Risks from cannulae used to maintain intravenous access.

Macfarlane, J T; Ward, M.J.; Banks, D C; Pilkington, Richard; Finch, Roger

doi:10.1136/bmj.281.6252.1395

Cited by 31 publications

(5 citation statements)

References 5 publications

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“…In both countries, nurses and physicians preferred the forearm as an insertion place but for different reasons. Contrary to this, Swedish studies (Lundgren et al 1993, 1995) showed that nurses mainly used the dorsum of the hand despite their stated intention; this has also been confirmed by MacFarlane et al (1980) and Maki & Band (1981). Some argued that the vein on the forearm gives a lower risk of infection when administering hypo‐ or hypertonic medication.…”

Section: Discussionmentioning

confidence: 89%

Handling and control of peripheral intravenous lines

Lundgren¹,

Ek²,

Wahren³

1998

J Adv Nurs

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The purpose of the study was to describe nurses’ routines in connection with the planning, care and handling, and documentation of a peripheral intravenous cannula (PIV) and also to examine factors that control how nurses act. Nurses and physicians in three English hospitals were interviewed. The results showed a difference between nurses’ and physicians’ opinions about PIV routines, except in few cases. The PIV was inserted by the physicians while the nurses took care of and documented its care and handling. In many cases the insertion of the PIV was also documented by the nurses. Although small PIVs and short insertion time had previously been recommended, many physicians preferred large cannulae and an insertion time of between 3 and 7 days. All nurses and six physicians had the opinion that the cannula should be changed more often, but this did not happen. Some physicians maintained that the nurses’ care and handling varied. On the other hand some criticism had been expressed by the nurses about unclear directives from the physicians. English participants were aware that unsatisfactory routines existed and that the policy had not always been followed.

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Section: Discussionmentioning

confidence: 89%

Handling and control of peripheral intravenous lines

Lundgren¹,

Ek²,

Wahren³

1998

J Adv Nurs

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“…The disadvantages of the intravenous route are numerous. Thrombophlebitis often occurs, especially if plastic catheters are used (3). Cannula infection is common and may lead to fatal septicemia, and the possibility of embolism, whether by foreign particles or air, is always present (4, 5).…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous Infusions in the Elderly

Schen

Singer-Edelstein

1981

J American Geriatrics Society

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1,850 subcutaneous infusions were given to 270 elderly patients (average age, 82) in a hospital geriatric department and in two nursing homes. The side effects were few and not serious. In 4 patients there was anasarca of the gluteal and genital regions but this disappeared promptly after giving diuretics. In a case of disseminated intravascular coagulation, ecchymoses appeared in the thighs. Sepsis, shock, tissue necrosis and other dangerous side effect mentioned in textbooks were not observed. The method is acceptable to most elderly patients and causes less discomfort than does the intravenous method. Since the infusion last only 2 to 4 hours, it enables the patient to be out of bed most of the day. Infusion by the subcutaneous route can be safely administered by trained nurses in institutions without a resident medical staff. It seems to be the method of choice for giving fluid supplements to elderly patients in nonemergency situations.

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“…Several investigators have, however, reported factors of importance in preventing complications that arise when PIVs are used. Examples of those factors are good technique ( Hessov, 1985; Mossberg, 1993), good hygiene (Maki et al ., 1983), a well‐fixed small cannula ( Mossberg, 1993), good location ( MacFarlane et al ., 1980 ) and avoidance of hypo‐ or hypertonic solutions ( MacFarlane et al ., 1981 ; Hamory, 1987).…”

Section: Introductionmentioning

confidence: 99%

Effect of education on evidence‐based care and handling of peripheral intravenous lines

Lundgren

Wahren

1999

Journal of Clinical Nursing

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Deficient routines in use, care, handling and documentation of peripheral intravenous vein cannulae (PIV) have previously been reported, and complications have been noted in 50-75% of the patients. The aim of the study was to examine whether specially trained nurses change their actions to decrease complications when using cannulae. The study included 36 nurses assigned to experimental and control groups. The experimental group followed an education programme explaining how to use and take care of a PIV. To evaluate the intervention document analysis, observations and patient interviews were performed in 99 patients with 172 PIVs in situ for less than 24 h. After the education programme, fewer complications, more carefully performed care and handling, and better documentation and information were found in the experimental group. Nurses in the control group followed current routines, which resulted in a greater degree of complications. Education in evidence-based care and handling gives nurses the opportunity to improve their ability to use theoretical knowledge in clinical problems.

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Risks from cannulae used to maintain intravenous access.

Abstract: 0 96 mmol/l (2 9 mg/100 ml), alkaline phosphatase 150 IU/l, and urea 3 8 mmol/I (23 mg/lO0 ml). Serum immunoassayable parathyroid hormone *Significant difference (p < 0005; xI test). tNo significant difference. Significant difference (p<0005; Student's t test).

Cited by 31 publications

References 5 publications

Handling and control of peripheral intravenous lines

Handling and control of peripheral intravenous lines

Subcutaneous Infusions in the Elderly

Effect of education on evidence‐based care and handling of peripheral intravenous lines

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