Peripheral IV cannulation

In this month's clinical skills article, best practice for the insertion of a peripheral intravenous cannula (PIVC) will be discussed. An overview of equipment used, indications, complications and technique for PIVC will be discussed, with cognisance to an evidence-based approach to best practice technique. Critique of the anatomy and physiology of blood vessels; the process for aseptic non-touch-technique (ANTT) and the variety of intravenous cannulae available on the market will not be explored due to the overview focus of this article.

The importance of appropriate and timely clinical interventions such as PIVC is, when required, paramount for safe patient care. PIVC is noted as being an important clinical intervention in paramedic practice (Banerjee et al, 2011). Clinical practice guidelines recommend a variety of medications be administered via the intravenous route (Joint Royal Colleges Ambulance Liaison Committee (JRCALC), 2017). Therefore, having the knowledge, skills and understanding of clinical conditions and presentations, in addition to the paramedic drug formulary, requires sound clinical judgement and justifiable decision-making to ensure appropriate interpretation of guidelines is undertaken to meet patient needs.