Improving Outcomes of Short Peripheral Vascular Access in Oncology and Chemotherapy Administration

Key Points: Prior to PIVC insertion, it is important that an appropriate insertion site has been selected (the forearm is preferred, avoiding joints). The chosen vein for insertion should be inspected and carefully palpated. Potential aids for improving venous access success should be considered. These may include vein visualisation tools (near infrared light or ultrasound, as available).

Studies indicate that the overall IV catheter failure rate (failure before the intended end date of use) lies between 35% and 50%.Whatever the cause, PIVC failure, by its very nature, can lead to personal discomfort for patients and requires additional medical treatment. PIVC failure is costly to healthcare systems, due to the increase in need for medical resources and patient’s additional length of hospital stay.