A Randomized Controlled Study to Evaluate the Effectiveness of 2 Treatment Methods in Reducing Incidence of Short Peripheral Catheter-Related Phlebitis

Gunasegaran, Nanthakumahrie; See, Min Ting Alicia; Leong, S.; Yuan, Long; Ang, Shin Yuh

doi:10.1097/nan.0000000000000271

Cited by 5 publications

(12 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interventions for preventing intravenous therapy‐related phlebitis used in 7 studies were a glyceryl trinitrate patch (Çökmez et al, 2003), sesame oil (Bagheri‐Nesami et al, 2015; Nekuzad et al, 2012), rosemary ointment (Sheikhi et al, 2018), chamomile ointment (Sharifi‐Ardani et al, 2017), heparin sodium solution and gel (Saini et al, 2018), and a combination of 2% chlorhexidine in 70% alcohol swabs for antisepsis with a spray film dressing on the catheter site (Gunasegaran et al, 2018). Meanwhile, treatment interventions included magnesium sulphate dressing (Ravindra & Krupta, 2015), glyceryl trinitrate patch (Trillo & Esteban, 2006), heparin gel (Villardell et al, 1999), diclofenac gel (Becherucci et al, 2000), sesame oil (Bigdeli Shamloo et al, 2019) and a warm compress with chamomile tea (Reis et al, 2011).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the evaluation of intravenous therapy‐related phlebitis, all studies used visual scales for grading phlebitis according to signs and symptoms at the catheter site. Eight studies (Bagheri‐Nesami et al, 2015; Bigdeli Shamloo et al, 2019; Gunasegaran et al, 2018; Ravindra & Krupta, 2015; Reis et al, 2011; Saini et al, 2018; Sharifi‐Ardani et al, 2017; Sheikhi et al, 2018) applied the Visual Infusion Phlebitis Scale, four studies (Becherucci et al, 2000; Çökmez et al, 2003; Trillo & Esteban, 2006; Villardell et al, 1999) created their own scale specific for the research, while one (Nekuzad et al, 2012) applied the Royal College of Nursing Phlebitis Scale. One study also evaluated pain severity using the visual analog scale (VAS) for pain (Bigdeli Shamloo et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…This review included 13 clinical trials: 7 evaluating prevention (Bagheri-Nesami et al, 2015;Çökmez et al, 2003;Gunasegaran et al, 2018;Nekuzad et al, 2012;Saini et al, 2018;Sharifi-Ardani et al, 2017;Sheikhi et al, 2018) and 6 evaluating treatment (Becherucci et al, 2000;Bigdeli Shamloo et al, 2019;Ravindra & Krupta, 2015;Reis et al, 2011;Trillo & Esteban, 2006;Villardell et al, 1999). Among them, there was heterogeneity in the phlebitis measurement scales, follow-up time and frequency of intervention.…”

Section: Discussionmentioning

confidence: 99%

“…The included studies were published from 1999 to 2019 in English and Spanish. Five studies were from Iran (Bagheri-Nesami, Shorofi, Hashemi-Karoie, & Khalilian, 2015;Bigdeli Shamloo et al, 2019;Nekuzad, Ashke, Mojab, & Alavi-majd, 2012;Sharifi-Ardani, Yekefallah, Asefzadeh, & Nassiri-Asl, 2017;Sheikhi et al, 2018), two from Spain (Trillo & Esteban, 2006;Villardell et al, 1999), two from India (Ravindra & Krupta, 2015;Saini, Samra, Ahuja, & Sethi, 2018), one from Turkey (Çökmez, Gür, Genç, Deniz, & Tarcan, 2003), one from Brazil (Reis et al, 2011), one from Argentina (Becherucci, Bagilet, Marenghini, Diab, & Biancardi, 2000) and one from Singapore (Gunasegaran, See, Leong, Yuan, & Ang, 2018). The included studies totalled a sample of 2,015 patients during hospital treatment with different intravenous infusion types including fluid replacement, antibiotics, chemotherapy and antiarrhythmic drugs.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of topical interventions to prevent or treat intravenous therapy‐related phlebitis: A systematic review

