The care and handling of peripheral intravenous cannulae on 60 surgery and internal medicine patients: an observation study

Abstract

The purpose of this study was to analyse the actual routines surrounding the use of peripheral cannulae and the occurrence of complications. Thirty surgery patients and 30 internal medicine patients were observed daily at a medium-sized hospital. The patients were followed from the time the cannula was inserted until after withdrawal and until both the insertion site and the vein were free from pain. The results showed that most of the cannulae were placed on the upper side of the hand and sizes most frequently used were 1.0 and 1.2 mm. The fixation was unsatisfactory in 23 cases already after the second day. Twenty-three cannulae were removed after 24 hours. Thirty-seven (62%) patients were stated to have thrombophlebitis phlebitis in different degrees. Only seven cannulae fulfilled the criteria for good cannula care and handling. The frequency of complication was especially high when fructose-glucose, antibiotics or anticoagulants were given. There was no documentation in the patient record, according to current laws in Sweden. The complications observed were redness, swelling, haematoma, subcutaneous swelling and suppurating infection. The study showed that the longer the cannula had been in situ, the greater were the complications (very distinct after 24 hours). The care and handling was unsatisfactory to very unsatisfactory in 52% of the cases. Complications can last for a very long time. In this research, pain was noted up to 5 months after the cannulae were removed.

Predisposing factors to phlebitis in patients with peripheral intravenous catheters: A descriptive study

“…As for the degree of phlebitis, the most frequent was first degree (44.5%) (Figure 1), which is similar to the results of a study by Lundgren et al (1993, 37.8%) despite the use of different definitions for first‐degree phlebitis. In our study, phlebitis might have been diagnosed slightly earlier because pain was considered as the symptom of first‐degree phlebitis in the scale we used.…”

“…There was no significant difference between phlebitis and age ( p > 0.05), which is compatible with the results of a study by Karadag and Gorgulu (2000). However, Maki and Ringer (1991) and Lundgren et al (1993) claimed that patients aged 60 years and over were more likely to develop phlebitis.…”

CT Guided Removal of Iatrogenic Foreign Body: A Broken Intravenous Cannula

“…One such study concludes that out of 60 cases care and handling of cannula was unsatisfactory to very unsatisfactory in 52%of the cases. Longer the cannula had been in situ greater were the complications which ranged from redness to suppurating infection [8]. The peripheral intravenous cannulation should be done as and when indicated by a trained professional using the optimum guage.…”

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

“…), catheter insertion site (dorsal venous arch of hand, basilic vein, cephalic vein, forearm median vein, median elbow vein, others), catheter fixation (microporous tape or tape), PVP professional performing (nurse or nursing technician) and PIC nursing care level (grade 0, grade 1 or grade 2). The level of nursing care refers to the scale proposed by Lundgren, Jorfeldt and Ek (18) , describing the care provided during the insertion of PIC, as follows: Grade 0 -Satisfactory nursing care: good fixation and cleaning, and the patient did not report pain. Grade 1 -Unsatisfactory nursing care: inadequate fixation; loose or dirty and the patient reported pain.…”