Page 35 - JSOM Fall 2023

TABLE 1 Peripheral IV
Study Design Patients Success Rate Provider Type Complications
Bebarta et al., 2013 5 Case Series 2 2/2 (100%) — —
DuBose et al., 2017 4 Retrospective 24 — • Surgeon —
Descriptive Review • EM physician
• RN anesthetist
• Physician Assistant
Lairet et al., 2012 14 Retrospective 21 — — Longer transport times in
Descriptive Review patients receiving IVF
Lairet et al., 2019 15 Prospective Descriptive 1,413 — — —
Review
Maddry et al., 2015 16 Retrospective — — • Medic —
Descriptive Review • Paramedic
• RN
• MD
Maddry et al., 2015 17 Retrospective 500 — • Medic —
Descriptive Review • Paramedic
• RN
• MD
Maddry et al., 2016 18 Retrospective 758 706/758 (93%) — —
Descriptive Review
Maddry et al., 2016 19 Retrospective — — • Medic —
Descriptive Review • Paramedic
• Physician Assistant
• Nurse
• Physician
Manley et al., 2017 20 Case Series 4 — • General surgeon —
• EM physician
• RN anesthetist
• Surgical Technician
• Respiratory Therapist
Nadler et al., 2014 7 Retrospective 18 — — —
Descriptive Review
Nadler et al., 2015 2 Retrospective 1,082 887/1,082 (82%) • Physician “No complications found”
Descriptive Review • Medic
• Paramedic
Reeves et al., 2020 21 Prospective Descriptive 1,305 — — —
Review
Schauer et al., 2019 10 Retrospective 432 — • Medical Officer —
Descriptive Review • Medic
• First Responder
Schauer et al., 2019 22 Retrospective 205 — — —
Descriptive Review
Shlaifer et al., 2019 23 Retrospective Matched 96 — — —
Case Cohort
Travers et al., 2019 24 Retrospective 38 — Physician —
Descriptive Review
EM = emergency medicine, IV = intravenous, IVF = intravenous fluids, MD = medical doctor, RN = registered nurse

Nadler et al. used prehospital patient care records to identify identified as having had one or more IV or IO access attempts.
1,082 Israeli combat trauma casualties, in whom one or more Peripheral IV access was the initial method in 758 patients,
peripheral IV attempts had been documented. They reported and 706 of these were successful (93%). The level of training
2
an overall 82% success rate after one or more attempts at pe- of the provider was not reported.
ripheral venous access. The number of IV attempts was re-
ported in 742 (69%) patients, with some patients having up to DuBose et al. reviewed 173 patients treated by a forward sur-
4
eight attempts. A total of 96% of successful procedures were gical team with advanced providers. Fourteen percent of pa-
performed in the first two attempts. Provider type was re- tients (24/173) had IV access obtained by tactical combat care
ported in 605 patients (physician 303; medics 219; paramedics providers prior to transport to the forward surgical team. The
83). Physicians had an 85% (257/303) success rate. Combat forward surgical team performed an IV insertion in an addi-
medics and paramedics had 79% (174/219) and 77% (64/83) tional 88 patients. Overall, 65% of patients received an IV
success rates, respectively. This is the only paper that described with most being placed by the forward surgical team.
IV access complications, and they reported no complications.
Bebarta et al. examined hospital records from 15 patients who
Maddry et al. reviewed IV and IO access attempts during air presented to a combat medical treatment facility in traumatic
5
3
evacuation from point of injury. A total of 832 patients were cardiac arrest. They reported on lifesaving interventions,
Combat Vascular Access | 33