Hand motion analysis for assessment of nursing competence in ultrasound-guided peripheral intravenous catheter placement

2018 ◽  
Vol 20 (3) ◽  
pp. 301-306 ◽  
Author(s):  
Ryan J Good ◽  
Kelly K Rothman ◽  
Daniel J Ackil ◽  
John S Kim ◽  
Jonathan Orsborn ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Motion Analysis ◽  
Training Session ◽  
Procedure Time ◽  
Ultrasound Guided ◽  
Intravenous Catheter ◽  
Hand Motion ◽  
Nursing Competence ◽  
Hands On ◽  
Peripheral Intravenous Catheter

Introduction: Objective measures such as hand motion analysis are needed to assess competency in technical skills, including ultrasound-guided procedures. Ultrasound-guided peripheral intravenous catheter placement has many potential benefits and is a viable skill for nurses to learn. The objective of this study was to demonstrate the feasibility and validity of hand motion analysis for assessment of nursing competence in ultrasound-guided peripheral intravenous placement. Methods: We conducted a prospective cohort study at a tertiary children’s hospital. Participants included a convenience sample of nurses with no ultrasound-guided peripheral intravenous experience and experts in ultrasound-guided peripheral intravenous placement. Nurses completed hand motion analysis before and after participating in a simulation-based ultrasound-guided peripheral intravenous placement training program. Experts also completed hand motion analysis to provide benchmark measurements. After training, nurses performed ultrasound-guided peripheral intravenous placement in clinical practice and self-reported details of attempts. Results: A total of 21 nurses and 6 experts participated. Prior to the hands-on training session, experts performed significantly better in all hand motion analysis metrics and procedure time. After completion of the hands-on training session, the nurses showed significant improvement in all hand motion analysis metrics and procedure time. Few nurses achieved hand motion analysis metrics within the expert benchmark after completing the hands-on training session with the exception of angiocatheter motion smoothness. In total, 12 nurses self-reported 38 ultrasound-guided peripheral intravenous placement attempts in clinical practice with a success rate of 60.5%. Discussion: We demonstrated the feasibility and construct validity of hand motion analysis as an objective assessment of nurse competence in ultrasound-guided peripheral intravenous placement. Nurses demonstrated rapid skill acquisition but did not achieve expert-level proficiency.

scholarly journals Establishing the required components for training in ultrasoundguided peripheral intravenous cannulation: a systematic review of available evidence

2019 ◽  
Vol 21 (4) ◽  
pp. 464 ◽  
Author(s):  
Fredericus HJ Van Loon ◽  
Harm J Scholten ◽  
Irene Van Erp ◽  
Arthur RA Bouwman ◽  
Angelique TM Dierick Van Daele
Keyword(s):  
Healthcare Providers ◽  
Training Session ◽  
Vascular Anatomy ◽  
Ultrasound Guided ◽  
Or Education ◽  
Brief Training ◽  
Hands On ◽  
Life Model ◽  
Training Modules ◽  
And Training

Ultrasound increases a first-attempt success rate for vascular access when considered by knowledgeable and experienced practitioners. Education and training of these practitioners in ultrasound-guided peripheral intravenous cannulation is becoming increasingly common, although no consensus has been reached regarding its curriculum. The current systematic literature review aims to explore different training modules and components in use, and its efficacy and efficiency in ultrasound-guided peripheral intravenous cannulation in hospitalized adults by different healthcare providers. Database search was performed from January 2009 to December 2018 for publications describing the training or education of healthcare professionals in ultrasound-guided peripheral intravenous cannulation in adult patients. Data-analyses was performed on 23 studies, concluding that competency on ultrasound-guided peripheral intravenous cannulation can be achieved after following a brief training in a fixed curriculum, consisting of a didactic training session, a simulated hands-on component, and is completed after a supervised live-case training. Lectures should focus on ultrasound physics, including the vascular anatomy. The hands-on training included identification of veins on a life model without cannulating, followed by cannulation of veins using a nonhuman tissue model. At the end, supervised cannulation of veins on the upper extremity with an ultrasound-guided technique was performed on live patients to show competency.

scholarly journals Long peripheral catheters: Is it time to address the confusion?

