Involvement of veterinary students in the placement of intravenous catheters in adult horses in a teaching hospital does not significantly increase the rate of catheter complications.
Abstract: To determine whether student involvement in intravenous catheter (IVC) placement increases the risk for complications and to report the rate and types of complications associated with IVCs in adult horses in a university teaching hospital. Methods: 455 IVCs placed in 394 horses. Methods: Data relevant to IVC placement and removal were retrieved from an electronic medical record search including records of adult horses from January 1 to December 31, 2022. Data retrieved from records included the role of the individual who prepared the site and placed the IVC, site of IVC placement, and type of IVC. The reason for removal of the IVC and presence or absence of detectable changes within the vein at the time of removal were documented in addition to clinical data, allowing for classification of each case. Data were reviewed retrospectively, and statistical analyses were performed using mixed-effects logistic regression models. Significance was set at P ≤ .05. Results: The overall rate of complications was 15.6%, and the most common type of complication was swelling of the vein. Students were involved in 87 of 455 IVC site preparations and placements, and there were no statistically significant differences in complication rates between IVC sites prepared or placed by veterinary students versus nonstudent personnel. Conclusions: Veterinary personnel and clients may be hesitant to allow student involvement in IVC placement in horses, but these data suggest that student involvement does not increase the risk of IVC complications.
Publication Date: 2024-04-30 PubMed ID: 38688327DOI: 10.2460/javma.24.02.0077Google Scholar: Lookup
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Summary
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The study investigated if veterinary student participation in intravenous catheter (IVC) placement in horses results in an increased rate of complications, concluding that student involvement did not lead to significant changes in complication rates.
Research Methodology
- The researchers examined 455 IVC placements in 394 adult horses at a university teaching hospital.
- An electronic medical record search provided data related to IVC placement and removal for a whole year, from January to December 2022.
- Information collected from these records included the individual’s role in preparing the site and placing the IVC, the site of IVC placement, and the type of IVC used.
- Additional data compiled was the reason for IVC removal, any visible changes to the vein when removed, along with other clinical data, which facilitated the categorization of each case.
- This data was reviewed retrospectively and mixed-effects logistic regression models were used for statistical analysis, setting significance at P ≤ .05.
Research Findings
- The research found an overall complication rate of 15.6%.
- The most prevalent type of complication observed was the swelling of the vein where the IVC was placed.
- Of the 455 IVC site preparations and placements, veterinary students were involved in 87.
- Importantly, no statistically significant differences were found in the complication rates between IVC sites prepared or placed by veterinary students compared to non-student personnel.
Conclusion
- The study’s findings indicate that even though there may be reluctance from veterinary personnel and clients to allow student involvement in IVC placement in horses, the data suggests this hesitation is unfounded.
- Allowing veterinary students to participate in these procedural tasks does not increase the risk of IVC complications for horses treated in a teaching hospital environment.
Cite This Article
APA
Hepworth-Warren KL, Erwin-Craig SJ, Love K.
(2024).
Involvement of veterinary students in the placement of intravenous catheters in adult horses in a teaching hospital does not significantly increase the rate of catheter complications.
J Am Vet Med Assoc, 1-7.
https://doi.org/10.2460/javma.24.02.0077 Publication
Researcher Affiliations
- 1Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
- 1Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
- 2K. R. Love Quantitative Consulting and Collaboration, Athens, GA.
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