Infiltration and extravasation in pediatric patients: A prevalence study in a children’s hospital

Gerçeker, Gülçin Özalp; Kahraman, Ayşe; Yardımcı, Figen; Bılsın, Elif; Binay, Şeyda; Özdemir, Hatice; Karakul, Atiye; Zengin, Dilek; Sevgili, Seda Ardahan; Gümüş, Merve; Başbakkal, Zümrüt; Akpınar, Selma

doi:10.1177/1129729817747532

Cited by 30 publications

(19 citation statements)

References 20 publications

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“…4,5 The complications caused by intravenous infusion are more common compared to those of central infusion-with varied numbers of infiltration/extravasation (2.9%-69.89%), phlebitis (16.7%-25.4%), and obstruction (12.27%) incidences. [6][7][8][9][10] The causative factors of phlebitis are the effects of total parenteral nutrition (TPN), antibiotics, infection, weight, blood transfusion, and the devices used. 7,8,[11][12][13] Nurses play an important role in performing intravenous insertion in neonates to prevent phlebitis.…”

Section: Introductionmentioning

confidence: 99%

The Related Factors of Phlebitis Among Low Birth Weight Infants in Perinatology Ward

2020

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Peripheral intravenous line placement might lead to some risks and complications in low birth weight (LBW) infants including phlebitis, which shows varying percentages. This study aimed to analyze the causative factors of phlebitis among LBW infants in a perinatology ward. A total of 106 LBW infants who selected using a consecutive sampling technique were analyzed with cross-sectional method. Data were collected when LBW infants started receiving infusions until the infusion was stopped under certain conditions, using the Infusion Nurses Society (INS) phlebitis scale and the Neonatal Infant Pain Scale (NIPS) as the instrument. The variables related to phlebitis under bivariate analysis included the clinical experience of intravenous insertion, infusion pumps, site of insertion, neonatal birth weight, and the administration of total parenteral nutrition. The most significant risk factor of phlebitis was the nurses’ clinical experience of intravenous insertion (< 2 years). Therefore, the results of this study can be considered to improve the quality of nursing care in perinatology ward.

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Section: Introductionmentioning

confidence: 99%

The Related Factors of Phlebitis Among Low Birth Weight Infants in Perinatology Ward

2020

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“…A ocorrência de extravasamento nas CIP realizadas em crianças e adolescentes atingiu uma taxa de 8,7%, estando na faixa observada na literatura nacional e internacional da área pediátrica, que varia de 1,79% a 78%. (9,(12)(13)(14)(15) Ainda que a taxa de extravasamento em crianças esteja em concordância com a literatura nacional e internacional, acredita-se na necessidade de se estabelecer cuidados clínicos baseados em evidências científicas para a promoção de uma prática segura, e que medidas de prevenção desta complicação em crianças sejam tomadas, promovendo, assim, a segurança do paciente. Neste sentido, a realização de práticas seguras garante a qualidade na assistência à saúde, reduz a ocorrência de eventos adversos e diminui o tempo de hospitalização.…”

Section: Discussionunclassified

Fatores de risco para extravasamento em cateteres periféricos em crianças com câncer

Santos¹,

Cerqueira²,

Veras³

et al. 2022

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Estimar a incidência de extravasamento relacionada a cateteres intravenosos periféricos curtos em crianças e adolescentes com câncer e sua associação com características demográficas, clínicas, da cateterização e terapia intravenosa utilizada previamente.Métodos: Tratou-se de um estudo longitudinal e prospectivo, realizado com crianças/adolescentes com idade entre 29 dias a 16 anos, hospitalizados em unidade de oncologia de um hospital pediátrico, submetidos à administração de fármacos e soluções por cateter intravenoso periférico curto. A coleta de dados ocorreu mediante observação do cateterismo intravenoso periférico e prontuário do participante.Resultados: Foram avaliados 299 cateteres intravenosos periféricos, realizados em 73 crianças e 23 adolescentes, com incidência de extravasamento de 8,7%. Conforme análise multivariada os fatores de risco para a ocorrência de extravasamento foram: histórico de dificuldade de punção venosa periférica, uso prévio de terapia intravenosa, ocorrência de complicações, impossibilidade de visualizar e palpar a veia.Conclusão: Observou-se elevada incidência de extravasamento em crianças e adolescentes com câncer de uma cidade do Estado da Bahia, associada a uso prévio de terapia intravenosa, antecedentes de complicação, histórico de dificuldade da CIP, ausência de visibilidade e palpabilidade da veia.

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“…1 Previous research has demonstrated PIVC dysfunction, including extravasation, results in the premature failure of up to 40% of PIVCs in children. [2][3][4][5] Critically ill children are especially vulnerable to extravasation injuries due to their exposure to multiple high-risk drugs, difficulties in vascular access and the common use of sedation, which may…”

Section: Introductionmentioning

confidence: 99%

Comparing ivWatch biosensor to standard care to identify extravasation injuries in the paediatric intensive care: a protocol for a randomised controlled trial

et al. 2022

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IntroductionPeripheral intravenous catheters (PIVCs) frequently fail during therapy administration, resulting in infusates pooling in the surrounding tissue. These extravasation injuries can cause significant pain, tissue destruction and scarring. ivWatch is a biosensor that uses visible and near-infrared light to measure tissue changes surrounding the PIVC and alert clinicians when extravasation may occur. The effectiveness of ivWatch, in comparison to clinical observation, in decreasing injury severity is unknown. The present study aims to investigate whether using ivWatch may potentially detect injury earlier and decrease the severity of PIVC extravasation injuries.Methods and analysisA single centre, parallel group, open-label superiority randomised controlled trial comparing (a) standard care (clinical observation) to (b) ivWatch monitoring in addition to standard care, to decrease the severity of extravasation injuries. 200 children with PIVCs inserted in the distal half of the limb, receiving intermediate-risk to high-risk infusates for ≥24 hours, will be consecutively recruited at a paediatric intensive care unit in Queensland, Australia. The primary outcome is extravasation severity, measured by the Cincinnati Children’s Extravasation Harm Scale. Secondary outcomes include severity assessed with three-dimensional camera imaging, extravasation volume, treatment sequelae, the number of PIVCs used and dwell time, quality of life and healthcare costs. The between treatment difference in extravasation severity will be compared using ordinal logistic regression, with the treatment group included as the main effect, and reported with corresponding 95% CIs. Estimates of value will be presented as net monetary benefits and cost per reduction in extravasation injury severity, both presented with corresponding 95% credible intervals.Ethics and disseminationThis study received approval from the Children’s Health Queensland Hospital and Health Service Human Research Ethics Committee (HREC) (reference number: HREC/20/QCHQ/60867) and the Griffith University HREC (reference number: 2020/310) and will be disseminated via peer-reviewed publications and conference presentations.Trial registration numberACTRN12620000317998.

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Infiltration and extravasation in pediatric patients: A prevalence study in a children’s hospital

Abstract: The infiltration and extravasation prevalence were found to be high, but the interventions to address them were inadequate. Training and implementation strategies should be planned for pediatric nurses to prevent infiltration and extravasation.

Cited by 30 publications

References 20 publications

The Related Factors of Phlebitis Among Low Birth Weight Infants in Perinatology Ward

The Related Factors of Phlebitis Among Low Birth Weight Infants in Perinatology Ward

Fatores de risco para extravasamento em cateteres periféricos em crianças com câncer

Comparing ivWatch biosensor to standard care to identify extravasation injuries in the paediatric intensive care: a protocol for a randomised controlled trial

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