Intravenous therapy management: Who will develop insertion site symptoms?

Bostrom-Ezrati, Janet; Dibble, Suzanne L.; Rizzuto, Carmela

doi:10.1016/s0897-1897(05)80136-3

Cited by 10 publications

(3 citation statements)

References 23 publications

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“…Their report included no evaluation of the scale's reliability or validity. During the 1980s and early 1990s, several researchers used the Maddox scale or a slightly modified version of it [27,47,[53][54][55][56][57][58][59][60][61], but psychometric assessments were still not reported.…”

Section: Vip Scale/jackson Scalementioning

confidence: 99%

Infusion phlebitis assessment measures: a systematic review

Ray‐Barruel

Polit

Murfield

et al. 2014

Evaluation Clinical Practice

148

122

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Rationale, aims and objectivesPhlebitis is a common and painful complication of peripheral intravenous cannulation. The aim of this review was to identify the measures used in infusion phlebitis assessment and evaluate evidence regarding their reliability, validity, responsiveness and feasibility.MethodWe conducted a systematic literature review of the Cochrane library, Ovid MEDLINE and EBSCO CINAHL until September 2013. All English-language studies (randomized controlled trials, prospective cohort and cross-sectional) that used an infusion phlebitis scale were retrieved and analysed to determine which symptoms were included in each scale and how these were measured. We evaluated studies that reported testing the psychometric properties of phlebitis assessment scales using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.ResultsInfusion phlebitis was the primary outcome measure in 233 studies. Fifty-three (23%) of these provided no actual definition of phlebitis. Of the 180 studies that reported measuring phlebitis incidence and/or severity, 101 (56%) used a scale and 79 (44%) used a definition alone. We identified 71 different phlebitis assessment scales. Three scales had undergone some psychometric analyses, but no scale had been rigorously tested.ConclusionMany phlebitis scales exist, but none has been thoroughly validated for use in clinical practice. A lack of consensus on phlebitis measures has likely contributed to disparities in reported phlebitis incidence, precluding meaningful comparison of phlebitis rates.

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Section: Vip Scale/jackson Scalementioning

confidence: 99%

Infusion phlebitis assessment measures: a systematic review

Ray‐Barruel

Polit

Murfield

et al. 2014

Evaluation Clinical Practice

148

122

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“…The original study that raised concern about PPN as a cause of phlebitis was published in 1990. 29 In this small study, PN in general was identified as a potential concern, but osmolality of the nutrient solutions was not described in detail, and indeed, the rate of thrombophlebitis in the PN group was not statistically higher in the PN group (P = .061). Routine vs clinically indicated replacement of peripheral IV catheters was assessed 30 in a study of over 3000 patients from three hospitals in Australia.…”

Section: Discussionmentioning

confidence: 84%

“…In this prospective cohort study, we did not observe significant IV access complications. The original study that raised concern about PPN as a cause of phlebitis was published in 1990 29 . In this small study, PN in general was identified as a potential concern, but osmolality of the nutrient solutions was not described in detail, and indeed, the rate of thrombophlebitis in the PN group was not statistically higher in the PN group ( P = .061).…”

Section: Discussionmentioning

confidence: 96%

Safety and impact of peripheral parenteral nutrition on nutrient delivery in patients with nutrition risk: A prospective observational study

2021

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Background Malnutrition is common in hospitalized patients and strategies to improve energy and protein intake have a positive impact on outcome. Despite early evidence suggesting the usefulness of peripheral parenteral nutrition (PPN), its adoption has been hampered by concerns regarding safety and efficacy. This study addresses this issue. Methods This prospective observational study was performed in medical and surgical inpatients in who were screened for nutrition risk and assessed using Subjective Global Assessment (SGA). Data captured included nutrition status, energy and protein requirements, intravenous access, indications for PPN, use of supplemental micronutrients, and disposition of patients on PPN. Results Ninety‐eight patients were recruited from two centers over 8 months. The average age was 61.5 years, the mean Charlson Comorbidity Index was 4.21 (±3.09), 52% were male, and 48% were admitted to medicine, whereas 52% were admitted to surgery. Thirty‐three percent of patients were SGA C, 44% were SGA B, and 19% were SGA A. Twenty‐seven percent of patients had cancer. The average length of hospital stay was 22 days. The main indications for PPN were gastrointestinal tract dysfunction (72%) and postsurgical status (16%). PPN provided an average of 1296 kcal (±191) and 46 g of protein (±7). Intravenous access complications in patients receiving PPN did not occur in excess of expected. Almost 40% of patients required transition to central PN. Conclusions PPN is a safe, effective way to deliver supplemental protein, energy, and micronutrients to malnourished patients and supports transition to other modes of nutrition care.

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Contamination susceptibility of three needleless and one standard needle injection systems

Ling

1999

Can J Anesth/J Can Anesth

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Intravenous therapy management: Who will develop insertion site symptoms?

Cited by 10 publications

References 23 publications

Infusion phlebitis assessment measures: a systematic review

Infusion phlebitis assessment measures: a systematic review

Safety and impact of peripheral parenteral nutrition on nutrient delivery in patients with nutrition risk: A prospective observational study

Contamination susceptibility of three needleless and one standard needle injection systems

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