Using Visualisation Technology to Support Successful PIVC Insertion

Study Overview

Peripheral intravenous catheter insertion can be difficult when veins are small, deep, fragile or difficult to identify. Multiple attempts may cause pain, delay treatment and reduce patient confidence in care.

This clinical practice summary outlines key recommendations from the Association for Vascular Access position paper on using visualisation technology to support vessel assessment and PIVC insertion, particularly for patients with difficult intravenous access.

Key Points

• Common visualisation technologies include transillumination, near-infrared imaging and ultrasound.
• These technologies can help clinicians identify suitable vessels, understand the vessel pathway and avoid structures such as valves.
• Visualisation technology may improve first-attempt success, reduce insertion time and minimise repeated needle punctures.
• Technology should support, rather than replace, clinical assessment, palpation and practitioner judgement.
• Successful use depends on appropriate equipment, clinician training and regular assessment of outcomes such as first-attempt success and catheter dwell time.
• For patients with known or anticipated difficult access, near-infrared technology or ultrasound may be considered earlier rather than only after repeated failed attempts.