A GAVeCeLT-IVAS bundle for Safe Insertion of Long Peripheral Catheters: The SILPeC protocol

Abstract

In an increasingly complex clinical setting, long peripheral catheters (LPC) are rapidly gaining popularity and represent an effective option for the administration of medications and fluids, especially for patients with difficult venous access. However, inconsistencies in the literature, particularly regarding terminology and insertion techniques, have contributed to significant variability in clinical outcomes. To standardize and promote a safer and more effective insertion of these catheters, the Italian Group of Long-Term Venous Access Devices (GAVeCeLT) and the Italian Vascular Access Society (IVAS) have developed a six-step protocol that provides evidence-based recommendations. This insertion bundle—named SILPeC (Safe Insertion of Long Peripheral Catheters—includes (1) pre-insertion assessment of the vein of the upper limbs, (2) insertion of the optimal site selection, (3) appropriate measures of asepsis, (4) ultrasound-guided puncture, (5) safe connection to infusion lines, and (6) proper device stabilization and appropriate protection of the exit site. Integrating the latest scientific evidence and clinical expertise, the SILPeC bundle provides a standardized and reproducible method for placement and maintenance of LPCs. This project complements the existing GAVeCeLT recommendations for other vascular access devices, contributing to safer and more consistent vascular access practices in both hospital and outpatient settings.