The application of peripheral intravenous catheter has been an effective guarantee for the success of pediatric therapy. We aimed to investigate the correlative factors that impacting the duration of pediatric peripheral intravenous catheter.
Methods:
From January 2017 to October 2017, 370 cases of pediatric patients in the First Hospital of Hunan University of Chinese Medicine were collected as the research object. Based on the indwelling time, the collected cases were divided into two groups, namely long time group (>72 h) and short time group (<72 h). The general data and laboratory test results of two groups were collected, and the correlation factors of indwelling time were analyzed by single factor and Logistic multiple factors.
Results:
As the results revealed that compared with short time group, patients in long time group had statistically significant differences in puncture site, phlebitis, extravasation of blood vessels, hemoglobin, white blood cells, platelets, and 75% ethanol sterilization (p < 0.05). Logistic multivariate analysis indicated that scalp puncture was the independent protective factors that affecting the duration of pediatric peripheral intravenous catheter. Moreover, phlebitis represented the independent risk factor that influencing the indwelling time of pediatric peripheral intravenous catheter. And the differences were statistically significant (p < 0.05).
Conclusions:
Analyze factors influencing indwelling time of pediatric peripheral intravenous catheter and enhance the management of relevant factors are of great significance to prolong the indwelling time, reduce the pain of pediatric patients, and facilitate the clinical medication.
AlexandrouERay-BarruelGCarrPJ, et al. International prevalence of the use of peripheral intravenous catheters. J Hosp Med2015; 10: 530–533.
2.
BartolucciJVerdugoFJGonzálezPL, et al. Safety and efficacy of the intravenous infusion of umbilical cord mesenchymal stem cells in patients with heart failure: a phase 1/2 randomized controlled trial (RIMECARD trial [randomized clinical trial of intravenous infusion umbilical cord mesenchymal stem cells on cardiopathy]. Circ Res2017; 121: 1192–1204.
3.
ChenQHuCLiuY, et al. Safety and tolerability of high-dose ulinastatin after 2-hour intravenous infusion in adult healthy Chinese volunteers: a randomized, double-blind, placebo-controlled, ascending-dose study. PLoS One2017; 12: e0177425.
4.
GarlandJSDunneWMJr.HavensP, et al. Peripheral intravenous catheter complications in critically ill children: a prospective study. Pediatrics1992; 89: 1145–1150.
5.
KellySRussellJDevgonP, et al. Transformation of the peripheral intravenous catheter placement experience in pediatrics. J Vasc Access2017; 18: 259–263.
6.
MarshNWebsterJLarsonE, et al. Observational study of peripheral intravenous catheter outcomes in adult hospitalized patients: a multivariable analysis of peripheral intravenous catheter failure. J Hosp Med2018; 13: 83–89.
7.
KeleekaiNLSchusterCAMurrayCL, et al. Improving nurses’ peripheral intravenous catheter insertion knowledge, confidence, and skills using a simulation-based blended learning program. Simul Healthc2016; 11: 376–384.
8.
RothbartAYuPMüller-LobeckL, et al. Peripheral intravenous cannulation with support of infrared laser vein viewing system in a pre-operation setting in pediatric patients. BMC Res Notes2015; 8: 463.
9.
AbusafiaBMBoztepeH. Retraction statement: evaluation of peripheral intravenous catheter-induced local complications in pediatrics. J Clin Nurs2017; 26: 2818–2818.
10.
ParkerSIABenziesKMHaydenKA. A systematic review: effectiveness of pediatric peripheral intravenous catheterization strategies. J Adv Nurs2017; 73: 1570–1582.
11.
UnbeckMFörbergUYggeBM, et al. Peripheral venous catheter related complications are common among paediatric and neonatal patients. Acta Paediatr2015; 104: 566–574.
12.
Ben AbdelazizRHafsiHHajjiH, et al. Peripheral venous catheter complications in children: predisposing factors in a multicenter prospective cohort study. BMC Pediatr2017; 17: 208.
13.
CurtisSJCraigWRLogueE, et al. Ultrasound or near-infrared vascular imaging to guide peripheral intravenous catheterization in children: a pragmatic randomized controlled trial. Can Med Assoc J2015; 187: 563–570.
14.
