Factors that affect longevity of intravenous cannulas: a prospective study

Dillon, M.F.; Curran, John B.; Martos, Ricardo López; Walsh, Colin; Walsh, John F.; Al-Azawi, Dhafir; Lee, C.S.; O’Shea, Diarmuid

doi:10.1093/qjmed/hcn078

Cited by 43 publications

(44 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In numerous studies, the prolonged cannula dwell time in situ significantly increased the development of phlebitis on observed PVCs (Abbas, de Vries, Shaw, & Abbas, ; Cicolini et al, ; Dillon et al, ; Do Rego Furtado, ; Maki & Ringer, ; Malach et al, ). Several previous studies and our study have found that the probability of developing phlebitis is about twice greater if the cannula dwell time is longer than 72 hr compared to PVC up to 24 hr in situ (Abbas et al, ; Do Rego Furtado, ).…”

Section: Discussionmentioning

confidence: 99%

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Simin

Milutinović

Turkulov

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To determine the incidence, severity and risk factors of peripheral intravenous cannula‐induced complications. Background Peripheral venous cannulation in hospitalised patients may cause complications such as phlebitis, infiltration, occlusion and dislodgement. A review of the literature reveals the discrepancy in their incidence and identification of a wide range of risk factors, whereas the data on the occurrence and degree of severity are insufficient. Design An observational prospective study. Methods The study observed 1,428 peripheral intravenous cannula insertion among 368 adult patients hospitalised at the tertiary healthcare clinics. The data collection and analysis included patients’ medical data and the data related to each cannula (including placement, monitoring and the reasons for removal), as well as the data on the type of administered medications and solutions. Reporting of this research adheres to the STROBE guidelines. Results Phlebitis ranked first among complications with occurrence of 44%, followed by infiltration of 16.3%, while the incidence of occlusion and catheter dislodgement was 7.6% and 5.6%, respectively. In assessing the occurrence of phlebitis, multivariate analysis highlighted the presence of comorbidity, current infection, catheter size, time in situ and the number of administrations of infusion solutions associated with risk, whereas 20‐gauge catheter, two or more attempts at cannulation and administration of a high‐risk solutions during the first day have been singled out with regard to infiltration. As for the severity, the most common was medium stage of phlebitis, whereas grade 2 was most commonly observed for infiltration. Conclusion The incidence of infiltration, occlusion and dislodgment is almost congruent with the average incidence of previous studies. However, the incidence and degree of severity associated with the occurrence of phlebitis were significantly higher. Relevance to clinical practice The results of the study draw attention to vulnerable groups of patients, cannula‐specific and pharmacological risk factors for the development of peripheral intravenous cannula‐induced complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Simin

Milutinović

Turkulov

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Regarding the site chosen to insert the device, the forearm (36.7%) was the preference of the nursing team due to the presence of long and large veins that enable the insertion of catheters with higher calibres (7,18) . A study shows that there is no indication of the ideal anatomic region to reduce the risk of phlebitis.…”

Section: Discussionmentioning

confidence: 99%

Incidência de flebite e flebite pós-infusional em adultos hospitalizados

Urbanetto

Muniz

Silva

et al. 2017

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

Objective: to determine the incidence of phlebitis during and after the use of peripheral intravenous catheter (PIC), and analyse the association of this complication with risk factors.Methods: cohort study with 165 adult patients admitted to a university hospital in Porto Alegre, totalling 447 accesses, from December 2014 to February 2015. Data were collected on a daily basis and analysed by means of descriptive and analytical statistics. Results:The incidence of phlebitis during PIC was 7.15% and the incidence of post-infusion phlebitis was 22.9%. Phlebitis during catheter use was associated with the use of Amoxicillin + Clavulanic Acid. The grade of post-infusion phlebitis was associated with age and use of Amoxicillin + Clavulanic Acid, Tramadol Hydrochloride, and Amphotericin. Conclusion:The incidence of post-infusion phlebitis proved to be an important indicator to analyse the quality of the healthcare setting. Keywords: Phlebitis. Catheters. Patient safety. Nursing. RESUMO Objetivo: Avaliar a incidência de flebite durante o uso de cateter intravenoso periférico (CIP) e pós-infusional e analisar a associação com fatores de risco em pacientes hospitalizados.Método: Estudo de coorte com 165 pacientes adultos internados em hospital universitário de Porto Alegre que totalizaram 447 acessos no período de dezembro 2014 a fevereiro 2015. A coleta dos dados foi diária, e a análise dos dados ocorreu pela estatística descritiva e analítica.Resultados: A incidência de flebite durante o uso do CIP foi de 7,15% e de flebite pós-infusional, 22,9%. A flebite durante o uso do cateter associou-se com a Amoxicilina + Ácido Clavulânico. A flebite pós-infusional apresentou associação do grau de gravidade com a idade e com o uso de Amoxacilina + Ácido Clavulânico, Cloridrato de Tramadol e Anfotericina. Conclusão:A incidência de flebite pós-infusional mostrou-se um indicador importante para a análise do cenário da qualidade da assistência em saúde. Palavras-chave:Flebite. Cateteres. Segurança do paciente. Enfermagem. RESUMEN Objetivo: Evaluar la incidencia de flebitis en el uso de catéter periférico intravenoso (CIP) y posinfusional y analizar la asociación con los factores de riesgo en pacientes hospitalizados.Método: Estudio de cohorte con 165 pacientes adultos ingresados en un hospital universitario de Porto Alegre, que ascendió a 447 accesos de diciembre 2014 a febrero de 2015. La recolección de datos fue diaria y el análisis de datos fue mediante estadística descriptiva y analítica.Resultados: La incidencia de flebitis durante el uso de catéter periférico intravenoso fue del 7,15% y de la flebitis posinfusional fue del 22,9%. La flebitis durante el uso del catéter se asoció con el uso de Amoxicilina + Ácido clavulánico. La flebitis posinfusional presentó una asociación del grado de gravedad con la edad, y con el uso de Amoxicilina + Ácido clavulánico, Clorhidrato de tramadol y Anfotericina.Conclusión: La incidencia de flebitis posinfuncional mostró ser un indicador importante para el análisis del escenario de la ca...

