Volume 8, Issue 4, December 2020, Page: 44-50
Analysis of the Current Application of Peripheral Intravenous Catheter and Indwelling Failure in the Department of Hepatobiliary Surgery
Xiaolan Wang, The First Affiliated Hospital of Jinan University, Guangzhou, China
Mengying Qi, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yanhua Shi, The First Affiliated Hospital of Jinan University, Guangzhou, China
Hualan Zhu, The First Affiliated Hospital of Jinan University, Guangzhou, China
Weirong Li, The First Affiliated Hospital of Jinan University, Guangzhou, China
Cuiqing Liu, The First Affiliated Hospital of Jinan University, Guangzhou, China
Jin’ai He, The First Affiliated Hospital of Jinan University, Guangzhou, China
Received: Aug. 4, 2020;       Accepted: Aug. 31, 2020;       Published: Oct. 7, 2020
DOI: 10.11648/j.ijbse.20200804.11      View  41      Downloads  34
Abstract
Background: PIVC therapy is the most common hospital procedure. Its insertion and maintenance are easy to fail. Objective: To investigate the current application of peripheral venous catheter (PIVC) in the department of hepatobiliary surgery and the risk factors that lead to indwelling failure. Peripheral intravenous catheter therapy is one of the most common treatment procedures but has a relatively high failure rate during insertion and indwelling. Methods: A cross-sectional correlation study was adopted. Clinical data of patients receiving PIVC from March to June in 2019 in our hospital were collected. All patients were inserted with closed 24G IV catheters manufactured by BD Company, sealed with 50U/mL heparin saline and secured by 3M Tegaderm Film-Transparent film dressing. Estuation caused by any reasons within 72 hours that failed to complete the treatment was considered to be indwelling failure. Univariate analysis was performed to analyze the effect of gender and age on the indwelling time, and logistic regression was used to analyze the related factors of indwelling needle-induced complications. The methods were consistent with the STROBE criteria (Supplementary File 1). Results: 445 patients were enrolled and clinical data from 395 patients were analyzed eventually, with a total of 773 PIVC cases. The indwelling time varied from 0.5h to 329h (median time 49.00±0.86h). Indwelling site: back of the hand (61%), forearm (28%), joint (6%), upper arm (4%) and finger (1%). The success rate of one-time puncture was 92%. PIVC indwelling failure rate was 46% which appeared to be higher in females and older people. Complications included exudation (72%), phlebitis (8%), blockage (5%) and errhysis (4%). There were no statistically significant differences in the incidence of complications in each indwelling period (P>0.05). Logistic regression analysis showed that complications were independent risk factors for catheter indwelling failure (OR: 26.98, P<0.01). Conclusions: PIVC mostly performed on the back of the hand and its indwelling time was associated with patients’ gender and age in the department of hepatobiliary surgery. The occurrence of complications was an independent factor for PIVC failure.
Keywords
Peripheral Venous Catheter, Indwelling Failure, Department of Hepatobiliary Surgery
To cite this article
Xiaolan Wang, Mengying Qi, Yanhua Shi, Hualan Zhu, Weirong Li, Cuiqing Liu, Jin’ai He, Analysis of the Current Application of Peripheral Intravenous Catheter and Indwelling Failure in the Department of Hepatobiliary Surgery, International Journal of Biomedical Science and Engineering. Vol. 8, No. 4, 2020, pp. 44-50. doi: 10.11648/j.ijbse.20200804.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Sun H, Wang L, Guan X, et al. A survey of the status of infusion therapy in tertiary hospitals in China. Chinese Journal of Nursing, 2014, 49 (10): 1232-1237 [J]. (in Chinese with English abstract).
[2]
Rickard CM, Marsh N, Webster J, et al. Securing all intravenous devices effectively in hospitalized patients-the SAVE trial: study protocol for a multicenter randomised controlled trial [J]. BMJ open, 2015, 5 (9): 1-6.
[3]
Wallis MC, Mc Grail MR, Webster J, et al. Risk factors for PIV catheter failure: a multivariate analysis from a randomized controlled trial [J]. Infect Control Hosp Epidemiol, 2014, 35 (1): 63-68.
[4]
Infusion Nurses Society. Infusion Nursing Standards of Practice [M]. Massachusetts: Infusion Nurses Society.
[5]
New KA, Webster J, Marsh NM, Hewer B. Intravascular device use, management documentation and complications: a point prevalence survey [J]. Aust Health Rev. 2014, 38 (3): 345-349.
[6]
Fernández-Ruiz M, Carretero A, Díaz D, et al. Hospital-wide survey of the adequacy in the number of vascular catheters and catheter lumens [J]. J Hospital Med. 2014, 9 (1): 35-41.
[7]
Athanasio J D, Reichembach D M T, Adami V S, et al. Risk factors for complications in peripheral intravenous catheters in adults: secondary analysis of a randomized controlled trial [J]. Revista Latino-Americana de Enfermagem, 2016, 24: e2833.
[8]
Xu CM. Study of the Effect of Cluster Nursing in prolonging safe retention time of peripheral venous indwelling needle [J]. CHINESE MANIPULATION & REHABILITION MEDICINE, 2012, 3 (6): 119-120. (in Chinese with English abstract).
[9]
Rickard CM, Webster J, Wallis MC. Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomized controlled equivalence trial [J]. Lancet, 2012, 380 (9847): 1066-1074.
[10]
Webster J, Clarke S, Paterson D, et al. Routine care of peripheral intra-venous catheters versus clinically indicated replacement: randomized controlled trial [J]. BMJ, 2008, 337 (7662): 157-160.
[11]
O’Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections [J]. Clin Infect Dis, 2011, 52 (9): e162-e193.
