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Non-tourniquet procedure for peripheral IV catheterization in older patients

"This study aimed to determine the initial efficacy of non-tourniquet procedure during insertion of PIVC in older patients" Büyükyılmaz et al (2020).

Abstract:

Background: In an older population, insertion of peripheral intravenous catheterizations (PIVCs) are more difficult because of specific problems.

Aim: This study aimed to determine the initial efficacy of non-tourniquet procedure during insertion of PIVC in older patients.

Design/Methods: This quasi-experimental study was conducted in 78 older patients. The initial efficacy of non-tourniquet procedure was tested during insertion of PIVC.

Results: This study showed that similar pain intensity scores immediately after inserting the PIVC (p>0.05). The first-attempt success and dwell time in non-tourniquet procedure older patients were be higher/longer and phlebitis scores were lower than the control group (p<0.05).

Conclusions: To increase the success of PIVC first-attempt, a longer dwell time, and lower phlebitis scores in older patients, nurses should insert PIVCs at an almost flat degree and stabilize the vein without a tourniquet. Impact statement: The non-tourniquet procedure will lead to the long dwell time and using safely of PIVC in older patients.

Reference:

Büyükyılmaz F, Şendir M, Kuş B, Yaman Güçlü H. The effectiveness of a non-tourniquet procedure on peripheral intravenous catheterization in older patients: A pilot study. Contemp Nurse. 2020 Aug 18:1-12. doi: 10.1080/10376178.2020.1801351. Epub ahead of print. PMID: 32715972.