Despite medical advancements, nearly 50% of IVs still fail, over a third of patients facing difficult venous access (DIVA), leading to high-risk outcomes. While ultrasound has proven invaluable for real-time procedural guidance in DIVA cases, its potential extends far beyond the stick. This presentation will address how ultrasound can revolutionize IV procedures, directing clinicians to optimal veins and averting complications even in cases that initially appear suitable for a traditional insertion. Mere visual or tactile assessment often falls short; ultrasound offers objective data, empowering clinicians to make informed decisions based on catheter to vein ratio and vein depth. Moreover, ultrasound extends its utility beyond preparation and placement, aiding in routine IV site management to proactively identify and prevent complications before they manifest. Despite historic barriers like cost and complexity, advancements in ultra-portable ultrasound and artificial intelligence now democratize expertise across the board.
Objectives:
- Review outcomes associated with peripheral intravenous catheters in a growing DIVA population
- Highlight limitations of placement by visualization/palpation
- Understand how ultrasound technology can close the current gap
- Discuss how to effectively deploy ultrasound and empower the generalist clinician
