Intravenous Infiltration Risk by Catheter Dwell Time Among Hospitalized Children

Effectiveness of an Intravenous Protection Device in Pediatric Patients on Catheter Dwell Time and Phlebitis Score

“…It also helps to control possible infections (phlebitis, infiltration, etc. ), reduces hospital stay and care costs, and prevents physical injury to the pediatric patient [5,7]. Notably, this study showed that the catheter dwell time was longer in pediatric patients who received the PIVC protection device.…”

“…House UltraDressing is a useful device to increasing dwell time in pediatric patients. In the literature and according to the policy of the institution where the study was conducted, all PIVCs were not removed until at least 96 hours, unless contraindicated [5,9,12]. In an aspect of patient safety, the experimental group was provided with prolonged dwell time and minimized repeated intervention.…”

“…It is also important to use the PIVCs properly for an extended dwell time without the complications, after successful placement of a catheter. Jeong et al [5] determined that the mean PIVC dwell time was 55.6 hours, mostly at 24e72 hours intervals, in 1596 pediatric patients.…”

“…Lim et al [7] concluded that phlebitis is the most common complication. In the literature, it was determined that cumulative risk for complications (especially infiltration) rapidly increased after 24 hours (especially between 48th and 120th hours) [5]. To extend dwell time and to prevent complications, it is important to identify an appropriate vein and stabilize and protect the PIVC site in pediatric patients.…”

“…Weyers [16] designed a combinable transparent dressing and securement device [The Grip-Lok Arterial and splint (MED Alliance Group, Inc., Sycamore, IL, USA)]. Jeong et al [5] determined that "adhesive breathable, transparent film dressing design" promoted better visibility, facilitating nurses to detect IV complications earlier. In addition, the new IV securement dressing brought about labor cost savings; enabling staff time directed to other patient care activities.…”