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Ray-Barruel G, Pather P, Schults JA, Rickard CM. Handheld Ultrasound Devices for Peripheral Intravenous Cannulation: A Scoping Review. J Infus Nurs 2024; 47:75-95. [PMID: 38422403 DOI: 10.1097/nan.0000000000000540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
Ultrasound-guided insertion of peripheral intravenous catheters (PIVCs) is recommended for patients with difficult intravenous access, but access to ultrasound equipment is often limited to specialty departments. Compact, affordable handheld ultrasound devices are available, but the extent of their clinical adoption and impact on patient outcomes is unknown. This scoping review aimed to explore evidence regarding handheld and pocket ultrasound devices for PIVC insertion. Databases were searched for studies published in English between January 2000 and January 2023 evaluating handheld or pocket ultrasound devices weighing ≤3 kg for PIVC insertion. Data were extracted using standardized forms and summarized using descriptive statistics. Seventeen studies reporting the use of handheld or pocket ultrasound devices were identified. Most studies were conducted in adult inpatient facilities; 3 included pediatrics, and 2 reported out-of-hospital use. Participants with difficult intravenous access featured in 9 studies. Ultrasound training programs were described in 12 studies, with competency defined by number of successful PIVC insertions. Five studies reported clinician and/or patient perspectives. Ultrasound for PIVC insertion is not widely accessible in nonspecialist areas, but more compact and affordable handheld models could provide a solution, especially for patients with difficult access. More research evidence using handheld ultrasound is needed.
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Affiliation(s)
- Gillian Ray-Barruel
- School of Nursing, Midwifery and Social Work, University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Herston Infectious Diseases Institute and Metro North Hospital and Health Service, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Alliance for Vascular Access Teaching and Research, School of Nursing and Midwifery and Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia (Ray-Barruel, Pather, Schults, Rickard); ICU Outreach, QEII Jubilee Hospital, Coopers Plains, Queensland, Australia (Pather); Department of Anaesthesia and Pain Management, Queensland Children's Hospital, Brisbane, Queensland, Australia (Schults)
- Gillian Ray-Barruel, PhD, RN, is a senior research fellow with the University of Queensland School of Nursing, Midwifery and Social Work and the Herston Infectious Diseases Institute (HeIDI), as well as an adjunct senior research fellow with Griffith University in Brisbane, Australia. She is also education director with the Alliance for Vascular Access Teaching and Research (AVATAR) and associate editor for the ACIPC journal Infection, Disease & Health. Following a successful 20-year career in critical care nursing and project management, Dr Ray-Barruel established her career as an internationally respected nurse researcher with over 70 peer-reviewed publications. Her research focuses on improving assessment and decision-making by bedside clinicians to prevent device-related patient complications and improve health care outcomes
- Priscilla Pather, RN, MAppSc (Research), is an emerging early career researcher and a clinical nurse consultant working with ICU Outreach at Queen Elizabeth II Jubilee Hospital, Brisbane, and a registered intensive care unit (ICU) nurse at Mater Health Services, South Brisbane. As a front-line clinician focused on early detection and management of the deteriorating patient, she has strong cannulation skills and is ideally placed between academia and clinical settings to conduct research and audits, as well as to promote and monitor developments in this field. She is invested in safety and quality, adopting evidence-based practice into clinical care to promote and preserve vessel health
- Jessica Schults, PhD, RN, is a conjoint senior research fellow with The University of Queensland School of Nursing, Midwifery and Social Work and Metro North's Herston Infectious Disease Institute. Her research themes to date have focused on ventilation strategies to reduce ventilator-associated pneumonia and interventions to improve the safety and quality of care related to invasive medical devices. Dr Schults's developing research themes focus on enhancing health service surveillance using electronic health information in 2 major spheres: hospital-level surveillance for hospital-acquired complications and unit-level surveillance for vascular access device complications and ventilator-associated events. She is particularly interested in advances in infectious disease surveillance and tracking, using a combination of mature platforms and new electronic platforms
- Claire M. Rickard, PhD, RN, is professor of infection prevention and vascular access at the University of Queensland and Metro North Health in Brisbane, Australia. She is also adjunct professor with Griffith University and board cochair of the Australian and New Zealand Intensive Care Foundation. She established and coleads the Alliance for Vascular Access Teaching and Research (avatargroup.org.au), a large collaborative with the vision to "make vascular access complications history." Her background is in critical care and med-surg nursing followed by a focus on clinical research leading to >300 publications, including 45 randomized controlled trials. She was recognized in the International Nurse Researcher Hall of Fame in 2013, and elected to the Australian Academy of Health and Medical Sciences in 2015 and the American Academy of Nursing in 2021
| | - Priscilla Pather
