Risk factors for local complications of peripheral intravenous therapy factores/Fatores de risco para as complicações locais da terapia intravenosa periférica/Riesgo para complicaciones locales de la terapia intravenosa periférica

Batista, Odinéa Maria Amorim; Coelho, Sarah Nayane Oliveira Abreu; Oliveira, Gabriella Moura de; Madeira, Maria Zélia de Araújo; Vieira, Chrystiany Plácido de Brito; Santos, Ana Maria Ribeiro dos

doi:10.26694/reufpi.v3i3.1540

Cited by 7 publications

(15 citation statements)

References 9 publications

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“…The professional needs to rely on evidence through studies, guidelines, and use of protocols based on interventions to reduce the complications of the variability of professional practice, providing quality and reducing risks and complications of peripheral intravenous therapy, among them, the infection, with view to ensuring a safe and harmless nursing care for patients (10,19) .…”

Section: Discussionmentioning

confidence: 99%

“…Peripheral venous punctures aim at therapeutic (infusion of drugs and intravenous solutions) and diagnostic procedures (collection of biological material) (7)(8) . Complications may be related to the use of a peripheral venous catheter, such as the origin of the drugs, the time of therapy, the characteristics of each patient, the professional's skills, the preparation of the puncture site, the type of catheter material, caliber, manipulation, and fixation of the venous catheter, in addition to local or systemic complications, resulting in increased hospitalization time and morbidity and mortality (4,(9)(10) .…”

Section: Introductionmentioning

confidence: 99%

“…Proper handling of catheters reduces the risk of infection. Therefore, it is recommended to use validated institutional protocols and the joint application of "bundles" of preventive measures aimed at reducing primary bloodstream infections (10) . The bundle rela-ted to the peripheral venous catheter of measures of the National Agency of Sanitary Surveillance comprises five components: 1-hand hygiene; 2-maximum barrier precaution; 3-preparation of the skin with chlorhexidine gluconate; 4-selection of insertion site; and 5 -daily review of the need for catheter permanence (11) .…”

Section: Introductionmentioning

confidence: 99%

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Preventive measures of infection related to peripheral venous catheter: adherence in intensive care

et al. 2019

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Objective: to analyze the adherence of nursing professionals to preventive measures of infection by peripheral venous catheter. Methods: a cross-sectional study carried out in an adult intensive care unit with 47 nursing professionals. Results: statistically relevant measures for adherence to infection prevention were identified, such as double checking of drugs, verification of medication prior to administration, certification of allergy in patients prior to administration, separation of material prior to procedure, length of stay of the catheter for less than 72 hours, fixation exchange in 24 hours, actions related to the handling of the injection ports and connectors, and access salinization after administering solutions through the catheter. These measures were not yet fully added in the professional routines of the research subjects, despite professionals had stated they knew them (97.9%) and that the measures contributed to preventive actions (100.0%). Conclusion: the investigated nursing professionals showed low adherence to the preventive measures of infection in the peripheral venous catheters.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Preventive measures of infection related to peripheral venous catheter: adherence in intensive care

et al. 2019

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“…8 It is noteworthy that the child during chemotherapy treatment can present several complications, such as infiltration and leakage, phlebitis, obstruction of the catheter cannula, accidental loss or infection at the insertion site, which will require the removal of the intravenous device, the temporary suspension of the infusion of the prescribed intravenous therapy (IVT) and the realization of new attempts to IPC. 4,11 However, the procedure may fail, in the first attempt to insert the catheter cannula, exposing the child to several other attempts, which will result in stress, pain, suffering and potential for the occurrence of future local complications. 10,11 Often, in clinical practice, the venous network of the child with cancer will be impaired, with regard to the parameters of visibility, palpability and quantity of vessels available for use of IVT, characterizing the difficult venous network, which will generally potentiate the failure of the CIP for not allowing access to the venous network on the first attempt.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of children with cancer and failure of peripheral intravenous cateterization / Características de crianças com câncer e insucesso da cateterização intravenosa periférica

Machado

Miranda

Santos

et al. 2021

RPCF

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Objetivo: descrever características demográficas, clínicas, da terapia intravenosa prévia e cateterização intravenosa periférica em crianças com câncer e insucesso do procedimento. Método: trata-se de um estudo descritivo do tipo transversal, realizado com 18 crianças com insucesso da punção intravenosa periférica, internadas na clínica oncológica pediátrica do Hospital Estadual da Criança, em Feira de Santana-Bahia, entre Abril de 2015 e Dezembro de 2016. Resultados: evidenciou-se o insucesso em 11,7% das crianças. A maioria tinha 01 a 49 meses, pardas, sexo masculino, eutróficas, e o principal motivo de insucesso foi transfixação da veia. Os fatores predisponentes relativos ao insucesso foram história de dificuldade de inserção de cateter intravenoso periférico, complicação anterior à terapia intravenosa, internação anterior e antecedente de infiltração. Conclusão: o percentual de insucesso da punção intravenosa periférica é semelhante aos valores encontrados em estudos sobre o contexto, relacionado com o perfil das crianças, a terapia utilizada, e os fatores predisponentes.

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“…Infection is a common late complication in hemodialysis catheters (HC) (BATISTA et al, 2014;GROTHE et al, 2010;NEVES JUNIOR et al, 2010;SIQUEIRA et al, 2011;TARDIVO et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Breakdown of complications related to the use of central venous catheters in intensive therapy units

Silva¹,

Ferreira²,

Zuffi³

et al. 2018

Biosci. J.

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ABSTRACT:The ICU is a highly complex sector, and among the wide range of interventions performed in the intensive care patient, we highlight the use of the central venous catheter (CVC). Maintaining the CVC requires knowledge and ability to ensure safe and long-lasting vascular access. However, during the permanence time of the device, some complications related to the catheter material, caliber, puncture site, dressing used, type of medication administered and length of stay may occur. Knowing the possible complications that occur with the catheter during its stay and the outcome of these complications favors the health professional in the elaboration of prevention strategies. Therefore, this research aims to elucidate the occurrence of non-elective removal, the main complications and outcomes related to the use of CVC in clients hospitalized in the ICU. This is a descriptive, observational, prospective study with a quantitative approach. The study was carried out in a teaching hospital in Uberaba-MG, from March to August 2016. The population of the study consisted of CVCs inserted in clients hospitalized in the ICUs. As a result, 75 (38.3%) catheters presented complications, being the outcome of 55 (73.3%) non-elective removal when the complication was discovered. The other 121 (61.7%) catheters had the outcome of removal on discharge from the client to the ward 59 (48.7%), death of the client 25 (20.6%), discharge from the client to the ward with the device (Risk benefit) 27 (22.3%) and removal at the physician's discretion 10 (8.2%). The permanence time of the device was 7.65. The greater the number of complications the catheter presented, the greater the chances of catheter loss (63.4). This study emphasizes the importance of conducting other studies that may contribute to the reduction of complications resulting from the use of CVC, and emphasize that complications demand higher expenses for the health system and increase the risk of infection of clients hospitalized in the ICU.

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Risk factors for local complications of peripheral intravenous therapy factores/Fatores de risco para as complicações locais da terapia intravenosa periférica/Riesgo para complicaciones locales de la terapia intravenosa periférica

Cited by 7 publications

References 9 publications

Preventive measures of infection related to peripheral venous catheter: adherence in intensive care

Preventive measures of infection related to peripheral venous catheter: adherence in intensive care

Characteristics of children with cancer and failure of peripheral intravenous cateterization / Características de crianças com câncer e insucesso da cateterização intravenosa periférica

Breakdown of complications related to the use of central venous catheters in intensive therapy units

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