PINCH Table Research Problem (identify a gap in the literature): Are ultrasound guided peripheral venous access lines more efficient and longer lasting than traditionally placed peripheral venous lines? Vascular access teams and nurses alike in hospitals around the nation encounter patients in need of venous access on a regular basis. Traditional methods of intravenous (IV) line placement include using palpation and identifying veins using landmarks. Although the traditional techniques of obtaining an IV are quite successful, there are still patients who are unable to receive IV therapy due to the degree of difficulty of IV placement. This patient population can consist of obese patients, chronic disease patients and drug abuse patients. When superficial venous access attempts fail, there needs to be a way to be able to access deeper veins in order to provide the patient with the proper IV therapy. Ultrasound (US) has been around in the medical field as a diagnostic tool for decades and “can be used to facilitate placement of peripheral IVs in patients who have failed traditional landmark techniques” (Mahler, Wang, Lester, & Conrad, 2010, p. 325). According to Mahler et al. (2010), US guided IV lines Module 3 Assignment: Pinch Table Template
allowed for a higher success rate, fewer complications, higher patient satisfaction and a decrease in procedure time. While this knowledge is beneficial, it does not address the issue of IV longevity and efficacy as it pertains to US guided IV lines versus traditionally placed IV lines. The longevity of US guided IV lines is something that has not been addressed and continues to remain an unanswered question (Bauman, Braude, & Crandall, 2009). Traditionally placed lines are typically located superficially and most often these veins are smaller in diameter than those found deeper on US (Meyer et al., 2014). Since US allows for IV placement in deeper veins that otherwise would not have been accessed via traditional means, would utilizing US allow for a more efficient and more enduring IV line than those placed with traditional methods in hospitalized patients? This information is important because it would allow for clinicians to make better decisions as to which method would allow for better sustainability of the IV line as it pertains to the proposed therapy or motivation behind obtaining venous access. _________________________________________________________________ Author Study Purpose Sample (N=xx) and Study Design type Measureme nt methods Major Study Findings / Notes
Demographics (describe in detail) & Variables (List variables and label as Research, IV, DV) of variables (tools, surveys or scales) Results (include some statistics and whether they are significant or not) (Bahl, A., Panduranga du, A.V., Tucker, J., & Bagan, M., 2016) The purpose of this study was to analyze outcomes associated with the traditional palpation method of peripheral intravenous line placement compared to a nurse performed ultrasound guided Total Sample: N= 122 subjects US guided sample: N=63 Palpation sample: N=59 Demographics: Age: 18-65+ Sex: Male (32) Female (90) No race given Study Design Type: A
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- Fall '16
- Denise Cauble
- Nursing, Start, Intravenous therapy