Device Selection

Abstract

Selection of the right vascular access device requires assessment using an algorithmic process, as represented in quadrants 1 and 2 of the VHP model, to provide the patient with a tailored device suited to patient-specific clinical conditions. The process of device selection includes a rational assessment of the patient’s needs, vein anatomy and health and medical history as well as consideration of the characteristics of the prescribed therapy, in conjunction with proper knowledge of the proposed treatment. However, the first consideration must be whether the patient’s therapy truly justifies administration via an indwelling VAD. This first step is often overlooked in acute healthcare settings, where more than 90% of therapies involve some form of IV administration. With developments in modern drugs, there may well be an oral administration alternative that is equally acceptable and, as such, is less risky to the patient. Perhaps the right VAD is no VAD at all!