Intravenous cannula placement: getting it right

Over a billion Peripheral Intra-Venous Cannulas (PIVC) are used globally every year with at least 25 million sold annually in the UK.1,2 The NHS spends an estimated £29m of its annual acute sector budget on PIVC procurement3 and around 70% of all hospitalised patients require at least one PIVC during their stay.4 Despite their extensive and routine use, PIVC failure rates are reported as high as 50-69%.5-7 In addition, many PIVCs remain unused following insertion, particularly in the Emergency Department (ED).8,9 The risk factors for PIVC failure are not well understood and the literature has found extensive regional variation in practice when it comes to PIVC insertion and management.1,7,10 While various technologies have been developed to address these issues, there remains a need for standardised, evidence-based guidelines.

Download Full-text

Human factor‐designed multimodal intervention reduces the rate of unused peripheral intravenous cannula insertion

Emergency Medicine Australasia ◽

10.1111/1742-6723.13165 ◽

2018 ◽

Vol 31 (3) ◽

pp. 372-377 ◽

Cited By ~ 1

Author(s):

Diana Egerton‐Warburton ◽

Fern McAllan ◽

Radha Ramanan ◽

Zheng Jie Lim ◽

Daniel Nagle ◽

...

Keyword(s):

Human Factor ◽

Intravenous Cannula ◽

Multimodal Intervention

Download Full-text

Comment on: Pre-operative peripheral intravenous cannula insertion failure at the first attempt in adults: Development of the VENSCORE predictive scale and identification of risk factors

Journal of Clinical Anesthesia ◽

10.1016/j.jclinane.2021.110567 ◽

2022 ◽

Vol 76 ◽

pp. 110567

Author(s):

Dong Xu Chen

Keyword(s):

Risk Factors ◽

Intravenous Cannula

Download Full-text

Intravenous cannula used for continuous intraoral mandibular nerve block in trigeminal neuralgia

BMJ Case Reports ◽

10.1136/bcr-2020-240368 ◽

2021 ◽

Vol 14 (3) ◽

pp. e240368

Author(s):

Harriet Katharine Stringer ◽

Farzad Borumandi

Keyword(s):

Chronic Pain ◽

Pain Relief ◽

Trigeminal Neuralgia ◽

Trigeminal Nerve ◽

Inferior Alveolar Nerve ◽

Oral Intake ◽

Nerve Blocks ◽

Chronic Pain Condition ◽

Intravenous Cannula ◽

The Third

Trigeminal neuralgia is a chronic pain condition affecting one or more distributions of the trigeminal nerve. Patients with this condition experience short, sharp, shooting pain attacks, which can progress to longer, more frequent durations. The pain is often difficult to control. We report of a man who was admitted with severe neuralgia of the third division of the trigeminal nerve. Talking and any oral intake triggered a severe agonising pain. The latter made the regular oral intake of analgesia challenging. The pain was temporarily controlled with frequent local anaesthesia (LA). Dental core trainees were performing regular inferior alveolar nerve blocks which significantly improved patients’ condition allowing him to communicate and have oral intake. Subsequently, a catheter was placed allowing for a continuous anaesthesia. The connecting tube of the cannula was then used by nursing staff to administer LA providing pain relief without the need of repeated intraoral injections.

Download Full-text