Vesicant Infusates Are Not Associated with Ultrasound-Guided Peripheral Intravenous Catheter Failure: A Secondary Analysis of Existing Data

Files

Authors

Mahmoud Hijazi, Oakland University William Beaumont School of Medicine Medical Student
Amit Bahl, Corewell Health East
Nai-Wei Chen, Corewell Health East

Description

With over 300 million used annually in the United States, peripheral intravenous catheters (PIVC) are the most commonly used invasive device in the acute care setting1,2. Unfortunately, PIVCs have high failure rates with up to 63% failing prematurely3,4.

Certain intravenous medications categorized as vesicants and irritants are known to cause vein and local tissue injury. The Infusion Nursing Society (INS) created this list based on infusate osmolarity thresholds that increase the likelihood of these complications5.

It is perceived the impact of these medications on larger proximal veins with higher flow rates and improved hemodilution diminishes the likelihood of these complications. Thus, guidelines support the use of the vesicants and most irritants via central venous lines6

Some recent studies have shown that these medications may be safely infused in smaller distal peripheral veins with lower flow rates, particularly many irritants7-9

Publication Date

5-2024

Keywords

peripheral intravenous catheters

Disciplines

Emergency Medicine

Recommended Citation

Hijazi M, Bahl A, Chen NW. Vesicant infusates are not associated with ultrasound-guided peripheral intravenous catheter failure: a secondary analysis of existing data. Poster presented at: Oakland University William Beaumont School of Medicine Embark Capstone Colloquium; 2024 May; Rochester Hills, MI.

Comments

The Embark Capstone Colloquium at the Oakland University William Beaumont School of Medicine, Rochester Hills, MI, May, 2024.