DemirDInalS. Does the use of a vein visualization device for peripheral venous catheter placement increase success rate in pediatric patients?Pediatr Emerg Care2019; 35: 474–479.
15.
LoubaniOMGreenRS. A systematic review of extravasation and local tissue injury from administration of vasopressors through peripheral intravenous catheters and central venous catheters. J Crit Care2015; 30: 653.e9–17.
16.
AbolfotouhMASalamMBani-MustafaA, et al. Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Ther Clin Risk Manag2014; 10: 993–1001.
17.
González LópezJLArribi VilelaAFernándezdelPalacioE, et al. Indwell times, complications and costs of open vs closed safety peripheral intravenous catheters: a randomized study. J Hosp Infect2014; 86: 117–126.
18.
BenayaASchwartzYKoryR, et al. Relative incidence of phlebitis associated with peripheral intravenous catheters in the lower versus upper extremities. Eur J Clin Microbiol Infect Dis2015; 34: 913–916.
19.
ChiuPCLeeYHHsuHT, et al. Establish a perioperative check forum for peripheral intravenous access to prevent the occurrence of phlebitis. Kaohsiung J Med Sci2015; 31: 215–221.
20.
WeinsteinSM. Plumer’s principles and practice of intravenous therapy. Philadelphia, PA: Lippincott Williams & Wilkins, 1993. pp.100–130.
21.
DoyleTDAnandSEdensMA. Scalp catheterization. Treasure Island, FL: StatPearls Publishing LLC, 2021.
22.
WillockJRichardsonJBrazierA, et al. Peripheral venepuncture in infants and children. Nurs Stand2004; 18: 43–50; quiz 52, 55.
AhlinCKlang-SöderkvistBJohanssonE, et al. Assessing nursing students’ knowledge and skills in performing venepuncture and inserting peripheral venous catheters. Nurse Educ Pract2017; 23: 8–14.
28.
AndersonNR. Influencing patient satisfaction scores: prospective one-arm study of a novel intravenous catheter system with retractable coiled-tip guidewire compared with published literature for conventional peripheral intravenous catheters. J Infus Nurs Off Publ Infus Nurse Soc2016; 39: 201–209.
29.
FabianiADreasLSansonG. Ultrasound-guided deep-arm veins insertion of long peripheral catheters in patients with difficult venous access after cardiac surgery. Heart Lung2017; 46: 46–53.
30.
CookLMNichols-DadaJDamaniS, et al. Randomized clinical trial of 24% oral sucrose to decrease pain associated with peripheral intravenous catheter insertion in preterm and term newborns. Adv Neonatal Care2017; 17: E3–e11.
31.
DanskiMTMingorancePJohannDA, et al. [Incidence of local complications and risk factors associated with peripheral intravenous catheter in neonates]. Rev Esc Enferm USP2016; 50: 22–28.
32.
YalçınlıSAkarcaFKCanÖ, et al. Factors affecting the first-attempt success rate of intravenous cannulation in older people. J Clin Nurs2019; 28: 2206–2213.
33.
NeubauerAP. Percutaneous central i.v. Access in the neonate: experience with 535 silastic catheters. Acta Paediatr1995; 84: 756–760.
34.
LuYHaoCHeW, et al. Experimental research on preventing mechanical phlebitis arising from indwelling needles in intravenous therapy by external application of mirabilite. Exp Ther Med2018; 15: 276–282.
35.
Arias-FernándezLSuérez-MierBMartínez-OrtegaMD, et al. Incidence and risk factors of phlebitis associated to peripheral intravenous catheters. Enferm Clin2017; 27: 79–86.
36.
Capdevila-ReniuACapdevilaJA. Peripheral venous catheter, a dangerous weapon. Key points to improve its use. Rev Clin Esp2017; 217: 464–467.
37.
GuihardBRouyerFSerranoD, et al. Appropriateness and complications of peripheral venous catheters placed in an emergency department. J Emerg Med2018; 54: 281–286.
TanabeHMurayamaRYabunakaK, et al. Low-angled peripheral intravenous catheter tip placement decreases phlebitis. J Vasc Access2016; 17: 542–547.
40.
BüyükyılmazFŞahinerNCCağlarS, et al. Effectiveness of an intravenous protection device in pediatric patients on catheter dwell time and phlebitis score. Asian Nurs Res2019; 13: 236–241.
