Innovations in dressing and securement of PIVCs are urgently required to achieve ‘holy grail’ of SUCCESS

Insertion of peripheral intravenous catheter (PIVC) is particularly difficult in children, and the failure rate is high. Lady Cilento Children’s Hospital in Queensland, in collaboration with the AVATAR Group, has released a comprehensive study. The study describes factors that play a role in PIVC success and failure. It is also complete with recommendations for further success. 

A brief outline of the paper states:

Already known on this topic

  1. Insertion of peripheral intravenous catheter (PIVC) is particularly difficult in vulnerable populations such as paediatrics, and failure is high.
  2. Implementation of care bundles to improve central venous catheter (CVC) outcomes have proven successful.
  3. Strategies to improve PIVC insertion success and outcomes should be multi-dimensional due to the complexity of the task.

What this paper adds

  1. This paper includes the voice of the consumer to ensure the interventions are compatible with what families need.
  2. Strategies to improve PIVC insertion and management must be interdisciplinary and multi-dimensional.
  3. We require further research to investigate additional interventions. This includes innovations in dressing and securement of PIVCs to reduce overall PIVC failure.

Their suggestion for moving forward, from the voice of the consumer, is additional interventions, such as innovations in dressing and securement of PIVCs. The study states these are urgently required to achieve the ‘holy grail’ of SUCCESS PIVCS.

We also have all supplementary tables and figures attached. The journal paper only contains a limited number of tables. The rest are only available online. They are referred to in this paper. However, you will not see them unless you download separately.

https://www.ncbi.nlm.nih.gov/pubmed/30702181

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