Indications

Indications

 

  • Anticipated difficult access
  • Difficult access (**defined at ACH as > 2 blind attempts in the inpatient setting)
  • Preferred placement of a mid-lying catheter or long PIV

 

Contraindications

As per standard PIV placement:

  • Infection or burn of overlying skin
  • Lymphedema

 

Risk Factors for Difficult PIV Access

 

  • History of prematurity
  • Younger age
  • Obesity
  • Dehydration
  • Critical illness
  • Chronic disease
  • Intravenous drug use
  • Inability to visualize or feel veins with tourniquet applied