A prospective and randomised study comparing the incidence of infusion phlebitis during continuous and cyclic peripheral parenteral nutrition

Kerin, Michael J.; Pickford, I. R.; Jaeger, H J; Couse, N. F.; Mitchell, C. J.; MacFie, John

doi:10.1016/0261-5614(91)90060-p

Cited by 37 publications

(22 citation statements)

References 17 publications

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“…Three small randomized trials investigated the effects of regular PIC replacement (Table 3). The incidence and severity level of thrombophlebitis were used as effect variables (Kerin et al. 1991, May et al.…”

Section: Resultsmentioning

confidence: 99%

“…2004). These were studied in two trials where patients received total parenteral nutrition (TPN) (Kerin et al. 1991, May et al.…”

Section: Resultsmentioning

confidence: 99%

“…A search of Cochrane reviews (April 2005) yielded no results. In summary, three studies fulfilled the criteria established for this review (Kerin et al. 1991, May et al.…”

Section: Search Methodsmentioning

confidence: 99%

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Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis: a systematic review

Idvall

Gunningberg²

2006

Journal of Advanced Nursing

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Section: Resultsmentioning

confidence: 99%

“…2004). These were studied in two trials where patients received total parenteral nutrition (TPN) (Kerin et al. 1991, May et al.…”

Section: Resultsmentioning

confidence: 99%

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Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis: a systematic review

Idvall

Gunningberg²

2006

Journal of Advanced Nursing

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“…It has also been reported that with conventional PPN techniques, short peripheral catheters could be kept inserted via the radial or ulnar vein for a maximum of 4 day. [4][5][6][7][10][11][12][13] When the duration of catheterization was analyzed in relation to the osmolarity of the IV solution used, we found that the catheter could be placed for longer periods in group B (osmolarity ratio: 3.1) and group C (2.6) than in group A (3.3). The incidence of vascular complications was lower in groups B and C, and the severity of the phlebitis that occurred in these groups was grade 2 or less according to Dinley's classification.…”

Section: Discussionmentioning

confidence: 98%

“…[4][5][6][7][10][11][12][13] However, one study reported that a midline catheter (MLC) could be left in place for a maximum of 55 days when used for the infusion of an electrolyte solution. 14 The present study was undertaken to assess the usefulness of midline catheters in peripheral parenteral nutrition with an IV solution composed primarily of fat.…”

Section: Introductionmentioning

confidence: 98%

Clinical study on the ratio of glucose/fat in peripheral parenteral nutrition and the usage of a midline catheter

1999

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Two important unsolved questions related to peripheral parenteral nutrition are the ratio of components in the intravenous (IV) solution and catheter-related complications. The present study was undertaken to evaluate the nutritional profiles of three kinds of IV solutions with different ratios of components, while maintaining the total energy at about 1 200 kcal/day and the amino acid level at 60 g. The IV solution formulas used were as follows : glucose/fat = 2:1, osmolarity ratio = 3.3 for group A, glucose/fat = 1:1, osmolarity ratio = 3.1 for group B, and glucose/fat = 1:2, osmolarity ratio = 2.6 for group C. The incidence and severity of complications were then analyzed in relation to the type of IV solution used, the indwelling time, and the type of catheter (midline catheter or short peripheral catheter). The results of peripheral parenteral nutrition were favorable when the glucose/fat ratio of the IV solution was either 1:1 or 1:2. The midline catheter was inserted for an average of 11.9 +/- 4.0 days, and the incidence of catheter-related complications following parenteral nutrition with a midline catheter was low when the osmolarity ratio of the IV solution was 3.1 or less. These results indicate that a midline catheter is useful when administering peripheral parenteral nutrition.

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Clinically-indicated replacement versus routine replacement of peripheral venous catheters

Webster

Osborne

Rickard

et al. 2010

Cochrane Database of Systematic Reviews

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Background Centers for Disease Control Guidelines recommend replacement of peripheral intravenous (IV) catheters every 72 to 96 hours. Routine replacement is thought to reduce the risk of phlebitis and bacteraemia. Catheter insertion is an unpleasant experience for patients and replacement may be unnecessary if the catheter remains functional and there are no signs of inflammation. Costs associated with routine replacement may be considerable. Objectives To assess the effects of removing peripheral IV catheters when clinically indicated compared with removing and re-siting the catheter routinely. Search methods The Cochrane Peripheral Vascular Diseases Group searched their Specialised Register (last searched October 2009) and the Cochrane Central Register of Controlled Trials (CENTRAL) (last searched Issue Issue 4, 2009). We also searched MEDLINE (last searched October 2009). Selection criteria Randomised controlled trials that compared routine removal of peripheral IV catheters with removal only when clinically indicated in hospitalised or community dwelling patients receiving continuous or intermittent infusions. Data collection and analysis Three review authors independently assessed trial quality and extracted data. 1 Clinically-indicated replacement versus routine replacement of peripheral venous catheters (Review)

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A prospective and randomised study comparing the incidence of infusion phlebitis during continuous and cyclic peripheral parenteral nutrition

Cited by 37 publications

References 17 publications

Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis: a systematic review

Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis: a systematic review

Clinical study on the ratio of glucose/fat in peripheral parenteral nutrition and the usage of a midline catheter

Clinically-indicated replacement versus routine replacement of peripheral venous catheters

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