Routine Replacement of Peripheral Intravenous Catheters

Patel, Sanjay; Alebich, Michael; Feldman, Leonard

doi:10.1002/jhm.2676

Cited by 22 publications

(18 citation statements)

References 22 publications

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“…Several randomized controlled trials, a Cochrane review, and clinical practice guidelines recommend prompt removal of PIVCs when not required, if there are any complications, or if the PIVC was inserted urgently without an aseptic insertion technique. 21,28,35,36 Idle PIVCs have been implicated in adverse patient outcomes, including phlebitis and CABSI. 13,27 The substantial proportion of patients with a PIVC in this study who had no clinical indication for a PIVC, a symptomatic insertion site, malfunctioning catheter, and suboptimal dressing quality suggests the need for physicians, advanced practitioners, and nurses to adopt evidence-based PIVC insertion and maintenance bundles and supporting checklists to reduce the prevalence of PIVC complications.…”

Section: Ratementioning

confidence: 99%

Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

Alexandrou

Ray‐Barruel

Carr

et al. 2018

Journal of Hospital Medicine

320

268

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Section: Ratementioning

confidence: 99%

Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

Alexandrou

Ray‐Barruel

Carr

et al. 2018

Journal of Hospital Medicine

320

268

View full text Add to dashboard Cite

show abstract

“…To date, the issue of PIVC remains unresolved and a public health challenge [ 18 ], and the incidence of complications is still higher. There is certainly a pressing need for credible research and forwarding suggestions on this area.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Associated Factors of Failed First Peripheral Intravenous Catheters among Adult Patients at Medical Surgical Wards in Public Referral Hospitals of West Amhara, Ethiopia, 2021

Kassahun

Abate

Tezera

et al. 2022

Nursing Research and Practice

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Background. Complications of peripheral intravenous catheters cause problems in clinical practice and bring high costs in terms of morbidity and mortality of patients. Therefore, this study aimed to assess the incidence and associated factors of failed first peripheral intravenous catheters among adult patients in selected Public Referral Hospitals of West Amhara Regional State, Ethiopia, 2021. Materials and Methods. An institution-based prospective observational study was conducted among 423 adult patients from January to February 2021. Patients were selected using systematic random sampling techniques. The data were collected using interviewer-based, structured questionnaires and observational checklists. EPI-DATA 3.1 and SPSS version-23 were used for data entry and analysis, respectively. Frequency, percentages, and means were calculated. The outcome variable was determined and graded based on phlebitis and infiltration scales. Binary and multivariable logistics regressions were computed. Results. Four hundred and seventeen first peripheral cannula sites from 418 patients were followed for 2,565 peripheral catheter hours. A failed first peripheral intravenous catheter was observed in 124 (29.7%, CI: 25.6–34) adult patients. Patients who were female (AOR = 0.4, 95% CI: 0.22–0.74) had cannula duration of 49–72 hours (AOR = 0.31, 95% CI: 0.14–0.7) and 73–96 hours (AOR = 0.39, 95% CI: 0.17–0.9), and patients who had been given electrolytes (AOR = 0.31, 95% CI: 0.11–0.86) were more likely to have failed first peripheral intravenous cannula. Conclusions. Failed first peripheral intravenous cannula is much higher as compared to the acceptable rate of ≤5% by the Infusion Nurses Society. Hence, all patients with peripheral intravenous catheters are screened for catheter failure at least once a day. Providing appropriate nursing care and patient education is also required to reduce the risks.

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“…While a PIV can be left in place for several days, IO devices are not recommended to be left in place for more than 24 hours. 8 , 20 – 21 Additionally, IO is significantly more expensive than PIV, approximately $80–$120 per use vs $1–$2 per use for PIV. 22 – 23 This is in contrast to US military personnel who may use IO or PIV as first-line vascular access in combat.…”

Section: Introductionmentioning

confidence: 99%

Sternal Intraosseous Devices: Review of the Literature

Laney¹,

Friedman²,

Fisher³

2021

WJEM

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Introduction The intraosseous (IO) route is one of the primary means of vascular access in critically ill and injured patients. The most common sites used are the proximal humerus, proximal tibia, and sternum. Sternal IO placement remains an often-overlooked option in emergency and prehospital medicine. Due to the conflicts in Afghanistan and Iraq the use of sternal IOs have increased. Methods The authors conducted a limited review, searching PubMed and Google Scholar databases for “sternal IO,” “sternal intraosseous,” and “intraosseous” without specific date limitations. A total of 47 articles were included in this review. Results Sternal IOs are currently FDA approved for ages 12 and older. Sternal IO access offers several anatomical, pharmacokinetic, hemodynamic, and logistical advantages over peripheral intravenous and other IO points of access. Sternal IO use carries many of the same risks and limitations as the humeral and tibial sites. Sternal IO gravity flow rates are sufficient for transfusing blood and resuscitation. In addition, studies demonstrated they are safe during active CPR. Conclusion The sternal IO route remains underutilized in civilian settings. When considering IO vascular access in adults or older children, medical providers should consider the sternum as the recommended IO access, particularly if the user is a novice with IO devices, increased flow rates are required, the patient has extremity trauma, or administration of a lipid soluble drug is anticipated.

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Routine Replacement of Peripheral Intravenous Catheters

Cited by 22 publications

References 22 publications

Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide

Incidence and Associated Factors of Failed First Peripheral Intravenous Catheters among Adult Patients at Medical Surgical Wards in Public Referral Hospitals of West Amhara, Ethiopia, 2021

Sternal Intraosseous Devices: Review of the Literature

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