- School of Nursing, Midwifery and Social Work, University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Herston Infectious Diseases Institute and Metro North Hospital and Health Service, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Alliance for Vascular Access Teaching and Research, School of Nursing and Midwifery and Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia (Ray-Barruel, Pather, Schults, Rickard); ICU Outreach, QEII Jubilee Hospital, Coopers Plains, Queensland, Australia (Pather); Department of Anaesthesia and Pain Management, Queensland Children's Hospital, Brisbane, Queensland, Australia (Schults)
- Gillian Ray-Barruel, PhD, RN, is a senior research fellow with the University of Queensland School of Nursing, Midwifery and Social Work and the Herston Infectious Diseases Institute (HeIDI), as well as an adjunct senior research fellow with Griffith University in Brisbane, Australia. She is also education director with the Alliance for Vascular Access Teaching and Research (AVATAR) and associate editor for the ACIPC journal Infection, Disease & Health. Following a successful 20-year career in critical care nursing and project management, Dr Ray-Barruel established her career as an internationally respected nurse researcher with over 70 peer-reviewed publications. Her research focuses on improving assessment and decision-making by bedside clinicians to prevent device-related patient complications and improve health care outcomes
- Priscilla Pather, RN, MAppSc (Research), is an emerging early career researcher and a clinical nurse consultant working with ICU Outreach at Queen Elizabeth II Jubilee Hospital, Brisbane, and a registered intensive care unit (ICU) nurse at Mater Health Services, South Brisbane. As a front-line clinician focused on early detection and management of the deteriorating patient, she has strong cannulation skills and is ideally placed between academia and clinical settings to conduct research and audits, as well as to promote and monitor developments in this field. She is invested in safety and quality, adopting evidence-based practice into clinical care to promote and preserve vessel health
- Jessica Schults, PhD, RN, is a conjoint senior research fellow with The University of Queensland School of Nursing, Midwifery and Social Work and Metro North's Herston Infectious Disease Institute. Her research themes to date have focused on ventilation strategies to reduce ventilator-associated pneumonia and interventions to improve the safety and quality of care related to invasive medical devices. Dr Schults's developing research themes focus on enhancing health service surveillance using electronic health information in 2 major spheres: hospital-level surveillance for hospital-acquired complications and unit-level surveillance for vascular access device complications and ventilator-associated events. She is particularly interested in advances in infectious disease surveillance and tracking, using a combination of mature platforms and new electronic platforms
- Claire M. Rickard, PhD, RN, is professor of infection prevention and vascular access at the University of Queensland and Metro North Health in Brisbane, Australia. She is also adjunct professor with Griffith University and board cochair of the Australian and New Zealand Intensive Care Foundation. She established and coleads the Alliance for Vascular Access Teaching and Research (avatargroup.org.au), a large collaborative with the vision to "make vascular access complications history." Her background is in critical care and med-surg nursing followed by a focus on clinical research leading to >300 publications, including 45 randomized controlled trials. She was recognized in the International Nurse Researcher Hall of Fame in 2013, and elected to the Australian Academy of Health and Medical Sciences in 2015 and the American Academy of Nursing in 2021
| | - Jessica A Schults
- School of Nursing, Midwifery and Social Work, University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Herston Infectious Diseases Institute and Metro North Hospital and Health Service, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Alliance for Vascular Access Teaching and Research, School of Nursing and Midwifery and Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia (Ray-Barruel, Pather, Schults, Rickard); ICU Outreach, QEII Jubilee Hospital, Coopers Plains, Queensland, Australia (Pather); Department of Anaesthesia and Pain Management, Queensland Children's Hospital, Brisbane, Queensland, Australia (Schults)
- Gillian Ray-Barruel, PhD, RN, is a senior research fellow with the University of Queensland School of Nursing, Midwifery and Social Work and the Herston Infectious Diseases Institute (HeIDI), as well as an adjunct senior research fellow with Griffith University in Brisbane, Australia. She is also education director with the Alliance for Vascular Access Teaching and Research (AVATAR) and associate editor for the ACIPC journal Infection, Disease & Health. Following a successful 20-year career in critical care nursing and project management, Dr Ray-Barruel established her career as an internationally respected nurse researcher with over 70 peer-reviewed publications. Her research focuses on improving assessment and decision-making by bedside clinicians to prevent device-related patient complications and improve health care outcomes
- Priscilla Pather, RN, MAppSc (Research), is an emerging early career researcher and a clinical nurse consultant working with ICU Outreach at Queen Elizabeth II Jubilee Hospital, Brisbane, and a registered intensive care unit (ICU) nurse at Mater Health Services, South Brisbane. As a front-line clinician focused on early detection and management of the deteriorating patient, she has strong cannulation skills and is ideally placed between academia and clinical settings to conduct research and audits, as well as to promote and monitor developments in this field. She is invested in safety and quality, adopting evidence-based practice into clinical care to promote and preserve vessel health
