Cost reduction of ultrasound-guided PIV insertions, increases safety & efficiency

Sept. 15, 2021

A new UltraDrape Barrier and Securement Dressing from Parker decreases the risk of infection during ultrasound-guided peripheral IV (UGPIV) catheter insertions while reducing supply costs by 67 percent, according to a new study. The dressing has “the potential to standardize UGPIV insertions in a way that makes the procedure safer, faster and more cost-effective,” said study author Nancy Moureau, RN, PhD in a release.

 “Aseptic technique is essential for minimizing contamination, but risk to the patient increases if it’s not done in an effective and consistent manner,” Moureau added. “I have yet to find another product that improves adherence to aseptic technique while also reducing overall costs.”

Dr. Moureau is an internationally recognized expert in vascular access and CEO of PICC Excellence. She conducted a cost analysis to examine the economic advantages of using UltraDrape in conjunction with Aseptic Non Touch Technique (ANTT)—a unique, standardized approach to aseptic technique—during UGPIV procedures.

Dr. Moureau will present her research as a poster at the upcoming Association of Vascular Access (AVA) Annual Scientific Meeting and will be available for discussion. Dr. Moureau compared the cost of supplies for three PIVC insertion techniques: UltraDrape/ANTT, current practice and full sterile insertion. The use of UltraDrape resulted in significant cost savings, especially compared to the supplies required for a full sterile technique. This is particularly important considering that a fully sterile technique is difficult to achieve for peripheral catheter insertions at the bedside, Dr. Moureau notes.

Manufactured by Parker Laboratories, UltraDrape is reputed to be the first dressing designed specifically for use during UGPIV procedures. According to a recent evaluation by the Association for Safe Aseptic Practice (ASAP), the dressing provides “an effective solution” for improving aseptic insertions “using the more economical, but equally safe and effective Standard-ANTT approach.”

ANTT is becoming the global standard for safety, with both AVA and the Infusion Nurses Society recommending its use to standardize infection control practices in vascular access procedures. PIVC insertion is the most commonly performed invasive medical procedure among hospitalized patients. Over 70 percent of acute care patients require IV access at some point during their stay, and up to 60 percent of those patients may be considered to have difficult vascular access (DiVA). These patients frequently require ultrasound guidance in order to successfully achieve peripheral access and receive necessary treatments.

UltraDrape is a transparent barrier dressing that facilitates aseptic technique for UGPIV insertions by separating the ultrasound probe and gel from the sterile insertion site, resulting in a safer, gel-free insertion. The ultrasound gel is applied to a disposable film layer instead of the patient’s skin, which also eliminates the time-consuming post-procedure clean-up and reduces the risk that inadequate gel removal will lead to dressing failure.

The 2021 Virtual AVA Scientific Meeting will take place September 16-19, 2021. Virtual AVASM21 Content will be available on-demand to registered attendees at no extra cost through November 15, 2021.

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