Literature review- peripheral line
Peripheral catheter complications and maintenance a literature review
Nearly half of the 40 million patients requiring hospitalization each year in the United States receive intravenous (IV) treatment. Furthermore, approximately 42% of those receiving IV therapy experience phlebitis or other medical complications (Uslusoy & Mete, 2008). With numbers as staggering as these, IV care proves to be a large area of nursing responsibility and shows great relevance in the nursing practice. Personally, all of my patients on the telemetry floor have required IV treatment and it has been a top priority for me to properly maintain the integrity of their vascular access. With this in mind, I believe that researching effective ways to reduce complications and maintain the patency and integrity of peripherally inserted catheters will lead to improved patient outcomes.
Predisposing factors to phlebitis in patients with peripheral intravenous catheters (Uslusoy & Mete, 2008).
The purpose of this study was to investigate the factors that increase patients risk for experiencing complications with their IV catheter. In addition to determine if certain IV medications place the patient at an increased risk for negative outcomes (Uslusoy & Mete, 2008). This information is essential to the nursing profession due to the large percentage of patients receiving IV therapy while in the hospital.
A descriptive comparative method was used to obtain the research data. This method is appropriate for the information in which they were trying to obtain. The study was performed in a controlled hospital setting in Turkey. The sample consisted of 355 patients over a four month period, which is a small sample in relation to the large number of variables included in the study. Data was obtained using patient observation and questionnaires and inclusion and exclusion criteria were briefly addressed (Uslusoy & Mete, 2008). A majority of the data collection ( 91%) was
Nearly half of the 40 million patients requiring hospitalization each year in the United States receive intravenous (IV) treatment. Furthermore, approximately 42% of those receiving IV therapy experience phlebitis or other medical complications (Uslusoy & Mete, 2008). With numbers as staggering as these, IV care proves to be a large area of nursing responsibility and shows great relevance in the nursing practice. Personally, all of my patients on the telemetry floor have required IV treatment and it has been a top priority for me to properly maintain the integrity of their vascular access. With this in mind, I believe that researching effective ways to reduce complications and maintain the patency and integrity of peripherally inserted catheters will lead to improved patient outcomes.
Predisposing factors to phlebitis in patients with peripheral intravenous catheters (Uslusoy & Mete, 2008).
The purpose of this study was to investigate the factors that increase patients risk for experiencing complications with their IV catheter. In addition to determine if certain IV medications place the patient at an increased risk for negative outcomes (Uslusoy & Mete, 2008). This information is essential to the nursing profession due to the large percentage of patients receiving IV therapy while in the hospital.
A descriptive comparative method was used to obtain the research data. This method is appropriate for the information in which they were trying to obtain. The study was performed in a controlled hospital setting in Turkey. The sample consisted of 355 patients over a four month period, which is a small sample in relation to the large number of variables included in the study. Data was obtained using patient observation and questionnaires and inclusion and exclusion criteria were briefly addressed (Uslusoy & Mete, 2008). A majority of the data collection ( 91%) was
References: Brunelle, D. (2003, November/December). Impact of a dedicated infusion therapy team on the reduction of catheter-related nosocomial infections. Journal of Infusion Nursing, 26(6), 362-366. Catney, M., Hills, S., Wakefield, B., Simpson, L., Domino, L., Keller, S.,...Wagner, K. (2001, September/October). Relationship between peripheral intravenous catheters dwell time and the development of phlebitis and inflammation. Journal of Infusion Nursing, 24(5), 332-341. Clemen, L., Heldt, K., Jones, K., Baker, L., Pacha, J., Hurm, L.,...Tonui, P. (2012). Assessing guidelines for the discontinuation of the prehospital peripheral intravenous catheter. Journal of Trauma Nursing, 19(1), 46-49. Gallant, P., & Schultz, A. (2006, November/December). Evaluation of a visual infusion phlebitis scale for determining appropriate discontinuation of peripheral intravenous catheters. Journal of Infusion Nursing, 29(6), 338-345. Groll, D., Davies, B., Mac Donald, J., Nelson, S., & Virani, T. (2010, November/December). Evaluation of the psychometric properties of the phlebitis and infiltration scales for the assessment of complication of peripheral vascular access devices. Journal of Infusion Nursing, 33(6), 385-390. doi:10.1097/NAN.0b013e3181f85a73 Lopez, V., Molassiotis, A., Chan, W., Ng, F., & Wong, E. (2004, September/October). An intervention study to evaluate nursing management of peripheral intravascular devices. Journal of Infusion Nursing, (), 322-331. Powell, J., Tarnow, K., & Perucca, R. (2008, January/February). The relationship between peripheral intravenous catheters indwell time and the incidence of phlebitis. Journal of Infusion Nursing, 31(1), 39-45. Ung, L., Cook, S., Edwards, B., Hocking, L., Osmond, F., & Buttergieg, H. (2002, May/June). Peripheral Intravenous Cannulation in Nursing. Journal of Infusion Nursing, 25(3), 189-195. Uslusoy, E., & Mete, S. (2008). Predisposing factors to phlebitis in patients with peripheral intravenous catheters: A descriptive study. Journal of the American Academy of Nurse Practitioners, 20(3), 172-180. Zarate, L., Mandleco, B., Wilshaw, R., & Ravert, P. (2008). Peripheral intravenous catheters started in prehospital and emergency department settings. Journal of Trauma Nursing, 15(2), 47-52.