The Effect of Intravenous Infiltration Management Program for Hospitalized Children

Park, Soon Mi; Jeong, Ihn Sook; Kim, Kyoung Lae; Park, Kyung Ju; Jung, Moon Ju; Jun, So-Young

doi:10.1016/j.pedn.2015.10.013

Cited by 39 publications

(40 citation statements)

References 16 publications

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“…Phlebitis scores are also an important measure of the quality of nursing care. Tofani et al [27] and Park et al [28] suggested that monitoring of PIVCs and the implementing of IV infiltration management program were effective procedures in reducing complications. In this study, all pediatric patients' PIVCs were managed by same procedures (monitoring, flushing, PIVC care).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an Intravenous Protection Device in Pediatric Patients on Catheter Dwell Time and Phlebitis Score

Büyükyılmaz

Şahiner

Çağlar

et al. 2019

Asian Nursing Research

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Section: Discussionmentioning

confidence: 99%

Effectiveness of an Intravenous Protection Device in Pediatric Patients on Catheter Dwell Time and Phlebitis Score

Büyükyılmaz

Şahiner

Çağlar

et al. 2019

Asian Nursing Research

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“…Therefore, the visual and tactile examination technique is ineffective in detecting infiltration since tissue damage has already occurred when infiltration is checked. Researches on the prevention of infiltration have been recently performed to develop an IV infiltration management program to educate nurses participating in IV injection [26]. As a result of IV infiltration management program for pediatric patients receiving peripheral IV infusion, the occurrence of IV infiltration was reduced to less than 1%, which was significantly lower than control group.…”

Section: Infiltration and Discussionmentioning

confidence: 99%

Early Detection of Peripheral Intravenous Infiltration Using Segmental Bioelectrical Impedance: Preliminary Study

Kim¹,

Jeong²,

Baik³

et al. 2017

Journal of Korea Multimedia Society

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Early detection of infiltration is one of the most important tasks of nurses to minimize skin damage due to infiltration. For subjects receiving invasive intravenous treatment, the bioelectrical impedance (impedance) were measured in the frequency range of 5 to 500 kHz using bioelectrical impedance spectroscopy (BIS). After attaching electrodes at both ends of a transparent dressing mounted on the skin in which IV solution was infused into the vein, the change in impedance was measured as a function of time and frequency before and after infiltration. The experimental results are described as follows. When IV solution was properly infused into the vein, the impedance was nearly constant over time and decreased with increasing frequency. However, when infiltration occurred, the impedance decreased significantly and thereafter gradually decreased with time. In addition, impedance decreased with time for all applied frequencies. In this study, when IV solution penetrated into the surrounding skin and subcutaneous tissue by infiltration, impedance was quantitatively analyzed for as a function of time and frequency. This suggests a method for early detection of infiltration using BIS.

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“…These invasive devices are inserted into patients' peripheral veins and enable the intravenous administration of fluids, blood products, and drugs directly into the bloodstream [1,2]. However, a wide range of complications can occur, such as mechanically induced complications (partial dislodgement or accidental removal, infiltration, extravasation, occlusion) [3][4][5][6][7][8][9][10][11][12][13], those of an infectious nature (bacterial or fungal sepsis) [7,8,10,12,14], or phlebitis [3][4][5]15].…”

Section: Introductionmentioning

confidence: 99%

Double-chamber syringe versus classic syringes for peripheral intravenous drug administration and catheter flushing: a study protocol for a randomised controlled trial

Parreira

Sousa

Marques

et al. 2020

Trials

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Background: The prevention of catheter-related complications is nowadays an important topic of research. Flushing catheters is considered an important clinical procedure in preventing malfunction and several complications such as phlebitis or infection. Considering the latest guidelines of the Infusion Nurses Society, the flushing should be carried out both pre-and post-drug administration, requiring different syringes (with associated overall increased times of preparation/administration of intravenous medication by nurses, and also increasing the need for manipulation of the venous catheter). Methods/design: A multi-centre, two-arm randomised controlled trial with partially blinded outcome assessment of 146 adult patients. After eligibility analysis and informed consent, participants will receive usual intravenous administration drugs with flushing procedures, with a double-chamber syringe (arm A) or with classic syringes (arm B). The outcomes assessment will be performed on a daily basis by an unblinded ward team, with the same procedures in both groups. Some main outcomes, such as phlebitis and infiltration, will also be evaluated by nurses from a blinded research team and registered once a day. Discussion: The study outlined in this protocol will provide valuable insight regarding the effectiveness and safety of this new medical device. The development of this medical device (dual-chamber syringe, for drug and flush solution) seems to be an important step to facilitate nurses' adoption of good clinical practices in intravenous procedures, reducing catheter manipulations. Trial registration: ClinicalTrials.gov, NCT04046770. Registered 13 August 2019.

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The Effect of Intravenous Infiltration Management Program for Hospitalized Children

Cited by 39 publications

References 16 publications

Effectiveness of an Intravenous Protection Device in Pediatric Patients on Catheter Dwell Time and Phlebitis Score

Effectiveness of an Intravenous Protection Device in Pediatric Patients on Catheter Dwell Time and Phlebitis Score

Early Detection of Peripheral Intravenous Infiltration Using Segmental Bioelectrical Impedance: Preliminary Study

Double-chamber syringe versus classic syringes for peripheral intravenous drug administration and catheter flushing: a study protocol for a randomised controlled trial

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