Complications of Peripheral Venous Access Devices: Prevention, Detection, and Recovery Strategies

Abstract

Most hospitalized patients have placement of a peripheral venous access device, either a short peripheral catheter or a peripherally inserted central catheter. Compared with central venous catheters that are not peripherally inserted, the other 2 types are generally perceived by health care providers as safer and less complicated to manage, and less emphasis is placed on the prevention and management of complications. Expertise of nurses in inserting, managing, and removing these devices may reduce the likelihood of complications, and increased recognition of complications associated with use of the devices is important to ensure continued improvements in the safety, quality, and efficiency of health care. Complications associated with short peripheral catheters and peripherally inserted central catheters include tourniquet retention, tubing and catheter misconnections, phlebitis, air embolism, device fragment embolization, and inadvertent discharge with a retained peripheral venous access device. Integration of prevention, detection, and recovery strategies into personal nursing practice promotes the quality and safety of health care delivery.

Phlebitis Associated with Peripheric Venous Catheter Development and Knowledge of Nurses on Evidence- Based Practices: Point Prevalence Study

“…Amerika Birleşik Devletleri'nde yılda 300 milyon, dünya çapında 1 yılda 1 milyardan fazla PVK kullanıldığı tahmin edilmekte, PVK ilişkili flebitin hastanın klinik sonucunu etkileyebilecek bir komplikasyon olduğu ve hemşirelik bakımının kalite göstergelerinden biri olduğu bilinmektedir. 9,26,27 PVK ilişkili flebit insidansı dünyada %1,25-80, ülkemizde yapılan çalışmalarda %17-67 arasında geniş bir aralıkta verilirken, cerrahi kliniklerde yatarak tedavi gören 103 hastayı kapsayan çalışmamızda bu oran %24,3 olarak belirlendi. 5,6,11,26,28,29 görüldü.…”

Influence of vascular access devices upon efficiency of therapeutic plasma exchange

“…A second attempt was needed in 15 (15%) procedures, third in 7 (7%) procedures, and more (up to 6) in 8 (7%). Median number of puncture was the same between IV catheters (1 [1][2]) and dialysis cannulae (1 [1][2]; P = .68). Ultrasound guidance was used for IV catheter insertion in 12 (11%) cases.…”

“…Potential complications are local hematomas, phlebitis, blood‐stream infections, air embolisms, and misconnection or insertion failure. These complications are however very low (0.5 per 1000 catheter days for bloodstream infection) . Available devices for peripheral vein cannulation are IV catheters or dialysis‐type steel needles.…”

“…These complications are however very low (0.5 per 1000 catheter days for bloodstream infection). 2 Available devices for peripheral vein cannulation are IV catheters or dialysis-type steel needles. Dialysis plastic cannulae are an alternative to traditional metal needles and are used during hemodialysis procedures.…”

Upaya Pencegahan Infiltrasi Pada Terapi Intravena Perifer Di Rumah Sakit Awal Bros Batam

“…Kejadian infiltrasi sering dilihat sebagai kejadian yang tidak berbahaya. Infiltrasi ditandai dengan kulit memucat, tembus cahaya, kebocoran, perubahan warna, memar dan bengkak, edema, pitting edema dalam, gangguan sirkulasi, nyeri sedang sampai berat, infiltrasi dengan adanya keluar product darah, iritan atau non vesicant (Bartholomay et al, 2015 (Mattox, 2017). Sementara di Indonesia, belum ada angka yang pasti berapa kejadian infiltrasi, tetapi penelitian yang banyak ditemukan adalah angka plebitis yang yang merupakan hal yang berbeda dengan infiltrasi.…”