Risk factors for site complications of intravenous therapy in children and adolescents with cancer

Santos, Luciano Marques dos; Silva, Cleonara Sousa Gomes e; Sousa, Camila Carvalho de; Almeida, André Henrique do Vale de; Silva, Carlos Alberto Lima da; Silva, Bianka Sousa Martins; Avelar, Ariane Ferreira Machado

doi:10.1590/0034-7167-2019-0471

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…This alarmingly high incidence is approximately 2.5 times higher than the 34% found in a recent systematic review and meta-analysis of 32 studies [1]) . Similarly, the incidence of complications per PIVC inserted was higher (67%) compared with other studies on paediatric populations which reported incidences of 16% -51.9% [12][13][14] ~ 7 ~ Infiltration of the skin or subcutaneous tissue with intravenous fluid or drugs comprised 60% of the clinical complications, higher than the 10% to 33% found in other studies [7,8,12,13] . Phlebitis was the second most common clinical complication with an incidence of 29%.…”

Section: Discussionmentioning

confidence: 61%

Incidence of complications of peripheral intravenous cannula use in children admitted to Port Moresby general hospital: A prospective, observational study

Zamunu¹,

Pulsan²,

Rapea³

et al. 2021

Int. J. Res. Paediatric Nurs.

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Peripheral intravenous cannulas (PIVCs) are used for administration of medications and fluids in sick children but their use can result in complications. This prospective study was conducted from June to October 2020 at Port Moresby General Hospital in Papua New Guinea. Children who were admitted to the paediatric wards requiring PIVC insertion were regularly monitored to check for complications. Three hundred and thirty PIVCs were inserted in 104 paediatric patients. Eighty six (83%) of the 104 children had at least one PIVC complication which occurred in 220 (67%) of the 330 PIVCs assessed. Tissue infiltration was the commonest complication, occurring in 60% of the PIVCs, followed by phlebitis (29%), cannula obstruction (6%) and leaking (4%). Skin ulceration occurred in 1%. Larger gauge cannulas were more than twice as likely to be associated with complications as smaller gauge cannulas and administration of both medications and fluids more likely to result in complications than administration of medications alone. The incidence of PIVC complications of 83% by patient and 67% by cannula is of major concern. Staff should be aware of the risks associated with PIVC, ensure that PIVS are carefully inserted and stabilized and regularly monitored to prevent, detect and manage complications appropriately.

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Section: Discussionmentioning

confidence: 61%

Incidence of complications of peripheral intravenous cannula use in children admitted to Port Moresby general hospital: A prospective, observational study

Zamunu¹,

Pulsan²,

Rapea³

et al. 2021

Int. J. Res. Paediatric Nurs.

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“…A meta-analysis of adult patients reported an incidence rate of 31% [8]. However, in the pediatric population, percentages ranged from 5% to 53.4% owing to differences in the definition of phlebitis and in the type of patients included [2,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Impact of An Interventional Bundle on Complications Associated with Peripheral Venous Catheters in Children Admitted to A Cardiology Department

2023

Int J Nurs Health Care Res

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Peripheral venous catheters (PVCs) are frequently inserted in children. However, their use is associated with difficulties during insertion and complications during management. Our objective was to assess an interventional care bundle for insertion of PVCs in pediatric patients admitted to a cardiology department. Over a 10-month period, we prospectively included pediatric patients with a PVC inserted in the cardiology department. The study period comprised a 4-month pre-intervention period, followed by a 6-month post-intervention period, in which a preventive bundle was implemented. Data regarding catheter insertion, nursing experience, and complications were collected. Patients were monitored daily until catheter withdrawal. We included a total of 30 and 41 patients with 50 and 83 PVCs inserted during the 2 periods, respectively. Most PVCs were inserted in the forearm (36.8%). Younger patients experienced more severe pain at insertion (p=0.003), although this was significantly reduced after implementation of the bundle (34% vs 12%, p<0.001). No statistically significant reduction was observed in the frequency of phlebitis and of colonization in both periods (6.0% vs. 9.6% [p=0.53] and 6.6% vs. 12.3% [p=0.47], respectively). Conclusion: Our preventive bundle was able to reduce severe pain during insertion of PVCs. However, it was unable to reduce phlebitis and infection rates, suggesting that further preventive measures are needed to improve management of PVCs in children admitted to cardiology departments.

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“…A PIC can trigger negative reactions in children, such as refusal of the procedure, crying, muscle tension and contracted posture (1) to this procedure, contributing to the child's and family's discomfort. Also, the use of peripheral IVT in children can cause complications, with a frequency that varies from 18.6 to 55.6% (2)(3)(4)(5)(6) , such as bruises, phlebitis/thrombophlebitis, infiltration/leakage, local infection, nerve damage, vessel spasms (7) and catheter obstruction. When these complications occur, the intravenous catheter is removed, and a new PIC is required.…”

Section: Introductionmentioning

confidence: 99%

Construction and validation of a family guidance manual on complications of intravenous therapy in children

et al. 2021

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Objectives: to build and validate the content of an educational manual for the inclusion of family members of hospitalized children in the prevention and early identification of complications associated with IVT through the peripheral route. Methods: it was a methodological study of construction and validation of the content of an instructional material. The validation process took place using the Delphi Technique, adopting a content validation index equal to or greater than 0.80 as a desirable consensus. Results: the handbook was validated in the second assessment round in all categories: content, language, illustration, layout, motivation, culture, and applicability. The Global Content Validation Index was 0.98. Conclusions: because of the high values obtained (> 0.8), after the second evaluation, the handbook is considered validated in terms of content, by expert judges.

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Risk factors for site complications of intravenous therapy in children and adolescents with cancer

Cited by 8 publications

References 16 publications

Incidence of complications of peripheral intravenous cannula use in children admitted to Port Moresby general hospital: A prospective, observational study

Incidence of complications of peripheral intravenous cannula use in children admitted to Port Moresby general hospital: A prospective, observational study

Impact of An Interventional Bundle on Complications Associated with Peripheral Venous Catheters in Children Admitted to A Cardiology Department

Construction and validation of a family guidance manual on complications of intravenous therapy in children

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