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Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide

Alexandrou, Evan and Ray-Barruel, Gillian and Carr, Peter J and Inwood, Shiela and Higgins, Nialls and Alberto, Laura and Mermel, Leonard and Rickard, Claire M and Daud, Azlina (2018) Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide. Journal of Hospital Medicine, 13 (5). E1-E7. ISSN 1553-5592

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Abstract

BACKGROUND: Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE: To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: Cross-sectional study. SETTING/PATIENTS: Hospitalized patients from rural, regional, and metropolitan areas internationally. MEASUREMENTS: Hospital, device, and inserter characteristics were collected along with assessment of the catheter insertion site. PIVC use in different geographic regions was compared. RESULTS: We reviewed 40,620 PIVCs in 51 countries. PIVCs were used primarily for intravenous medication (n = 28,571, 70%) and predominantly inserted in general wards (n = 22,167, 55%). Two-thirds of all devices were placed in non-recommended sites such as the hand, wrist, or antecubital veins. Nurses inserted most PIVCs (n = 28,575, 71%); although there was wide regional variation (26% to 97%). The prevalence of idle PIVCs was 14% (n = 5,796). Overall, 10% (n = 4,204) of PIVCs were painful to the patient or otherwise symptomatic of phlebitis; a further 10% (n = 3,879) had signs of PIVC malfunction; and 21% of PIVC dressings were suboptimal (n = 8,507). Over one-third of PIVCs (n = 14,787, 36%) had no documented daily site assessment and half (n = 19,768, 49%) had no documented date and time of insertion. CONCLUSIONS: In this study, we found that many PIVCs were placed in areas of "exion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice.

Item Type: Article (Journal)
Additional Information: 5226/64404
Uncontrolled Keywords: short peripheral intravenous catheters
Subjects: R Medicine > RT Nursing
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Nursing > Department of Medical Surgical Nursing
Depositing User: Assist. Prof. Dr. Azlina Daud
Date Deposited: 10 Jul 2018 08:50
Last Modified: 10 Jul 2018 08:58
URI: http://irep.iium.edu.my/id/eprint/64404

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