Development of an Extended Dwell Peripheral Catheter Program

The team aimed to develop an extended dwell peripheral catheter program to reduce multiple, painful cannulation attempts and complication rates related to peripheral catheters in patients with difficult venous access.

An insertion algorithm was developed to provide the most suitable intravascular device based on ultrasound assessment.

Results showed:

• 4 in every 5 catheters were inserted at first attempt
• The insertion algorithm contributed to the majority of devices remaining in place until the cessation of therapy
• Phlebitis rates were minimal and no infections were reported. 

The program has been successful with many devices in dwell for weeks with no complications (totalling 1645 catheter days). Complication rates were significantly lower than has previously been described.