Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide

Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide

BACKGROUND: Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE: To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: Cross-...

Full description

Bibliographic Details
Main Authors: Alexandrou, Evan, Ray-Barruel, Gillian, Carr, Peter J, Inwood, Shiela, Higgins, Nialls, Alberto, Laura, Mermel, Leonard, Rickard, Claire M, Daud, Azlina
Format: Article
Language:English
Published: Publication of the Society of Hospital Medicine 2018
Subjects:
RT Nursing
Online Access:http://irep.iium.edu.my/64404/
http://irep.iium.edu.my/64404/
http://irep.iium.edu.my/64404/
http://irep.iium.edu.my/64404/1/64404_Use%20of%20Short%20Peripheral%20Intravenous.pdf
id iium-64404
recordtype eprints
spelling iium-644042018-07-10T00:58:39Z http://irep.iium.edu.my/64404/ Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide Alexandrou, Evan Ray-Barruel, Gillian Carr, Peter J Inwood, Shiela Higgins, Nialls Alberto, Laura Mermel, Leonard Rickard, Claire M Daud, Azlina RT Nursing BACKGROUND: Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE: To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: Cross-sectional study. SETTING/PATIENTS: Hospitalized patients from rural, regional, and metropolitan areas internationally. MEASUREMENTS: Hospital, device, and inserter characteristics were collected along with assessment of the catheter insertion site. PIVC use in different geographic regions was compared. RESULTS: We reviewed 40,620 PIVCs in 51 countries. PIVCs were used primarily for intravenous medication (n = 28,571, 70%) and predominantly inserted in general wards (n = 22,167, 55%). Two-thirds of all devices were placed in non-recommended sites such as the hand, wrist, or antecubital veins. Nurses inserted most PIVCs (n = 28,575, 71%); although there was wide regional variation (26% to 97%). The prevalence of idle PIVCs was 14% (n = 5,796). Overall, 10% (n = 4,204) of PIVCs were painful to the patient or otherwise symptomatic of phlebitis; a further 10% (n = 3,879) had signs of PIVC malfunction; and 21% of PIVC dressings were suboptimal (n = 8,507). Over one-third of PIVCs (n = 14,787, 36%) had no documented daily site assessment and half (n = 19,768, 49%) had no documented date and time of insertion. CONCLUSIONS: In this study, we found that many PIVCs were placed in areas of "exion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice. Publication of the Society of Hospital Medicine 2018-05-30 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64404/1/64404_Use%20of%20Short%20Peripheral%20Intravenous.pdf Alexandrou, Evan and Ray-Barruel, Gillian and Carr, Peter J and Inwood, Shiela and Higgins, Nialls and Alberto, Laura and Mermel, Leonard and Rickard, Claire M and Daud, Azlina (2018) Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide. Journal of Hospital Medicine, 13 (5). E1-E7. ISSN 1553-5592 https://www.journalofhospitalmedicine.com/sites/default/files/Document/May-2018/alexandrou04790530e.pdf 10.12788/jhm.3039
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RT Nursing
spellingShingle RT Nursing
Alexandrou, Evan
Ray-Barruel, Gillian
Carr, Peter J
Inwood, Shiela
Higgins, Nialls
Alberto, Laura
Mermel, Leonard
Rickard, Claire M
Daud, Azlina
Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide
description BACKGROUND: Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE: To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: Cross-sectional study. SETTING/PATIENTS: Hospitalized patients from rural, regional, and metropolitan areas internationally. MEASUREMENTS: Hospital, device, and inserter characteristics were collected along with assessment of the catheter insertion site. PIVC use in different geographic regions was compared. RESULTS: We reviewed 40,620 PIVCs in 51 countries. PIVCs were used primarily for intravenous medication (n = 28,571, 70%) and predominantly inserted in general wards (n = 22,167, 55%). Two-thirds of all devices were placed in non-recommended sites such as the hand, wrist, or antecubital veins. Nurses inserted most PIVCs (n = 28,575, 71%); although there was wide regional variation (26% to 97%). The prevalence of idle PIVCs was 14% (n = 5,796). Overall, 10% (n = 4,204) of PIVCs were painful to the patient or otherwise symptomatic of phlebitis; a further 10% (n = 3,879) had signs of PIVC malfunction; and 21% of PIVC dressings were suboptimal (n = 8,507). Over one-third of PIVCs (n = 14,787, 36%) had no documented daily site assessment and half (n = 19,768, 49%) had no documented date and time of insertion. CONCLUSIONS: In this study, we found that many PIVCs were placed in areas of "exion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice.
format Article
author Alexandrou, Evan
Ray-Barruel, Gillian
Carr, Peter J
Inwood, Shiela
Higgins, Nialls
Alberto, Laura
Mermel, Leonard
Rickard, Claire M
Daud, Azlina
author_facet Alexandrou, Evan
Ray-Barruel, Gillian
Carr, Peter J
Inwood, Shiela
Higgins, Nialls
Alberto, Laura
Mermel, Leonard
Rickard, Claire M
Daud, Azlina
author_sort Alexandrou, Evan
title Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide
title_short Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide
title_full Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide
title_fullStr Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide
title_full_unstemmed Use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide
title_sort use of short peripheral intravenous catheters: characteristics, management, and outcomes worldwide
publisher Publication of the Society of Hospital Medicine
publishDate 2018
url http://irep.iium.edu.my/64404/
http://irep.iium.edu.my/64404/
http://irep.iium.edu.my/64404/
http://irep.iium.edu.my/64404/1/64404_Use%20of%20Short%20Peripheral%20Intravenous.pdf
first_indexed 2023-09-18T21:31:26Z
last_indexed 2023-09-18T21:31:26Z
_version_ 1777412536843370496

Similar Items