- Jessica Schults, PhD, RN, is a conjoint senior research fellow with The University of Queensland School of Nursing, Midwifery and Social Work and Metro North's Herston Infectious Disease Institute. Her research themes to date have focused on ventilation strategies to reduce ventilator-associated pneumonia and interventions to improve the safety and quality of care related to invasive medical devices. Dr Schults's developing research themes focus on enhancing health service surveillance using electronic health information in 2 major spheres: hospital-level surveillance for hospital-acquired complications and unit-level surveillance for vascular access device complications and ventilator-associated events. She is particularly interested in advances in infectious disease surveillance and tracking, using a combination of mature platforms and new electronic platforms
- Claire M. Rickard, PhD, RN, is professor of infection prevention and vascular access at the University of Queensland and Metro North Health in Brisbane, Australia. She is also adjunct professor with Griffith University and board cochair of the Australian and New Zealand Intensive Care Foundation. She established and coleads the Alliance for Vascular Access Teaching and Research (avatargroup.org.au), a large collaborative with the vision to "make vascular access complications history." Her background is in critical care and med-surg nursing followed by a focus on clinical research leading to >300 publications, including 45 randomized controlled trials. She was recognized in the International Nurse Researcher Hall of Fame in 2013, and elected to the Australian Academy of Health and Medical Sciences in 2015 and the American Academy of Nursing in 2021
| | - Claire M Rickard
- School of Nursing, Midwifery and Social Work, University of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Herston Infectious Diseases Institute and Metro North Hospital and Health Service, Brisbane, Queensland, Australia (Ray-Barruel, Schults, Rickard); Alliance for Vascular Access Teaching and Research, School of Nursing and Midwifery and Menzies Health Institute Queensland, Griffith University, Nathan, Queensland, Australia (Ray-Barruel, Pather, Schults, Rickard); ICU Outreach, QEII Jubilee Hospital, Coopers Plains, Queensland, Australia (Pather); Department of Anaesthesia and Pain Management, Queensland Children's Hospital, Brisbane, Queensland, Australia (Schults)
- Gillian Ray-Barruel, PhD, RN, is a senior research fellow with the University of Queensland School of Nursing, Midwifery and Social Work and the Herston Infectious Diseases Institute (HeIDI), as well as an adjunct senior research fellow with Griffith University in Brisbane, Australia. She is also education director with the Alliance for Vascular Access Teaching and Research (AVATAR) and associate editor for the ACIPC journal Infection, Disease & Health. Following a successful 20-year career in critical care nursing and project management, Dr Ray-Barruel established her career as an internationally respected nurse researcher with over 70 peer-reviewed publications. Her research focuses on improving assessment and decision-making by bedside clinicians to prevent device-related patient complications and improve health care outcomes
- Priscilla Pather, RN, MAppSc (Research), is an emerging early career researcher and a clinical nurse consultant working with ICU Outreach at Queen Elizabeth II Jubilee Hospital, Brisbane, and a registered intensive care unit (ICU) nurse at Mater Health Services, South Brisbane. As a front-line clinician focused on early detection and management of the deteriorating patient, she has strong cannulation skills and is ideally placed between academia and clinical settings to conduct research and audits, as well as to promote and monitor developments in this field. She is invested in safety and quality, adopting evidence-based practice into clinical care to promote and preserve vessel health
- Jessica Schults, PhD, RN, is a conjoint senior research fellow with The University of Queensland School of Nursing, Midwifery and Social Work and Metro North's Herston Infectious Disease Institute. Her research themes to date have focused on ventilation strategies to reduce ventilator-associated pneumonia and interventions to improve the safety and quality of care related to invasive medical devices. Dr Schults's developing research themes focus on enhancing health service surveillance using electronic health information in 2 major spheres: hospital-level surveillance for hospital-acquired complications and unit-level surveillance for vascular access device complications and ventilator-associated events. She is particularly interested in advances in infectious disease surveillance and tracking, using a combination of mature platforms and new electronic platforms
- Claire M. Rickard, PhD, RN, is professor of infection prevention and vascular access at the University of Queensland and Metro North Health in Brisbane, Australia. She is also adjunct professor with Griffith University and board cochair of the Australian and New Zealand Intensive Care Foundation. She established and coleads the Alliance for Vascular Access Teaching and Research (avatargroup.org.au), a large collaborative with the vision to "make vascular access complications history." Her background is in critical care and med-surg nursing followed by a focus on clinical research leading to >300 publications, including 45 randomized controlled trials. She was recognized in the International Nurse Researcher Hall of Fame in 2013, and elected to the Australian Academy of Health and Medical Sciences in 2015 and the American Academy of Nursing in 2021
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