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Using Ultrasonography for Vessel Diameter Assessment to Prevent Infiltration

Tanabe, Hidenori ME; Takahashi, Toshiaki MHS, RN; Murayama, Ryoko PhD, RN, RMW; Yabunaka, Koichi PhD, RT; Oe, Makoto PhD, RN; Matsui, Yuko PhD, RN; Arai, Rika MS; Uchida, Miho MSI, RN; Komiyama, Chieko RN; Sanada, Hiromi PhD, RN, WOCN

doi: 10.1097/NAN.0000000000000159
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Small veins are a risk factor for infiltration. However, there are no data regarding the ideal vein diameter for preventing infiltration. Using ultrasound, vessel diameter and calculated ratios of the vessel diameter to the catheter gauge were measured. The relationship between the ratio and infiltration was assessed to establish a cutoff point. The mean ratio of the infiltration group was significantly smaller than that of the no-infiltration group (P < .01), and the ratio was an independent risk factor according to the multivariable analysis. The ratio of 3.3 was determined to be the cutoff point that enables health care professionals to identify veins appropriately.

University of Tokyo, Graduate School of Medicine, Department of Advanced Nursing Technology, Tokyo, Japan (Drs Murayama and Oe, Mr Tanabe and Ms Arai); University of Tokyo, Graduate School of Medicine, Department of Gerontological Nursing/Wound Care Management, Tokyo, Japan (Drs Yabunaka and Sanada, Mr Takahashi); Kanazawa Medical University, School of Nursing, Kanazawa, Japan (Dr Matsui); University of Tokyo Hospital, Tokyo, Japan (Mss Uchida and Komiyama); and Terumo Corporation, Tokyo, Japan (Mr Tanabe and Ms Arai).

Hidenori Tanabe, ME, is a collaborative researcher in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan. He is also a research associate at Terumo Corporation in Tokyo.

Toshiaki Takahashi, MHS, RN, is a student in the Department of Gerontological Nursing/Wound Care Management in the Graduate School of Medicine of the University of Tokyo, Tokyo, Japan.

Ryoko Murayama, PhD, RN, RMW, is a project associate professor in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan.

Koichi Yabunaka, PhD, RT, is an assistant professor in the Department of Gerontological Nursing/Wound Care Management in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan.

Makoto Oe, PhD, RN, is a project lecturer in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan.

Yuko Matsui, PhD, RN, is an associate professor in the School of Nursing at Kanazawa Medical University in Kanazawa, Japan.

Rika Arai, MS, is a collaborative researcher in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan, and is a research associate at Terumo Corporation in Tokyo.

Miho Uchida, MSI, RN, is a vice director of nursing department at the University of Tokyo Hospital in Tokyo, Japan.

Chieko Komiyama, RN, is a director of nursing department at the University of Tokyo Hospital, Tokyo, Japan

Hiromi Sanada, PhD, RN, WOCN, is a professor in the Department of Gerontological Nursing/Wound Care Management in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan.

Corresponding Author: Hidenori Tanabe, ME, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan (Hidenori_Tanabe@terumo.co.jp).

This research was a joint project with Terumo Corporation and was conducted with sponsorship from that organization.

© Copyright 2016 by Infusion Nurses Society