2018 ◽  
Vol 20 (5) ◽  
pp. 457-460 ◽  
Author(s):  
Kirby R Qin ◽  
Ramesh M Nataraja ◽  
Maurizio Pacilli
Keyword(s):  
Venous Catheter ◽  
Seldinger Technique ◽  
Ultrasound Guided ◽  
Intravenous Catheter ◽  
Upper Arm ◽  
Peripheral Venous Catheter ◽  
Long Line ◽  
Peripheral Catheter ◽  
Peripheral Intravenous Catheter ◽  
Polyurethane Catheter

Long peripheral catheters are 6–15 cm peripheral dwelling catheters that are inserted via a catheter-over-needle or direct Seldinger (catheter-over-guidewire) technique. When inserted in the upper extremity, the distal tip terminates before reaching the axilla, typically no further than the mid-upper arm. This is distinct from a midline catheter, which is inserted via a modified Seldinger technique and terminates at the axilla. The nomenclature of this catheter is confusing and inconsistent. We have identified over a dozen labels in the literature, all describing the same device. These include ‘15 cm catheter’, ‘catheter inserted with a Seldinger method’, ‘extended dwell/midline peripheral catheter’, ‘Leaderflex line’, ‘long catheter’, ‘long IV catheter’, ‘long peripheral cannula’, ‘long peripheral catheter’, ‘long peripheral venous catheter’, ‘long polyurethane catheter’, ‘midline cannula’, ‘mini-midline’, ‘peripheral intravenous catheter’, ‘Seldinger catheter’, ‘short midline catheter’, ‘short long line’ and ‘ultrasound-guided peripheral intravenous catheter’. The purpose of this editorial is to achieve some level of standardisation in the nomenclature of this device. Is it time to address the confusion? We suggest adopting ‘long peripheral catheter’. However, we encourage discussion and debate in reaching a consensus.

scholarly journals Ultrasonographic needle tip tracking for in-plane infraclavicular brachialis plexus blocks: a randomized controlled volunteer study

2020 ◽  
Vol 45 (8) ◽  
pp. 634-639
Author(s):  
Trine Kåsine ◽  
Luis Romundstad ◽  
L A Rosseland ◽  
Morten Wang Fagerland ◽  
Paul Kessler ◽  
...  
Keyword(s):  
Primary Outcome ◽  
New Technology ◽  
Onset Time ◽  
Piezoelectric Sensor ◽  
Secondary Outcome ◽  
Procedure Time ◽  
Ultrasound Guided ◽  
Hand Motion ◽  
Randomized Controlled ◽  
Volunteer Study

BackgroundOnvision is a new technology for needle tip detection and tracking in ultrasound-guided regional anesthesia. The system consists of a piezoelectric sensor close to the needle tip and an electronic console integrated in the ultrasound system. The needle tip is visualized by a green circle on the ultrasound screen. The aim of the study was to investigate the effect of the new needle tip tracking technology on in-plane infraclavicular plexus blocks.MethodsThe study was a randomized, controlled, observer blinded cross-over trial in 26 healthy volunteers. Two specialists in anesthesiology performed an ultrasound-guided infraclavicular lateral sagittal brachial plexus block with and without needle tip tracking. Primary outcome was procedure time, measured from insertion of the needle until local anesthesia injection was completed. Secondary outcome measures included the number of hand movements and path lengths (assessed by hand motion analysis), block success rate, onset time and duration, discomfort experienced by the volunteers, and the anesthesiologists’ confidence as to whether their block would be successful or not.ResultsMean (SD) procedure time was 183.0 (56.1) s with and 206.8 (56.2) s without needle tip tracking (p=0.16). There were no significant differences in any of the secondary outcomes. Two volunteers’ experienced Horner syndrome after blocks without needle tip tracking. No other adverse events occurred during the study.ConclusionOur study on needle tip tracking for infraclavicular blocks did not reveal any significant differences between active needle tip tracking and the control procedures, neither for primary outcome nor secondary outcome measurements.Trial registration numberNCT03631914

scholarly journals Training the Trainers in Ultrasound-guided Access to Improve Peripheral Intravenous Catheter Placement among Children Presenting for Anesthesia

2021 ◽  
Vol 6 (3) ◽  
pp. e406
Author(s):  
Vikas N. O’Reilly-Shah ◽  
Amber Franz ◽  
Cornelius B. Groenewald ◽  
Michael Collins ◽  
Lance S. Patak
Keyword(s):  
Catheter Placement ◽  
Ultrasound Guided ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter

scholarly journals Development of a Three-Dimensionally Printed Ultrasound-Guided Peripheral Intravenous Catheter Phantom

Cureus ◽  
2021 ◽  
Author(s):  
Ting Xu Tan ◽  
Ying Ying Wu ◽  
Ian Riley ◽  
Youyou Duanmu ◽  
Samuel Rylowicz ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter
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