Intravenous infusion drug administration: flushing guidance

Barton, Andrew

doi:10.12968/bjon.2019.28.8.s16

Cited by 9 publications

(13 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Flushing is an important procedure for the maintenance of PIVC and contributes to the prevention of some catheter-related complications, such as occlusion [ 13 , 14 , 15 ]. Taking into consideration the importance of the flushing procedure in reducing the PIVC related complications, this study shows a high percentage of nurses that perform flushing on their daily routine.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, some of the most frequent complications related to PIVCs are now well known in literature, as phlebitis [ 4 , 5 , 6 , 7 ], infiltration [ 8 ] and occlusion [ 2 , 4 , 9 , 10 , 11 ], which often leads to catheter failure, intravenous therapy interruption, need for premature removal of PIVCs, being necessary a new catheterization [ 2 , 12 ]. Occlusion is defined as any circumstance in which the PIVC does not enable to infuse fluids and is a clinical sign of catheter malfunctioning [ 1 , 13 , 14 ]. In fact, occlusion is often caused by fibrin coatings formed inside the PIVC lumen, which usually are built in the first 24 h of placement [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The flushing procedure in nursing practices: A cross-sectional study with Portuguese and Brazilian nurses

Parreira

Vicente

Bernardes

et al. 2020

Heliyon

View full text Add to dashboard Cite

Background In patients with peripheral intravenous catheters (PIVCs), performing flushing is an essential procedure to maintain catheter patency and prevent complications. These PIVC related complications can lead to premature removal and therapeutics interruption, which implies the need of a new catheterization thus increasing patient discomfort and pain. Aims To identify nursing practices related to the flushing procedure, namely: moment(s) of the flushing; the syringe size used; the flush solution, volume and technique; the knowledge and accomplishment of the recommended standards on flushing by nurses. Methods A cross-sectional study was conducted between July and December 2017, with Brazilian and Portuguese nurses. An online questionnaire was developed based on the international recommendations on flushing procedure. Descriptive analysis was performed. Results A total of 76 nurses answered the questionnaire. The majority of nurses (84.2%) performed flushing: the most common technique used was continuous syringe pressure (31.2%), with the push-pause technique being performed by 23.4% of the nurses. Despite the majority performs flushing at four distinct moments (after the PIVC insertion, before, between and after drug delivery), there are inconsistencies in flush solution, volume, and syringe size. The most used volume to perform flushing was 5 mL, filled using normal saline. Despite this, they also recognized the omission of this procedure due to time constrains, no familiarity with the procedure and unavailable material. Conclusions This study identified that flushing procedure isn't always performed by nurses in their clinical practice. Also, several inconsistencies were observed between nurses that performed flushing, reflecting the lack of empirical evidence in this area of research.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The flushing procedure in nursing practices: A cross-sectional study with Portuguese and Brazilian nurses

Parreira

Vicente

Bernardes

et al. 2020

Heliyon

View full text Add to dashboard Cite

show abstract

“…The administration of different fluids through a Vascular Access Device (VAD) is a common practice in a variety of clinical settings [1][2][3]. Syringes are commonly used in clinical contexts to inject drugs and other fluids into the human body.…”

Section: Introductionmentioning

confidence: 99%

“…Commonly, syringes are linked to a VAD by a connector (e.g., anti-reflux valve, three-way stopcock) and intravenous drugs are administered into the bloodstream. The most commonly found VAD is the peripheral intravenous catheter (PIVC), which is inserted in patients' peripheral veins and enables the intravenous administration of fluids, blood products, and drugs directly on the bloodstream [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Intraluminal deposits of medication can form a thrombus or constitute an optimal environment for bacterial growth, both leading to significant complications for patients with a PIVC such as catheter occlusion, phlebitis, or bloodstream infection [3][4][5][6]. Such complications are associated with a higher chance of VAD failure and premature removal, delaying intravenous treatments and significantly increasing care costs [4,5,7].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Brief Report on Double-Chamber Syringes Patents and Implications for Infusion Therapy Safety and Efficiency

Sousa

Santos-Costa

Marques

et al. 2020

IJERPH

View full text Add to dashboard Cite

This review aimed to map the existing patents of double-chamber syringes that can be used for intravenous drug administration and catheter flush. A search was conducted in the Google patents database for records published prior to 28 October 2020, using several search terms related to double-chamber syringes (DCS). Study eligibility and data extraction were performed by two independent reviewers. Of the initial 26,110 patents found, 24 were included in this review. The 24 DCS that were found display two or more independent chambers that allow for the administration of multiple solutions. While some of the DCS have designated one of the chambers as the flushing chamber, most patents only allow for the sequential use of the flushing chamber after intravenous drug administration. Most DCS were developed for drug reconstitution, usually with a freeze-dried drug in one chamber. Some patents were designed for safety purposes, with a parallel post-injection safety sheath chamber for enclosing a sharpened needle tip. None of the DCS found allow for a pre- and post-intravenous drug administration flush. Given the current standards of care in infusion therapy, future devices must allow for the sequential use of the flushing chamber to promote a pre-administration patency assessment and a post-administration device flush.

show abstract

Flushing in Intravenous Catheters

Ribeiro,

Campos,

Camerini

et al. 2023

Journal of Infusion Nursing

View full text Add to dashboard Cite

An observational study was developed with 108 nursing professionals who managed vascular access devices in 4 intensive care units of a university hospital in Rio de Janeiro, Brazil. The objective was to analyze the practice of the nursing staff in performing flushing for the maintenance of vascular access devices in critically ill patients. Data were collected by observing the flushing procedure using a structured checklist and analyzed using descriptive and inferential statistics. In 23% of the 404 observations, there was no flushing. When performed at some point during catheter management (77%), flushing was predominant after drug administration with 1 or 2 drugs administered. There were flaws in the flushing technique applied in terms of volume and method of preparation. Time of professional experience >5 years, knowledge about recommendations, and training on flushing were variables associated with technique performance. It was concluded that the flushing procedure did not meet the recommendations of good practices, with failures that constituted medication errors.

show abstract

Intravenous infusion drug administration: flushing guidance

Abstract: Andrew Barton and NIVAS board colleagues have produced evidence-based guidelines for health profesionals on how to avoid under-dosing in IV therapy. These guidelines, in association with NIVAS, are presented here

Cited by 9 publications

References 7 publications

The flushing procedure in nursing practices: A cross-sectional study with Portuguese and Brazilian nurses

The flushing procedure in nursing practices: A cross-sectional study with Portuguese and Brazilian nurses

Brief Report on Double-Chamber Syringes Patents and Implications for Infusion Therapy Safety and Efficiency

Flushing in Intravenous Catheters

Contact Info

Product

Resources

About