Three paediatric ultrasound-guided vascular access techniques reviewed

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The authors aimed to determine paediatric emergency department nurses’ attitudes toward ultrasound-guided IV access techniques and assessed practice change after training” Ng et al (2017).

Abstract:

Background: although nurses often place peripheral intravenous (IV) catheters, little is known about their perceptions regarding use of ultrasound guidance.

Aim: the authors aimed to determine paediatric emergency department nurses’ attitudes toward ultrasound-guided IV access techniques and assessed practice change after training.

Method: In a cross-sectional study of nurses, they had didactic and hands-on practice sessions, using three short-axis ultrasound-guided IV access techniques on gel models. Outcomes included likability and ease of learning and performing the techniques. A 3-month follow-up questionnaire assessed attitudes and behavioural changes.

Results: 18 nurses were enrolled and 17 analysed. Participants liked all three techniques and thought they were easy to learn and perform. Eighty-two percent of the nurses used at least one technique clinically. The two-person self-guided technique was most preferred (65%) and used 3 months later (65%).

Conclusions: nurses reported generally positive attitudes toward all three ultrasound-guided IV access techniques, but preferred the two-person self-guided technique. Owing to the small sample size, these results cannot be generalised and further research is needed.

Reference:

Ng, C., Ng, L. and Kessler, D.O. (2017) Attitudes towards three ultrasound-guided vascular access techniques in a paediatric emergency department. British Journal of Nursing. 26(19), p.S26–S31.

https://doi.org/10.12968/bjon.2017.26.19.S26

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