A Randomized Trial Comparing Outcomes of 3 Types of Peripheral Intravenous Catheters

Galang, Heather; Hubbard-Wright, Chandra; Hahn, Donna; Yost, Gina; Yoder, L.; Maduro, Ralitsa S.; Morgan, Merri K.; Zimbro, Kathie S.

doi:10.1097/ncq.0000000000000421

Cited by 8 publications

(11 citation statements)

References 94 publications

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“…20 With regard to catheter type, in contrast to our findings, a randomized control trial conducted in adult patients requiring a PVC on three medical and surgical wards at the Hospital Clínico San Carlos showed a 29% reduction in the incidence of phlebitis with closed safety versus open PVCs, 29 while a second randomized trial confirmed that closed PVC systems are safer and more economical than open systems. 30 Further research is required to understand the reasons behind these disparate results. With regard to reinforced dressing, the previous study in adult patients requiring a PVC in the medical and surgical wards of a tertiary hospital located in Queensland, Australia found no significant difference in the effect of reinforced dressings and ordinary dressings on the incidence of phlebitis.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for peripheral venous catheter failure: A prospective cohort study of 5345 patients

et al. 2021

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Purpose: The objective of this study was to determine the independent risk factors associated with peripheral venous catheter (PVC) failure and develop a model that can predict PVC failure. Methods: This prospective, multicenter cohort study was carried out in nine tertiary hospitals in Suzhou, China between December 2017 and February 2018. Adult patients undergoing first-time insertion of a PVC were observed from catheter insertion to removal. Logistic regression was used to identify the independent risk factors predicting PVC failure. Results: This study included 5345 patients. The PVC failure rate was 54.05% ( n = 2889/5345), and the most common causes of PVC failure were phlebitis (16.3%) and infiltration/extravasation (13.8%). On multivariate analysis, age (45–59 years: OR, 1.295; 95% CI, 1.074–1.561; 60–74 years: OR, 1.375; 95% CI, 1.143–1.654; ⩾75 years: OR, 1.676; 95% CI, 1.355–2.073); department (surgery OR, 1.229; 95% CI, 1.062–1.423; emergency internal/surgical ward OR, 1.451; 95% CI, 1.082–1.945); history of venous puncture in the last week (OR, 1.298, 95% CI 1.130–1.491); insertion site, number of puncture attempts, irritant fluid infusion, daily infusion time, daily infusion volume, and type of sealing liquid were independent predictors of PVC failure. Receiver operating characteristic curve analysis indicated that a logistic regression model constructed using these variables had moderate accuracy for the prediction of PVC failure (area under the curve, 0.781). The Hosmer-Lemeshow goodness of fit test demonstrated that the model was correctly specified (χ2 = 2.514, p = 0.961). Conclusion: This study should raise awareness among healthcare providers of the risk factors for PVC failure. We recommend that healthcare providers use vascular access device selection tools to select a clinically appropriate device and for the timely detection of complications, and have a list of drugs classified as irritants or vesicants so they can monitor patients receiving fluid infusions containing these drugs more frequently.

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Section: Discussionmentioning

confidence: 99%

Risk factors for peripheral venous catheter failure: A prospective cohort study of 5345 patients

et al. 2021

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“…Clinical studies supporting the evidence Reduction in insertion attempts Bausone-Gazda et al 6 (RCT) Reduction in infiltration/extravasation González López et al 8 (RCT) Increased dwell time González López et al 8 (RCT), Tamura et al, 9 Neo et al, 10 Penoyer et al, 13 Guenezan et al 16 (RCT) Reduction in risk of dislodgement Bausone-Gazda et al 6 (RCT), Galang et al 15 (RCT) Prevention of blood leakage Bausone-Gazda et al 6 (RCT), Easterlow et al, 7 González López et al, 8 Galang et al 15 (RCT) Cost reduction Bausone-Gazda et al 6 (RCT), González López et al 8 (RCT) Reduction in phlebitis rate González López et al 8 (RCT) Reduction in infection rate Easterlow et al, 7 González López et al 8…”

Section: Outcomementioning

confidence: 97%

“…McNeill et al, 5 Bausone-Gazda et al 6 (RCT), Galang et al 15 (RCT) Improved patient satisfaction/comfort Easterlow et al, 7 González López et al 8 (RCT), Galang et al 15 (RCT)…”

Section: (Rct) Improved Clinician Satisfactionmentioning

confidence: 99%

“…In this regard, the most interesting and valid study is the CLEAN 3 study, 16 where the use of ISPC was associated with a consistent adoption of skin antisepsis with 2% chlorhexidine and coverage with transparent dressing. Of course, a proper "management bundle" is also mandatory: aseptic technique, use of the line only for peripherally compatible infusions, saline flushing of the 9 Neo et al, 10 Penoyer et al, 13 Guenezan et al 16 (RCT) Reduction in risk of dislodgement Bausone-Gazda et al 6 (RCT), Galang et al 15 (RCT) Prevention of blood leakage Bausone-Gazda et al 6 (RCT), Easterlow et al, 7 González López et al, 8…”

Section: Why Should We Use An Integrated Spc?mentioning

confidence: 99%

“…Bausone-Gazda et al6 (RCT), Galang et al15 (RCT) Improved patient satisfaction/comfort Easterlow et al,7 González López et al8 (RCT), Galang et al15 (RCT) line when not in use, adequate surveillance of the dressing and of the exit site.…”

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confidence: 99%

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The integrated short peripheral cannula: A new peripheral venous access device?

Pinelli

Pittiruti

2021

J Vasc Access

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Short peripheral intravenous cannulas have different features, as they may be winged or non-winged, ported or non-ported, equipped or not with needle stick prevention and “blood stop” mechanisms, and integrated or not with preassembled extensions or preassembled needle free connector. In the current range of commercially available short peripheral cannulas, there is one device that is apparently associated with several clinical advantages. In fact, short peripheral cannulas with safety mechanisms, closed system, winged, non-ported, and equipped with preassembled extension and preassembled needle-free connector appear to be associated with prolonged dwell time, reduction of the incidence of several complications (infiltration/extravasation, dislodgement, phlebitis, infection, blood leakage), cost reduction, and increased satisfaction of patients and clinicians. To clarify the current terminology and to identify this device for future clinical studies, the authors advocate the use of the term “integrated short peripheral cannula.” A rapid review of the current evidence suggests that this new device may have different clinical performance and different indications if compared to standard short peripheral cannulas. Though, the optimal clinical outcome can be achieved only when the device is inserted and maintained with proper protocols.

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Nurses’ education, knowledge and perceptions of peripheral intravenous catheter management: A web-based, cross-sectional survey

et al. 2023

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A Randomized Trial Comparing Outcomes of 3 Types of Peripheral Intravenous Catheters

Cited by 8 publications

References 94 publications

Risk factors for peripheral venous catheter failure: A prospective cohort study of 5345 patients

Risk factors for peripheral venous catheter failure: A prospective cohort study of 5345 patients

The integrated short peripheral cannula: A new peripheral venous access device?

Nurses’ education, knowledge and perceptions of peripheral intravenous catheter management: A web-based, cross-sectional survey

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