EMJj. 2009; 35, 419–424.
23. Liu YT, Alsaawi A, Bjornsson HM. Ultrasound-guided peripheral venous access: a systematic review of randomized-controlled trials. European Journal of Emergency Medicine. 2014; 21(1), 18-23.
24. Mccarthy MI, Shokoohi H, Boniface KS, Eggelton R, Lowey A, Lim K et al. Ultrasonography versus landmark for peripheral intravenous cannulation: a randomized controlled trial. Ann Emerg Med. 2016; 68:10-18. 10.1016/J.Annemergmed.2015.09.009
25. Melissa L, Shokoohi H, Keith S, Eggelton R. Ultrasonography versus landmark for peripheral intraveous cannulation: a randomized controlled trial. Annals of Emergency Medicine.2016:68(1),10-18.
26. Meyer P, Cronier P, Rousseau H, Vicaut E, Choukroun G, Chergui K et al. Difficult peripheral venous access: clinical evaluation of a catheter inserted with the seldinger method under ultrasound guidance. Journal of Critical Care. 2014; 29(5), 823-827.
27. Murayama R, Takahashi T, Tanabe H, Yabunaka K, Oe M, Komiyama C et al. Exploring the causes of peripheral intravenous catheter failure based on shape of catheters removed from various insertion sites. Drug Discoveries & Therapeutics. 2018; 12(3):170-177. DOI: 10.5582/ddt.2018.01024.
28. Nelson D, Jeanmonod R, Jeanmonod D. Randomized trial of tourniquet vs blood pressure cuff for target vein dilation in ultrasound-guided peripheral intravenous access. The American Journal of Emergency Medicine. 2014; 32(7), 761-764.
29. Neuhaus D. Intraosseous infusion in elective and emergency pediatric anesthesia: when should we use it? Curr Opin Anaesthesiol. 2014; 27(3):282-7.
30. Pandurangadu AV, Tucker J, Brackney AR, Bahl A. Ultrasound-guided intravenous catheter survival impacted by amount of catheter residing in the vein. Emerg Med J. 2018 Sep; 35(9):550-555. doi: 10.1136/emermed-2017-206803. Epub 2018 Jul 18. PMID: 30021833.
31. Prince C. Using ultrasound guided peripheral intravenous catheters in difficult access patients. (Doctoral Dissertation). 2018; Retrieved From Https://Scholarcommons.Sc.Edu/Etd/4597.
32. Rupp JD, Ferre RM, Boyd JS, Dearing E, McNaughton CD, Liu D et al. Extravasation risk using ultrasound-guided peripheral intravenous catheters for computed tomography contrast administration. Acad Emerg Med. 2016 Aug; 23(8):918-21. doi: 10.1111/acem.13000.
33. Schoenfeld E, Shokoohi H, Boniface K. Ultrasound-guided peripheral intravenous Access in the emergency department: Patient-centered survey. West J.Emery Med. 2011; 12(4)475-7.
34. Shokoohi H, Boniface K, Mccarthy M, Khedir Al-Tiae T, Sattarian M, Ding R et al. Ultrasound-guided peripheral intravenous access program is associated with a marked reduction in central venous catheter use in noncritically ill emergency department patients. Annals of Emergency Medicine. 2013; 61(2), 198–203. Https://Doi.Org/10.1016/J.Annemergmed.
35. Sou V, McManus C, Mifflin N, Frost SA, Ale J, Alexandrou EA. Clinical pathway for the management of difficult venous access. BMC Nursing. 2017; 16:64. doi: 10.1186/s12912-017-0261-z.
36. Stein J, George B, River G, Hebig A, McDermott D. Ultrasonographically guided peripheral intravenous cannulation in emergency department patients with difficult intravenous access: a randomized trial. Ann Emerg Med. 2009 jul; 54(1):33-39.
37. Takashima M, Ray-Barruel G, Keogh S, Rickard CB. Randomised controlled trials in peripheral vascular access catheters: A scoping review. Jvascnurs.2015; 1(2):10-37
38. Trick WE, Miranda J, Evans AT, Charles-Damte M, Reilly BM, Clarke P. Prospective cohort study of central venous catheters among internal medicine ward patients. Am J Infect Control. 2006; 34:636-641. 10.1016/J.Ajic.2006.02.008
39. Ueda K, Hussey P. Dynamic ultrasound-guided short-axis needle tip navigation technique for facilitating cannulation of peripheral veins in obese patients. Anesth Analg. 2017;124:831–3. DOI: 10.1213/ANE.0000000000001653.
40. Van Loon J, Buise P, Claasen F. Comparison of ultrasound guidance with palpation and direct visualisation for peripheral vein canulation in adult patients: a systematic review and meta-analysis. British Journal of Anaesthesia.2018; 121 (2): 358-366.
41. Witting MD, Schenkel SM, Lawner BJ, Euerle BD. Effects of vein width and depth on ultrasound-guided peripheral iv success rates. JEM. 2010; 39 (1), 70–75.
42. Partovi-Deilami K, Nielsen JK, Moller AM, Nesheim S, Jorgensen VL. Effect of ultrasound-guided placement of difficult-to-place peripheral venous catheters: a prospective study of a training program for nurse anesthetists. AANAJ. 2016; 84(2), 87.
43. Salleras-Duran L, Fuentes-Pumarola C, Bosch-Borràs N, Punset-Font X, Sampol-Granes FX. Ultrasound-guided peripheral venous catheterization in emergency services. Journal of Emergency Nursing. 2016; 42(4), 338-343.
44. Rice J, Crichlow A, Baker M, Regan L, Dodson A, Hsieh YH et al. An assessment tool for the placement of ultrasound-guided peripheral intravenous access. Journal of graduate medical education. 2016; 8(2), 202-207.
45. Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp. E.T:23.11.2018, available in: http://www.ohri.ca/programs/clinical_epidemiology/nos_manual.pdf.
46. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996;17:1–12.
47. Halpern SH, Douglas J. Jadad scale for reporting randomized controlled trials. Evidence-based Obstetric Anesthesia. Available in: https://onlinelibrary.wiley.com/doi/pdf/10.1002/9780470988343.app1. E.T:23.11.2018.
48. Miles G, Salcedo A, Spear D. Implementation of a successful registered nurse peripheral ultrasound-guided intravenous catheter program in an emergency department. J Emerg Nurs. 2012; 38(4):353-356.
49. İsmailoğlu EG, Zaybak A, Akarca FK, Kıyan S. The effect of the use of ultrasound in the success of peripheral venous catheterisation. Int Emerg Nurs. 2015 Apr; 23(2):89-93. doi: 10.1016/j.ienj.2014.07.010. Epub 2014 Aug 15. DOI: 10.1016/j.ienj.2014.07.010.