| Title: |
Learning Success and Influencing Factors in Out-of-Hospital Placement of Intravenous Catheters |
| Authors: |
Häske, David; Dorau, Wolfgang; Eppler, Fabian; Heinemann, Niklas; Hochgreve, Bernd; Schempf, Benjamin |
| Source: |
Prehospital and Disaster Medicine ; volume 37, issue 6, page 788-793 ; ISSN 1049-023X 1945-1938 |
| Publisher Information: |
Cambridge University Press (CUP) |
| Publication Year: |
2022 |
| Description: |
Introduction: Placing peripheral intravenous catheters (“IV lines”) is a standard procedure for health care professionals in acute and emergency medicine. The study aimed to determine the learning curve and success rates in applying IV lines during a three-year paramedic training and the factors influencing successful placement. Methods: This was a prospective and noninterventional observational study to determine the influencing factors, learning outcomes, and performance in the placement of IV lines by trainees and experienced paramedics. Trial registration: German Clinical Trials Register, ID DRKS00024631. Results: From February 1, 2016 through December 31, 2021, a total of 3,547 peripheral venous accesses attempts were performed: 76.5% (n = 2,712) by trainees and 23.5% (n = 835) by experienced practitioners. The trainee group had one-to-three years of training and the experienced group had 11 (SD = 11) years of work experience after training (one-to-35 years). The learning or success curve in the successful placement of peripheral venous accesses was 85.2% in the first year of training, 88.5% in the second year of training, and 92.5% in the third year (and the end of training). It was then 94.3% in the fourth year (first year of being experienced). Successful insertion of peripheral venous accesses in the experienced group was up to 97.0%. The first-attempt success rate was 90.4% across the entire trainee group versus 95.9% in the experienced group (P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1017/s1049023x22001327 |
| Availability: |
https://doi.org/10.1017/s1049023x22001327; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1049023X22001327 |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.6241947 |
| Database: |
BASE |