Feasibility And Cost-Effectiveness Of Ultrasound-Guided IV Placements By Radiology Technologists In The Outpatient Setting

Abstract

Ultrasound-guided intravenous (IV) placement is an emerging technique that allows radiology technologists to visualize peripheral veins using ultrasound and guide cannulation. This approach aims to improve first-stick success rates, reduce complications, and increase patient satisfaction compared to traditional blind insertion techniques. This paper examines the feasibility and cost-effectiveness of implementing ultrasound-guided IV placements by radiology technologists specifically in the outpatient setting. A review of current literature explores reported benefits of ultrasound guidance including higher first-stick success, fewer insertion attempts, reduced risk of infiltration, and enhanced technical skills. Potential challenges are also discussed such as equipment costs, need for training and credentialing of technologists, and increased procedure time. Cost-effectiveness is analyzed by comparing these factors - evaluating ultrasound machine and supply expenses versus costs of difficult IV insertions, treatment for infiltrations, and nursing time needed for traditional blind sticks. Multiple studies indicate that ultrasound guidance could improve efficiency and reduce overall costs in settings with high volumes of IV insertions. However, more research is needed to [1]establish definitive cost savings across different outpatient populations. Additional factors to consider are impacts on department workflow, appropriate credentialing standards, optimal training methods, and patient satisfaction. In conclusion, ultrasound-guided IV placement performed by radiology technologists may provide significant benefits in outpatient settings, but thoughtful implementation is needed to ensure feasibility and cost-effectiveness. This technique has the potential to improve quality of care and patient experiences for peripheral IV access.