[12]
Simin D, Dragana Milutinović, Turkulov V, et al. Incidence, severity and risk factors of peripheral intravenous cannula-induced complications: An observational prospective study [J]. Journal of Clinical Nursing, 2019, 28 (9-10): 1585-1599.
[13]
Jackson A. Bundle example for short peripheral IV catheter insertion and post insertion care [J]. IVTEAM Original. p. 1-6.
[14]
Yalçınlı, Sercan, Akarca F K, Can, Özge, et al. Factors affecting the first attempt success rate of intravenous cannulation in older people [J]. Journal of Clinical Nursing, 2019, 28 (11-12): 2206-2213.
[15]
Rippey JCR, Cooke M L, Trevenen M L, et al. Factors associated with peripheral intravenous cannulation first-time insertion success in the emergency department. A multicentre prospective cohort analysis of patient, clinician and product characteristics [J]. BMJ Open, 2019, 9 (4): e022278.
[16]
Helm R E, Klausner J D, Klemperer J D, et al. Accepted but unacceptable: peripheral IV catheter failure [J]. Journal of Infusion Nursing, 2015, 38 (3): 189-203.
[17]
Vick, Andrew M. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. [J]. International Journal of Evidence-based Healthcare, 2013, 11 (4): 339-340.
[18]
Webster J, Clarke S, Paterson D, et al. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial [J]. BMJ, 2008, 337: 1-6.
[19]
Bausone-Gazda D, Lefavier CA, Walters SA. A randomized controlled trial to compare the complications of 2 peripheral intravenous stabilization systems [J]. J Infus Nurs. 2010, 33 (6): 371-384.
[20]
Martínez JA, Piazuelo M, Almela M, et al. Evaluation of add-ondevices for the prevention of phlebitis and other complications associated with the use of peripheral catheters in hospitalized adults: a randomised controlled study [J]. J Hosp Infect, 2009, 73 (2): 135-142.
[21]
National Health and Family Planning Commission of PRC. Nursing practice standards for intravenous therapy [J]. 2014. (in Chinese with English abstract).
[22]
Cheng JJ, Liu YS, Xu Y, et al. Comparative study on the effects of venous indwelling needles on three different positions [J]. CHINA MEDICAL HERALD, 2011, 8 (23): 40-42. (in Chinese with English abstract).
[23]
Zhao LQ, Tang SY, He Y. Indwelling position of peripheral venous indwelling needles in patients with cardiovascular diseases [J]. Journal of Clinical Research, 2013, 30 (2): 404-405. (in Chinese with English abstract).
[24]
Tian CM, Jin LH. Study on the indwelling time of intravenous catheter system and relatively factors [J]. Chinese Journal of Practical Nursing, 2005, 21 (9): 7-9. (in Chinese with English abstract).
[25]
Wei T, Tan Y, Shen YY, et al. Survey of the use of peripheral venous catheters in adult patients [J]. Journal of Nursing Science, 20l8, 33 (17): 6-9. (in Chinese with English abstract).
[26]
Alexandrou E, Ray-Barruel G, Carr P J, et al. Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide [J]. Journal of Hospital Medicine, 2018, 13 (5). doi: 10.12788/jhm.3039.
[27]
Tao YL, Zhou CL. Risk factors of venous indwelling needle-related phlebitis: a literature review [J]. Journal of Nursing Science, 2014, 29 (20): 89-90. (in Chinese with English abstract).
[28]
Abolfotouh MA, Salam M, Bani-Mustafa A. et al. Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications [J]. Ther Clin Risk Manag, 2014, 10: 993-1001.
[29]
Dillon MF, Curran J, Martos R, et al. Factors that affect longevity of intravenous cannulas: a prospective study [J]. Q J Med, 2008, 101: 731-735.
[30]
Malyon L, Ullman A J, Phillips N, et al. Peripheral intravenous catheter duration and failure in paediatric acute care: A prospective cohort study [J]. Emergency Medicine Australasia, 2014, 26 (6): 602-8.
[31]
Marsh N, Webster J, Larson E, et al. Observational Study of Peripheral Intravenous Catheter Outcomes in Adult Hospitalized Patients: A Multivariable Analysis of Peripheral Intravenous Catheter Failure [J]. J Hosp Med, 2017: E1-7 https://doi.org/10.12788/jhm.2867.
[32]
Cicolini G, Bonghi AP, Di Labio L, et al. Position of peripheral venouscannulae and the incidence of thrombophlebitis: an observational study [J]. J Adv Nurs, 2009, 65: 1268-1273.
[33]
Kathy Kokotis, Wang G, Li CY. Evaluation and suggestion on patients with early venous pathway [J]. Journal of Nursing Administration, 2013, 13 (5): 314-315. (in Chinese with English abstract).
[34]
Zhang L, Cao S, Marsh N, et al. Infection risks associated with peripheral vascular catheters [J]. J Infect Prev, 2016, 17: 207-213.
[35]
Marsh N, Larsen E, Genzel J, et al. A novel integrated dressing to secure peripheral intravenous catheters in an adult acute hospital: a pilot randomised controlled trial [J]. Trials, 2018, 19 (1): 596.
[36]
Maralee Kanin, Guy Young. Incidence of thrombosis in children with tunneled central venous access devices versus peripherally inserted central catheters (PICCs) [J]. Thrombosis Research, 2013, 132 (5): 527-30.
[37]
Murayama R, Uchida M, Oe M, et al. Removal of peripheral intravenous catheters due to catheter failures among adult patients [J]. J Infusion Nurse, 2017, 40: 224-231.
[38]
Rickaed CM, McCann D, Munnings J, et al. Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomized controlled trail [J]. BMC Med, 2010, 8: 53.
Browse journals by subject