Vascular access: indications and implications for patient care

Abstract

This overview of the vascular access devices available for adult patients explains how careful selection and management of the device can minimise the complications associated with infusion therapy.

Pengaruh Lama Pemasangan Infus dengan Kejadian Flebitis pada Pasien Rawat Inap di Bangsal Penyakit Dalam dan Syaraf Rumah Sakit Nur Hidayah Bantul

“…Flebitis merupakan peradangan pada dinding pembuluh darah balik atau vena dan kejadiannya meningkat sejalan dengan lamanya kanulasi atau waktu pemasangan (8). Hasil penelitian ini didukung penelitian terdahulu yang berjudul kejadian fl ebitis di Rumah Sakit Umum Daerah Majalaya dengan hasil dari 90 responden yang diobservasi 32,2% mengalami flebitis dan 67,8% tidak mengalami fl ebitis dan dari hasil uji chi-square dan coeffi sient contingenci didapatkan hasil bahwa ada hubungan yang bermakna antara faktor resiko pemasangan infus dengan p-value sebesar 0,031, faktor usia dengan p=0,000 dan status gizi pasien dengan p=0,007 dengan kejadian fl ebitis (9).…”

Prospective pilot study on the incidence of infections caused by peripheral venous catheters at a general surgical ward

“…In order not to burden the patient with multi-ple punctures, they often remain within the venous system for several days. Peripheral venous catheters are the most frequently used invasive medical device [1]. Up to 70% of all patients re-quire a peripheral venous line during their hospital stay [2].…”

Peripheral Intravenous Catheters Started in Prehospital and Emergency Department Settings

“…7,8 Phlebitis rates increase from 12% to 34% after the first day of IV therapy, followed by an increase from 35% to 65% after 48 hours postcatheter placement. 1 Trauma patients who sustain significant injury and have high Injury Severity Scores (ISS) commonly have PIVCs inserted in emergency situations, when optimal attention to aseptic technique might not be feasible, consequently leading to a higher incidence of phlebitis. In fact, one study found PIVCs started outside a hospital setting were 4.65% more likely to develop phlebitis than those started under aseptic condition in the ED.…”

“…Peripheral intravenous catheters (PIVCs) are an integral part of successful fluid resuscitation but can also be the source of phlebitis, defined as an inflammation of a superficial vein caused by irritation to the lining of the vessel. 1 However, many intensive care units and other hospital units remove PIVCs started in the field or emergency department (ED) within 24 hours to prevent phlebitis and as best practice intervention.…”

“…11 In addition, larger-gauge catheters are associated with an increased incidence of phlebitis. 1,9 The purpose of this study was to assess differences in phlebitis rates according to whether the PIVC was started in a prehospital or ED setting. Secondarily the study assessed the effect of catheter gauge, IV catheter site, and ISS on the incidence of phlebitis.…”