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Ultrasound Guided IV Placement

Benefits of Ultrasound-Guided Peripheral IV Insertions

Ultrasound guidance provides additional visibility to healthcare works when inserting a peripheral IV catheter compared to the conventional technique of seeing and palpating the vein.

Benefits of USGPIVs

Ultralong Peripheral IV Catheters for Ultrasound-Guided Peripheral IV Insertions
2.75 cm Rule. Bahl study recommendation on catheter length was based on depth of the vessel and inserter preference for the angle of insertion.
Extended Dwell Catheters vs PICCs

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References

1. Blanco P. Ultrasound-guided peripheral venous cannulation in critically ill patients: a practical guideline. Ultrasound J. 2019 Oct 17;11(1):27. doi: 10.1186/s13089-019-0144-5. PMID: 31624927; PMCID: PMC6797689.

2. Helm, R. E. MD. et al. Accepted but Unacceptable: Peripheral IV Catheter Failure. The Art and Science of Infusion Nursing. (2015) https://doi.org/10.1097/NAN.0000000000000100

3. Van Loon FH, Van Hooff LW, de Boer HD, Koopman SS, Buise MP, Korsten HH, Bouwman AR. The modified A-DIVA scale as a predictive tool for prospective identification of adult patients at risk of a difficult intravenous access: A multicenter validation study. Journal of Clinical Medicine. 2019;8(2):144-156Whalen, M., Maliszewski, B. and Baptiste, D.L., 2017. Establishing a dedicated difficult vascular access team in the emergency department: a needs assessment. Journal of Infusion Nursing, 40(3), pp.149-154.

4. 2011 ENA Emergency Nursing Resources Development Committee; Crowley M, Brim C, Proehl J, Barnason S, Leviner S, Lindauer C, Naccarato M, Storer A, Williams J, Papa A. Emergency Nursing Resource: difficult intravenous access. J Emerg Nurs. 2012 Jul;38(4):335-43. doi: 10.1016/j.jen.2012.05.010. PMID: 22770395.

5. Rodríguez-Calero MA, Blanco-Mavillard I, Morales-Asencio JM, Fernández-Fernández I, Castro-Sánchez E, de Pedro-Gómez JE. Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis. Heart Lung. 2020 May-Jun;49(3):273-286. doi: 10.1016/j.hrtlng.2020.01.009. Epub 2020 Feb 11. PMID: 32057426.

6. Amit Bahl, MD, MPH; Mahmoud Hijazi, BA; Nai-Wei Chen, PhD; Ludovic Lachapelle-Clavette, BA; Jacob Price, MD. (2020). Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. Ann Emerg Med. pii S0196-0644(19)31383-6. doi: 10.1016/j.annemergemed.2019.11.013. 

7. Woodfall K, van Zundert A. Central Venous Access: An Update on Modern Techniques to Avoid Complications. Healthcare (Basel). 2025 May 16;13(10):1168. doi: 10.3390/healthcare13101168. PMID: 40428004; PMCID: PMC12111573.