Goulart

Custódio

Vasques

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To evaluate the effectiveness of topical interventions in the prevention or treatment of intravenous therapy‐related phlebitis. Background Phlebitis is a severe inflammatory reaction that can be caused by intravenous therapy with hyperosmolar drugs. Although a variety of interventions are performed in several different countries, the most efficient method is yet to be established. Design A systematic review of randomised controlled trials (RCTs) was conducted. Methods Following the PRISMA checklist, we conducted a literature search using seven different databases using an individual strategy adapted for each. Studies in which any topical intervention was applied to prevent or treat intravenous therapy‐related phlebitis which were published between 1998 and 2019 were analysed. Results Data were collected of 13 RCTs, which in total collected data from 2,015 patients during hospital treatments with different types of intravenous therapies, such as fluid replacement, antibiotics, chemotherapy and antiarrhythmic drugs. The effectiveness of different topical interventions such as the application of nonsteroidal anti‐inflammatory drugs, Sesame indicum oil, heparin sodium formulations, Chamomilla recutita tea and ointment, and Rosmarinus officinalis ointment were identified. Relevance to Clinical Practice Although the studies suggest a potential to use phytotherapy agents as topical interventions, pharmaceutical preparations, main substrate, and pharmaceutical or phytotherapeutic origins are very different between studies. There are insufficient data to build a solid conclusion that lead us to recommend a specific topical intervention in the prevention or treatment of intravenous therapy‐related phlebitis.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Characteristics Of Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of topical interventions to prevent or treat intravenous therapy‐related phlebitis: A systematic review

Goulart

Custódio

Vasques

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Short peripheral catheters (SPCs) are commonly used in the infusion of liquids, drugs, and blood products, and are needed by 70% of patients. SPCs are prone to complications such as blockage, phlebitis, and exudation, being necessary to replace them very often 1 - 2 . Therefore, it is imperative to maintain a good stock of SPCs.…”

Section: Introductionmentioning

confidence: 99%

The effect of different flushing methods in a short peripheral catheter

Tong

Peng

et al. 2019

Acta Cir. Bras.

View full text Add to dashboard Cite

Purpose To develop a rabbit model of a short peripheral catheter (SPC) and to observe the effects of different flushing methods on blood vessels.Methods Thirty rabbits were randomly divided into three groups (A, B, and C), with ten rabbits per group. In group A, we used pulsed flush; in group B, we used uniform flush; and no treatment was used in group C.Results We observed that a uniform flush reduced blockage, phlebitis, and exudation compared to a pulsed flush by visual observation. The histopathological examination found that the morphological changes in group A were more severe than in group B and C related to loss of venous endothelial cells, inflammatory cell infiltration, edema, epidermal and chondrocyte degeneration, except for the thrombosis on group B that was more serious than in group A, especially in the distal side of puncture points. The distal region of groups A and B had more inflammatory cell infiltration than the proximal region. Thrombosis was more severe in the distal region than in the proximal region in group B.Conclusions The uniform flush produced less damage to the vascular endothelium and surrounding tissues and was superior to the pulsed flush. However, the uniform flush is prone to thrombosis.

show abstract

Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care

Hontoria-Alcoceba

López-López

Hontoria-Alcoceba

et al. 2023

Journal of Nursing Care Quality

View full text Add to dashboard Cite

Background: Inserting a peripheral intravenous (PIV) catheter is a common health care procedure; however, risks include phlebitis, extravasation, and accidental dislodgement. Using evidence-based practices (EBPs) can reduce these risks. Purpose: The purpose of this study was to implement an evidence-based PIV catheter care bundle and a decision-making algorithm. Methods: A quasi-experimental study design was used. A care bundle and an evidence-based decisionmaking algorithm were implemented on a medical unit. Outcomes included length of PIV catheter dwell time, phlebitis and other complications, and health professionals' adherence to the interventions. Results: A total of 364 PIV catheters were assessed. PIV catheter dwell time decreased from 3.6 to 2.9 days (P < .001), and phlebitis rates decreased from 14.8% to 4.9% (P < .05). Health professionals' adherence increased from 84.3% to 91.8%. Conclusions: Implementing EBPs can improve care provided to patients with PIV catheters.

show abstract

A Randomized Controlled Study to Evaluate the Effectiveness of 2 Treatment Methods in Reducing Incidence of Short Peripheral Catheter-Related Phlebitis

Cited by 5 publications

References 24 publications

Effectiveness of topical interventions to prevent or treat intravenous therapy‐related phlebitis: A systematic review

Effectiveness of topical interventions to prevent or treat intravenous therapy‐related phlebitis: A systematic review

The effect of different flushing methods in a short peripheral catheter

Implementation of Evidence-Based Practice in Peripheral Intravenous Catheter Care

Contact Info

Product

Resources

About