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Clinician decision making in peripheral intravenous cannulation in emergency settings

Quick facts

Principal investigator:
Hugo Evison
Team members:
Prof Gerben Keijzers, Dr Jamie Ranse, Nicole Marsh, A/Prof Joshua Byrnes, Dr Peter Carr, Prof Claire Rickard, Amy Sweeny, Mercedes Carrington
Project commenced:

Peripheral intravenous cannulation (PIVC) is a vital part of modern medicine, however the use of cannulas has become prolific, with many never used. The patient risks that are associated with PIVC are well documented, including pain and even infections, which can be severe and lead to death.

PIVCs which are inserted but never used (idle PIVC), have the risks and downsides, but no potential benefits. Reducing the rate of idle PIVC may reduce the overall rate of risks, side-effects and infections associated with PIVC, but it may also lead to patients who require PIVC not receiving one.

In this study, we are looking into the reasons why clinicians decide to insert a PIVC. We aim to describe: I) the proportion of PIVCs placed that do not get used within 24 hours (idle PIVCs), II) differences between the pre-hospital setting and the emergency department and III) describe which factors are associated with clinicians’ decision making regarding PIVC.

Grants Awarded

JumpStart: Funded by Emergency Medicne Foundation

Last updated 19 Aug 2020