LOVE-DIVA

Grant ID: EMLE-201R36-2021-XU

Project Summary

Peripheral intravenous catheters (PIVCs) are small plastic tubes placed in a patient’s vein for the delivery of intravenous fluid and medications. In the emergency department, many patients present with difficult intravenous access and require multiple insertion attempts to successfully place a PIVC. This can be time consuming for clinical staff, costly for hospitals, and painful for patients. Correct device selection is a key strategy to ensure first-time insertion success.

This study will recruit 406 adult participants at two emergency departments in order to test if novel PIVCs with a retractable guidewire (AccuCath Ace™ Intravascular Cannula, BD), compared to standard care, are effective at increasing first-time insertion success for patients with difficult vascular access.

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Dissemination

Publications:

- Xu, H., Corley, A., Young, E.R., Doubrovsky, A., Ware, R.S., Afoakwah, C., Wang, C., Stirling, S. and Marsh, N., 2024. Long guidewire peripheral intravenous catheters in emergency departments for management of difficult intravenous access: A multicenter, pragmatic, randomized controlled trial. Academic Emergency Medicine.

- Xu, H.G., Corley, A., Ware, R.S., Nghiem, S., Stirling, S., Wang, C., Marsh, N., 2022. Using a LOng peripheral intraVEnous catheter with retractable guidewire to optimise first-insertion success for patients with Difficult IntraVenous Access in the emergency department (LOVE-DIVA): A study protocol for a randomised controlled trial. Vascular Access, 16(2), 41-49.

Presentations:

- Xu, H.G. (2023) An innovative device for Difficult Venous Access in ED- Is this a good solution? 20th International Conference for Emergency Nurses, Perth, Australia, 4-6 October 2023.

- Xu, H.G. (2023) Difficult vascular access (invited oral presentation). 22nd International Conference on Emergency Medicine, Netherlands, 13-16 June 2023.

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