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A comparison of first-attempt cannulation success of peripheral venous catheter systems with and without wings and injection ports in surgical patients : a randomized trial

  • Background A peripheral venous catheter (PVC) is the most widely used device for obtaining vascular access, allowing the administration of fluids and medication. Up to 25% of adult patients, and 50% of pediatric patients experience a first-attempt cannulation failure. In addition to patient and clinician characteristics, device features might affect the handling and success rates. The objective of the study was to compare the first-attempt cannulation success rate between PVCs with wings and a port access (Vasofix® Safety, B. Braun, abbreviated hereon in as VS) with those without (Introcan® Safety, B. Braun, abbreviated hereon in as IS) in an anesthesiological cohort. Methods An open label, multi-center, randomized trial was performed. First-attempt cannulation success rates were examined, along with relevant patient, clinician, and device characteristics with univariate and multivariate analyses. Information on handling and adherence to use instructions was gathered, and available catheters were assessed for damage. Results Two thousand three hundred four patients were included in the intention to treat analysis. First-attempt success rate was significantly higher with winged and ported catheters (VS) than with the non-winged, non-ported design (IS) (87.5% with VS vs. 78.2% with IS; PChi < .001). Operators rated the handling of VS as superior (rating of “good” or “very good: 86.1% VS vs. 20.8% IS, PChi < .001). Reinsertion of the needle into the catheter after partial withdrawal—prior or during the catheterization attempt—was associated with an increased risk of cannulation failure (7.909, CI 5.989–10.443, P < .001 and 23.023, CI 10.372–51.105, P < .001, respectively) and a twofold risk of catheter damage (OR 1.999, CI 1.347–2.967, P = .001). Conclusions First-attempt cannulation success of peripheral, ported, winged catheters was higher compared to non-ported, non-winged devices. The handling of the winged and ported design was better rated by the clinicians. Needle reinsertions are related to an increase in rates of catheter damage and cannulation failure.

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Metadaten
Author:Rudolf MörgeliORCiD, Katrin SchmidtORCiD, Tim NeumannORCiD, Jochen Kruppa-ScheetzORCiD, Ulrich Föhring, Pascal Hofmann, Peter RosenbergerORCiD, Elke FalkORCiD, Willehad BoemkeORCiD, Claudia SpiesORCiD
Title (English):A comparison of first-attempt cannulation success of peripheral venous catheter systems with and without wings and injection ports in surgical patients : a randomized trial
URN:urn:nbn:de:bsz:959-opus-58802
DOI:https://doi.org/10.1186/s12871-022-01631-7
ISSN:1471-2253
Parent Title (English):BMC Anesthesiology
Document Type:Article
Language:English
Year of Completion:2022
Release Date:2024/04/22
Tag:Cannulation; Catheterization; Catheters; Operating room; Peripheral
Issue:22
Article Number:88
Page Number:11
Faculties:Fakultät AuL
DDC classes:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin, Gesundheit
Review Status:Veröffentlichte Fassung/Verlagsversion
Licence (German):License LogoCreative Commons - CC BY - Namensnennung 4.0 International