Repeated attempts
In a cohort of 1,063 adults cannulated by experienced anaesthesia staff, 17% failed at the first attempt.[2]
Catheters that fail
A literature review puts peripheral IV catheter failure at 35% to 50%.[1] An audit of 40,620 catheters in 51 countries found many symptomatic, idle or poorly dressed.[3]
Local complications
Phlebitis and catheter-related infection are recognised risks of peripheral venous catheters.[4]
Harder for some patients
Veins that cannot be palpated or seen, a diameter of 2 mm or less, and a history of difficult access each predicted a failed first attempt.[2] The scale was later validated across several hospitals.[5]
More from our trainee survey
75% feel least prepared for needle insertion technique, and 56.3% rate their confidence 2 out of 5 or lower for a first unsupervised insertion. Obese patients with deeply buried veins were named hardest to cannulate by every respondent. Trainees most want real-time feedback on insertion (75%) and step-by-step procedural guidance (75%).