https://doi.org/10.4081/ecj.2021.9150
Intravenous access placement and fluid administration appropriateness in the emergency department
Submitted: 2 June 2020
Accepted: 15 September 2020
Published: 18 March 2021
Accepted: 15 September 2020
Abstract Views: 4470
PDF: 580
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The aim of this study is to assess practice and effectiveness of Peripheral Venous Catheter (PVC) insertion and intravenous fluid administration in the Emergency Department (ED). A prospective study was conducted at a single primary ED in Brescia, Italy. 455 participants were included in the analysis. PVC were placed in 88 % of patients, 18 gauge catheters were the most frequently used (63%). In 360 patients PVC placement required one attempt. In 99 % of patients PVCs were used at least once. Fluid administration was considered appropriate in 23 patients. Out of 402 PVC placements, 244 were not necessary (in 225 patients PVCs were used only for blood samples withdrawal, and in 16 patients they were used for blood samples withdrawal, and inappropriate fluid administration). We concluded that a large number of PVC placements in the ED was potentially avoidable, and, when PVCs were used for IV fluid administration, the indication was often inappropriate. Physicians should carefully assess the real need of PVC placement in patients admitted to the ED and critically assess some issues of everyday practice, like PVC placement or IV fluids prescription, with evaluation of cost savings.
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How to Cite
Salvetti, M., Paini, A., Colonetti, E., Mutti, C., Bonetti, S., Broggi, A. ., Bertacchini, F., & Muiesan, M. L. (2021). Intravenous access placement and fluid administration appropriateness in the emergency department. Emergency Care Journal, 17(1). https://doi.org/10.4081/ecj.2021.9150
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