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Prehospital intravenous line placement assessment in the French emergency system: a prospective study

Published online by Cambridge University Press:  01 March 2006

V. Minville ,
A. Pianezza ,
K. Asehnoune ,
S. Cabardis  and
N. Smail
V. Minville
Affiliation:
University of Paul Sabatier, University Hospital of Toulouse, Department of Anesthesiology and Intensive Care, Toulouse, France
A. Pianezza
Affiliation:
University of Paul Sabatier, University Hospital of Toulouse, Department of Anesthesiology and Intensive Care, Toulouse, France
K. Asehnoune
Affiliation:
University Hospital of Bicêtre, Department of Anesthesiology and Intensive Care, Le Kremlin-Bicêtre, France
S. Cabardis
Affiliation:
University of Paul Sabatier, University Hospital of Toulouse, Department of Anesthesiology and Intensive Care, Toulouse, France
N. Smail
Affiliation:
University of Paul Sabatier, University Hospital of Toulouse, Department of Anesthesiology and Intensive Care, Toulouse, France
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Extract

Summary

Background and objective: Out-of-hospital intravenous line placement is used daily. All available studies take place using paramedics, e.g. US-American emergency medical system. The aim of this study was to assess the intravenous line placement feasibility (time and success rate) in the French emergency medical system. Methods: A prospective observational study was performed by a French out-of-hospital team during 3-month assessing the timing and success rates for intravenous line placement. All patients were enrolled at the emergency medical service of a university hospital in France. Six hundred and sixty-nine consecutive patients were included, 388 (58%) had at least one intravenous line placement in the out-of-hospital setting. Results: Success rate was 76% at the first attempt and 98% at the second attempt. The overall success rate for intravenous line placement was 99.7% (only one failure), and the average successful intravenous line time was 4.4 ± 2.8 min. Attempts ranged from 1 to 8. The time for intravenous line placement with blood sampling (58% of patients) is statistically longer than without (4.6 ± 2.5 vs. 4.3 ± 3 min, P < 0.05). Seventeen of the enrolled patients were trauma patients, and 83% were non-trauma patients. Four hundred and twenty-seven intravenous lines were placed, intravenous 10% had more than one intravenous line. Seventy-one percent of the intravenous lines were used to infuse drugs, the others were security intravenous. No significant difference was noticed between trauma and non-trauma patients in regard to the success rate and the time to place the intravenous line. Conclusion: The out-of-hospital team was skilled at intravenous line placement (success rate = 99.7%), and the time required to performed intravenous line access was short.

Keywords

INFUSIONS INTRAVENOUSEMERGENCY MEDICAL SERVICESEMERGENCY MEDICAL TECHNICIANSNURSESPHYSICIANSSTUDENTS MEDICAL
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 23 , Issue 7 , July 2006 , pp. 594 - 597
Copyright
© 2006 European Society of Anaesthesiology

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