Lifespan and Associated Factors of Peripheral Intravenous Cannula Among Hospitalized Children in Public Hospitals of the Gurage Zone, Ethiopia, 2021

Abstract

Background Peripheral intravenous cannulas are routinely used in hospital-admitted children requiring intravenous therapy. The majority of peripheral IVC lines are removed before completion of therapy due to cannula complications in children. Peripheral intravenous cannula securing is a painful procedure for children, so recognizing the variables associated with the peripheral intravenous cannula lifespan would help decrease the complications and increase the duration of cannula patency. Objective The main aim of this study was to determine the lifespan and associated factors of peripheral intravenous cannula among hospitalized children in Gurage zone public hospitals, Ethiopia, 2021. Methods We conducted an institution-based cross-sectional study design among 422 admitted children in public hospitals of the Gurage zone using a systematic random sampling technique. We collected data from interviews of parents using structured questionnaires and direct observations using checklists. The data was coded and entered into EPI-DATA version 3.1 and exported to SPSS version 25 for analysis. Bivariable and multivariable analysis was used by using a binary logistic regression model. Finally, the variables with a p-value of <0.05 with a 95% confidence interval (CI) from the multivariable analysis were considered statistically significant. Results One hundred and sixty-six children (41.4%) had a short cannula lifespan (below 30 h). Multivariable logistic regression analysis showed that neonatal intensive care unit (NICU) [AOR = 4.975; 95% CI (2.811–8.805)], reason for removal (complication) [AOR = 3.277; 95% CI (1.924–5.583)], fluid [AOR = 2.285; 95% CI (1.274–4.100)], and blood transfusion [AOR = 2.407; 95% CI (1.005–5.572)] were the statistically significant variables associated with the lifespan of a peripheral intravenous cannula. Conclusion and Recommendation The proportion of the short lifespan of the peripheral intravenous cannula was higher in hospitalized children and health care providers better to use low concentration electrolytes, low osmotic pressure, and weak alkalinity fluid. The cannula access might be the responsibility of the health-trained staff, and conserving immediate removal upon the presence of a signal that indicates a complication.

Incidence, time to occurrence and predictors of peripheral intravenous cannula-related complications among neonates and infants in Northwest Ethiopia: an institutional-based prospective study

“…Various studies on pediatric population reported the rate of PIVC complications within the range of 34% to 56% [ 7 ]. In this study, there is a high incidence of PIVC complications among admitted neonates and infants, which were observed in more than half of the participants (56.4%), and this result was slightly higher than the report of previous studies [ 14 , 15 , 18 ]. However, it was slightly lower than the result reported in Brazil [ 10 ].…”

“…The most common anatomical site of cannula insertion was on the dorsum of the hand which is supported by various studies [8,14,17,18]. However, in Jerusalem, Israel the common anatomic site of insertion was the antecubital fossa [15].…”

Fatores associados ao insucesso da cateterização intravenosa periférica em crianças com câncer

“…Muitos dos medicamentos supramencionados são classificados como de alto risco para a ocorrência de complicações, quando administrados através de veias periféricas (27)(28)(29) devido ao potencial de hidrogênio (pH) menor do que 5 ou maior do que 9 não, assim como osmolaridade superior a 600mmOsm/L. (30) Tais características irritam o endotélio vascular da criança, predispondo-a à ocorrência de complicações locais associadas a TIV, infiltração, extravasamentos e depleção da rede venosa ao longo do período de hospitalização da criança, (27)(28)(29)(30)(31) demandando novas e repetidas tentativas de CIP.…”