PIV

Power Hour Breakout

(M5) Long peripheral what? Addressing the confusion surrounding the long peripheral venous access devices.

Presenter(s)

• 

  Maurizio Pacilli, MBBS(Hons), MD(Res), FRCS(PaedsSurg)

  Paediatric Surgeon, Adjunct Senior Lecturer
  Monash Children's Hospital - Monash University

  Nothing to Disclose

Co-Presenter(s)

• 

  Kirby Qin, MBBS(Hons), BMedSc(Hons)

  Junior Doctor
  Monash Children's Hospital - Monash University

  Nothing to Disclose

Peripheral intravenous access (PIV) involves devices terminating distal to the subclavian and femoral veins. There are 3 options for PIV:
1. Peripheral intravenous catheters (PIVCs) or “cannulas” – 2-6cm in length, inserted with a catheter-over-needle method;
2. Midline catheters (MCs) – 15-25cm in length, most commonly inserted with a modified Seldinger method;
3. Long peripheral devices (LPDs) – 6-15cm in length, most commonly inserted with a direct Seldinger method.
LPDs are reliable for up to 28 days, whilst remaining relatively straightforward to insert. However, evidence in the literature regarding the use of LPDs is scanty. Furthermore, while the nomenclature of PIVCs and MCs is generally consistent, this is not the case for LPDs; we identified over a dozen labels describing the same device (e.g. “extended dwell/midline peripheral catheter”, “long peripheral cannula”, “long peripheral catheter”, "midline cannula", "mini-midline"). We would like to present the current evidence surrounding the use of LPDs. We would also like to stimulate the discussion and encourage debate among AVA members in reaching a consensus regarding the LPDs nomenclature.

Learning Objectives:

• Learn about the current options for peripheral intravenous access
• Appreciate the current evidence regarding the use of long peripheral devices
• Debate about the current nomenclature of long peripheral devices