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Peripheral Iintravenous cannula usage in the Emergency Department

Authors

Adam K. Stanley
adamkstanley.edin@gmail.com
https://orcid.org/0000-0001-7498-7475
College of Medicine and Veterinary Medicine, University of Edinburgh, United Kingdom.
Ashton Barnett-Vanes
College of Medicine and Veterinary Medicine, University of Edinburgh; Emergency Medicine Research Group Edinburgh (EMERGE), Department of Emergency Medicine, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Matthew J. Reed
https://orcid.org/0000-0003-1308-4824
College of Medicine and Veterinary Medicine, University of Edinburgh; Emergency Medicine Research Group Edinburgh (EMERGE), Department of Emergency Medicine, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Over a billion Peripheral Intra-Venous Cannulas (PIVC) are used globally every year with at least 25 million sold annually in the UK.1,2 The NHS spends an estimated £29m of its annual acute sector budget on PIVC procurement3 and around 70% of all hospitalised patients require at least one PIVC during their stay.4 Despite their extensive and routine use, PIVC failure rates are reported as high as 50-69%.5-7 In addition, many PIVCs remain unused following insertion, particularly in the Emergency Department (ED).8,9 The risk factors for PIVC failure are not well understood and the literature has found extensive regional variation in practice when it comes to PIVC insertion and management.1,7,10 While various technologies have been developed to address these issues, there remains a need for standardised, evidence-based guidelines.

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Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N, et al. Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. J Hosp Med. 2018 May 30;13(5). DOI: https://doi.org/10.12788/jhm.3039
Limm EI, Fang X, Dendle C, Stuart RL, Egerton Warburton D. Half of All Peripheral Intravenous Lines in an Australian Tertiary Emergency Department Are Unused: Pain With No Gain? Ann Emerg Med. 2013 Nov;62(5):521-5. DOI: https://doi.org/10.1016/j.annemergmed.2013.02.022
Gledstone-Brown L, McHugh D. Review article: Idle ‘just-in-case’ peripheral intravenous cannulas in the emergency department: Is something wrong? Emerg Med Australas. 2018 Jun;30(3):309-26. DOI: https://doi.org/10.1111/1742-6723.12877
Webster J, Osborne S, Rickard C, Marsh N. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Cochrane Database of Systematic Reviews. 2019. DOI: https://doi.org/10.1002/14651858.CD007798.pub5

How to Cite

Stanley, A. K., Barnett-Vanes, A., & Reed, M. J. (2020). Peripheral Iintravenous cannula usage in the Emergency Department. Emergency Care Journal, 16(3). https://doi.org/10.4081/ecj.2020.9205

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