Survey of Complications of Peripheral Venous Catheterization at an Intensive Care Unit of (ICU) of Susa City

Abstract

Background: Peripheral catheters are the most common invasive procedures in patients, and have several therapeutic uses, yet result in infectious and non-infectious complications as well as problems such as pain and bruising, drug and fluid leakage out of the vessels, ecchymosis, hematoma, thrombosis, embolism, infection and phlebitis. Objectives: The aim of this study was to evaluate the complications of peripheral veins catheterization and some related factors at an intensive care unit (ICU) of Susa city. Methods: This descriptive cross sectional study was conducted on 224 catheters in patients, who were hospitalized for at least 48 hours at the intensive care unit. Data was collected through a questionnaire (demographic information, medications, catheter number, catheter site and placement) and a checklist of catheter mechanical complications and phlebitis checklist. Review of the catheter site was done as well (at first, second, third and fourth, twelfth hour). To analyze the data, descriptive and analytical statistics (chi-square and Mann-Whitney) were used, and the significance level was considered as P < 0.05. Results: The highest frequency was found in the age group of 30 to 60 years old. Results showed no significant correlation between age and incidence of complications and phlebitis, the insertion of catheter, and catheter assembly site (P > 0.05). A significant correlation was reported between variables such as type of drugs, catheter survival time, and work shift (P < 0.05). Conclusions: Due to mechanical problems and phlebitis caused by peripheral catheters, choosing the right location and proper care and management of catheters can reduce the risk of complications and prevent overload to the patient and system due to increased skills by using educational programs.

Effectiveness of Magnesium Sulphate with Glycerin Dressing versus Heparinoid Ointment Application on Management of Phlebitis among Patients Admitted in Selected Wards of BPKIHS

“…However the study finding is contradictory to the findings from other studies Singh [7] reported that phlebitis was higher if inserted in forearm 65.5%, followed by dorsum of hand 54.7% and wrist joint 53.3%. Whereas the finding is inconsistent with the findings from other studies Hedayatinejad, Yoong [15] [19] which showed that insertion site did not significantly influence so no significant correlation seen between the insertion site and phlebitis.…”

“…The present study shows there is no association between socio-demographic variables which included age, gender, marital education and educational level with severity score which include after complete interventions scores (8, 16, 24, 32, 40, 48 hours) of participants in both experimental groups. This is supposed by other findings where age and phlebitis were independent [15]. However, there are no more studies to support this finding.…”

“…The finding is consistent with that of study conducted in Intensive care unit (ICU) of Susa city Hospital conducted on 224 patients. They identified that the higher frequency for complication was found in the age group of 30 to 60 years old [15]. The reason of lower rate of phlebitis among age above 65 years may be due to impaired inflammatory response in the elderly that result in subtle sign and symptoms of phlebitis.…”