Journal article
Pre-hospital peripheral intravenous catheter insertion practice: An integrative review
Australasian Emergency Care, Vol.26(2), pp.105-112
2023
Abstract
Background:
Peripheral intravenous catheters (PIVCs) are widely used within healthcare settings. There is substantial hospital-based research, particularly in Emergency Departments, supporting the need to reduce inappropriate PIVCs due to associated risks. However, there is limited research into pre-hospital practice. This review aims to determine the rates of pre-hospital PIVC insertions, how many remain unused, and to explore paramedic PIVC decision-making.
Methods:
A systematic search of research databases was undertaken using an integrative review methodology. Articles published between 2011 and April 2022 were included. The Mixed Methods Appraisal Tool was used to assess the quality of the studies.
Results:
Fifteen studies were included. Rates of PIVC insertions ranged from 21% to 58%. Up to 72% of PIVCs remained unused in the pre-hospital setting. Paramedic decision-making was not well reported, though erring of the side of caution and inserting a “just in case” PIVC was identified.
Conclusion:
There are limited articles on pre-hospital PIVC practice, particularly in Australian settings. Research is required to understand factors influencing practice and provide contemporary evidence to inform the development of guidance specific to the pre-hospital setting to reduce the numbers of inappropriate PIVCs.
Details
- Title
- Pre-hospital peripheral intravenous catheter insertion practice: An integrative review
- Authors
- Eleanor Golling (Corresponding Author) - ST John WA (Perth, Western Australia)Thea van de Mortel (Author) - Griffith UniversityNigel Barr (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyPeta-Anne Zimmerman (Author) - Griffith University
- Publication details
- Australasian Emergency Care, Vol.26(2), pp.105-112
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.auec.2022.08.006
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Paramedicine
- Language
- English
- Record Identifier
- 99676397702621
- Output Type
- Journal article
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Emergency Medicine
- Nursing
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Source: InCites