What are the local complications experienced by children with peripheral intravenous catheters?

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This study was conducted to evaluate the local complications in children who had a peripheral intravenous catheter” Abusafia and Boztepe (2017).

Abstract:

AIM: This study was conducted to evaluate the local complications in children who had a peripheral intravenous catheter.

BACKGROUND: Currently, the insertion of peripheral intravenous catheters occurs in most children that are hospitalized. However, the development of some complications associated with the insertion of these catheters are unavoidable. A significant aspect of nursing care is to ensure the safety of the placement and management of peripheral intravenous catheters in children.

DESIGN: The prospective cohort study design was used in the study, and the data of the study were collected between February 3, 2015 and May 17, 2015 by using the “Patient and Disease-Related Data Collection Form” and the “Peripheral Intravenous Catheterization Observation Form”.

METHODS: The population of the study consisted of 100 children (201 catheters) who received inpatient treatment from the internal medicine and surgery services of a children’s hospital.

RESULTS: A total of 201 catheter placements were observed, and 100 (49.7%) of them developed complications. It was determined that infiltration ranked first among the complications at 72.0% (n=72), followed by mechanical complications at 22.0% (n=22) and phlebitis at 6.0% (n=6). While the complications developed mostly in children under the age of 3 years (67.7%), complications developed least commonly among children aged ≥10 (33.3%). All phlebitis cases were confirmed in children whose catheter site could not be secured.

CONCLUSIONS: The rate of complications was predicted for the catheterization site, and the security of the catheter determined the rate of complications. Children’s gender, body mass index, hemoglobin values, and reason for hospitalization were not significant predictors of complications.

RELEVANCE TO CLINICAL PRACTICE: In light of the study’s results, infiltration is more commonly observed in lower extremities and other areas, it is suggested that these areas should be avoided for peripheral intravenous catheterization. More effective interventions are recommended for determination of the catheter site.

Reference:

Abusafia, B.M. and Boztepe, H. (2017) Evaluation of Peripheral Intravenous Catheter-Induced Local Complications in Pediatrics. Journal of Clinical Nursing. January 19th. [Epub ahead of print].

doi: 10.1111/jocn.13730.

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