show abstract

“…1,3,7,13 Pesquisas mostraram que a taxa dessa complicação local não aumenta com o tempo de permanência do CIP. [23][24][25] Quanto à região anatômica e a ocorrência de flebite, não se observou associação significativa (p=0,059). O antebraço foi o local de punção mais utilizado pela equipe de enfermagem.…”

Section: Discussionunclassified

“…A preferência por essa região, também evidenciada em outras investigações, encontra-se relacionada à presença de veias calibrosas e longas, como cefálica e basílica, que possibilitam a inserção de CIP mais calibrosos. 4,12,24 O fato de esses acessos terem sido puncionados principalmente com CIP de 18G e 20G, pode ter, de certo modo, evitado a flebite. Atualmente não existe consenso acerca da região anatômica ideal ou de menor risco de flebite.…”

Section: Discussionunclassified

Associação entre flebite e retirada de cateteres intravenosos periféricos

Magerote¹,

Lima

Silva

et al. 2011

Texto contexto - enferm.

View full text Add to dashboard Cite

RESUMO:Estudo de coorte prospectivo, com objetivo de verificar a incidência de flebite em pacientes com cateter intravenoso periférico e identificar possíveis associações dessa complicação com variáveis relativas a estes cateteres. Foram avaliados 76 pacientes adultos internados em enfermaria de um hospital universitário, utilizando-se de uma ficha contendo variáveis relativas aos pacientes, ao cateter intravenoso periférico e à terapia farmacológica. A flebite foi avaliada segundo classificação proposta pela Infusion Nurses Society. Utilizou-se estatística descritiva e inferencial. Observou-se incidência de 25,8% de flebite, das quais 40% apresentaram manifestações clínicas de dor, com eritema e ou edema. Dentre os pacientes com flebite, 60% desenvolveram um episódio da complicação, e o tempo de permanência médio dos cateteres intravenosos periféricos com flebite foi de 3,10 dias. Constatou-se associação da flebite à retirada do cateter intravenoso periférico por ocorrência adversa (p<0,001). São necessárias ações educativas e capacitação da equipe de enfermagem para o manejo da terapia intravenosa, principalmente no que tange à detecção precoce da flebite. RElaTION bETWEEN pHlEbITIS aNd pERIpHERal INTRavENOUSCaTHETER REMOval abSTRaCT: The objective of this prospective study is to verify the incidence of phlebitis among patients with peripheral intravenous catheters and to identify possible relations between this complication and catheter-related variables. Seventy-six adult patients hospitalized in a Brazilian university hospital were evaluated, using charts with patient-related variables, peripheral intravenous catheters, and pharmacological therapy. Phlebitis was evaluated based on Infusion Nurses Society proposed classification. Inferential and descriptive statistics have been used. We observed 25.8% incidence of phlebitis, from which 40% presented pain occurrences, with erythema and edema. Among patients with phlebitis, 60% developed a complication episode, and the average period of permanence of peripheral intravenous catheters with phlebitis was 3.10 days. We observed phlebitis associations to adverse occurrences during the removal of peripheral intravenous catheters (p<0.001). Educational actions and professional training for nursing personnel are necessary for dealing with intravenous therapy, mainly on what is related to early detection of phlebitis.dESCRIpTORS: Intravenous infusions. Phlebitis. Nursing. Nursing care. Peripheral catheterization. RElaCIÓN ENTRE la FlEbITIS Y la RETIRada dE CaTéTERES INTRavENOSOS pERIFéRICOSRESUMEN: Se trata de un estudio prospectivo para determinar la incidencia de flebitis en pacientes con catéter intravenoso periférico e identificar posibles asociaciones de esta complicación con las variables relacionadas con el catéter intravenoso periférico. Se evaluaron setenta y seis pacientes adultos hospitalizados en el sector de enfermería de un hospital universitario, mediante un formulario que contiene las variables relacionadas con los pacientes, el catéter intravenoso per...

show abstract

Factors that affect longevity of intravenous cannulas: a prospective study

Abstract: IC gauge and site of placement are important factors in determining IC longevity. 18 g ICs placed in the forearm/wrist can considerably increase the longevity of ICs and should be attempted in patients who require sustained cannulation.

Cited by 43 publications

References 13 publications

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

Incidência de flebite e flebite pós-infusional em adultos hospitalizados

Associação entre flebite e retirada de cateteres intravenosos periféricos

Contact Info

Product

Resources

About