Introcan Safety® Deep Access

Cathéters de sécurité intraveineux extra-longs

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Introcan Safety® Deep Access

Introcan Safety® Deep Access est un cathéter intraveineux périphérique spécialement conçu pour l'accès intraveineux difficile (Difficult Venous Access patients ou les patients DiVA). Sa longueur (G18-22 x 64mm ; G24 x 32mm) permet au cathéter d'atteindre les veines plus profondes.

Les patients DiVA sont entre autres :

  • Les patients pédiatriques et les nouveaux-nés
  • Les patients en surpoids ou obèses
  • Les patients âgés ou atteints de maladies chroniques (diabète)
  • Les patients en situation d'urgence (brûlures cutanées, hématomes, déshydratation)

Avantages

Le cathéter extra-long permet d'accéder aux veines plus profondes et offre ainsi davantage d'options à la recherche d'une veine adéquate.1, 2, 3, 4, 5

Un cathéter plus long dans la veine contribue à éviter une dislocation de la pointe du cathéter, ainsi que des infiltrations.1, 3, 4, 5, 6

Un temps de séjour prolongé du cathéter dans la veine par rapport aux cathéters de longueur standard.7

Mécanisme de sécurité passif - un clip de sécurité neutralise automatiquement le biseau lors du retrait de l'aiguille.8, 9

Bonne visibilité sous échographie pour une pose sûre et efficace.10,11,12,13

Ponction aisée et indolore grâce à une pointe d'aiguille atraumatique, avec configuration "back cut" du biseau permettant différents angles de ponction.14

Indiqué pour les injections à haute pression pour l'application de produits de contraste à 300 PSI.

Absence de phtalates (DEHP), latex, PVC.

  1. Elia F., Ferrari G., Molino P., Converso M., De Filippi G., Milan A., Aprà F. Standard-lengthvcatheters vs long catheters in ultrasound-guided peripheral vein cannulation. AmericanvJournal of Emergency Medicine 2012; 30(5): 712-716
  2. Fabiani A., Dreas L., Sanson G. Ultrasound-guided deep-arm veins insertion of long peripheral catheters in patients with difficult venous access after cardiac surgery. Heart and Lung: Journal of Acute and Critical Care 2017; 46(1): 46-53
  3. Paladini A. Chiaretti A, Sellasie KW, Pittiruti M, Vento G. Ultrasound-guided placement of long peripheral cannulas in children over the age of 10 years admitted to the emergency department: a pilot study. BMJ Paediatrics Open 2018; 2:e000244. doi:10.1136/bmjpo-2017- 000244
  4. Scoppettuolo G., Pittiruti M., Pitoni S., Dolcetti L., Emoli A., Mitidieri A., Migliorini I., Annetta M.G. Ultrasound-guided “short” midline catheters for difficult venous access in the emergency department: a retrospective analysis. International Journal of Emergency Medicine 2016; 9(1): 1-7
  5. Meyer P, Cronier P, Rousseau H, et al. Difficult peripheral venous access: clinical evaluation of a catheter inserted with the Seldinger method under ultrasound guidance. J Crit Care 2014; 29(5): 823-827
  6. De Prospo T., Attini A., De Giorgi R., Farinelli S., Joli D., Maddalena F., Marchisio U., Geninatti S. The assessment of the effectiveness of long vs standard-length catheters in reducing complications: a randomized controlled trial. Assistenza infermieristica e ricerca: AIR 2015; 34(3): 116-124
  7. Bahl, A., Hang, B., Brackney, A., Joseph, S., Karabon, P., Mohammad, A., ... & Shotkin, P. (2019). Standard long IV catheters versus extended dwell catheters: A randomized comparison of ultrasound-guided catheter survival. The American journal of emergency medicine, 37(4), 715-721.
  8. Sossai, Dimitri, et al. "Efficacy of safety catheter devices in the prevention of occupational needlestick injuries: applied research in the Liguria Region (Italy)." Journal of preventive medicine and hygiene 57.2 (2016): E110.
  9. Tosini, William, et al. "Needlestick injury rates according to different types of safety-engineered devices: results of a French multicenter study." Infection Control & Hospital Epidemiology 31.4 (2010): 402-407.
  10. B.Braun Medical Inc. (2017). Longer Introcan Safety - Echogenicity Visibility Evaluation. Engineering Test Report.
  11. Egan, Grace et al. “Ultrasound guidance for difficult peripheral venous access” Emergency medicine journal: EMJ 2013; 30 (7): 521–526
  12. Miller C. Product selection and evaluation. In: Alexander M, Corrigan et al. Infusion Nurses Society. Infusion nursing - an evidence-based approach. 3. Edition. Philadelphia, Pa. [u.a.]: Saunders Elsevier 2009; 437-446
  13. Paladini A. Chiaretti A, Sellasie KW, Pittiruti M, Vento G. Ultrasound-guided placement of long peripheral cannulas in children over the age of 10 years admitted to the emergency department: a pilot study. BMJ Paediatrics Open 2018; 2:e000244. doi:10.1136/bmjpo-2017- 000244
  14. Suzuki, Toshiyasu, et al. "Differences in penetration force of intravenous catheters: effect of grinding methods on inner needles of intravenous catheters." Tokai J Exp Clin Med 29.4 (2004): 175-181.
  15. Maki D.G. Ringer M. Risk Factors for infusion-related Phlebitis with Small Peripheral Venous Catheters: A randomized Controlled Trial. Ann Intern Med. 1991 May 15; 114(10):845-54.