Measurement of peripheral venous catheter-related phlebitis: a cross-sectional study

Objective: To analyze the nursing care provided to users of peripheral venous catheter. Method: Descriptive, cross-sectional study, performed at a mid-sized hospital situated in the high productive backcountry of Bahia, whose participants were surgical patients using peripheral venous catheters for more than 72 hours. Results: 103 patients were included; 15.5% of the bandages were dirty and/or wet, 40.8% had no date of insertion, 58.3% had no professional identification, 34.9% showed signs of infection, 50.4% did not have records on the chart and 33% presented bacterial growth. Conclusion: Nursing care to users of peripheral venous catheters has not been adequate, resulting in preventable complications when considering scientific recommendations for care with peripheral venous access.

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A Novel Objective Approach Towards Physicians' Knowledge and Practice Patterns to Optimize Central Venous Catheter Placement: A Cross-sectional Study

10.22514/sv.2020.16.0052 ◽

2020 ◽

Keyword(s):

Intensive Care ◽

Central Venous Catheter ◽

Venous Catheter ◽

Cross Sectional Study ◽

Sectional Study ◽

Clinical Practices ◽

Central Venous ◽

Cross Sectional ◽

Study Objective ◽

Catheter Tip

Study objective: Central venous catheterization is an essential component of intensive care of critically ill patients, and proper positioning of the catheter is essential to prevent position-related complications. This study was conducted by using digital tape measurement to objectively assess clinician preferences for central venous catheter positioning based on specific position levels and landmarks on post-procedural chest radiographs. Design: A cross-sectional study using electronic questionnaire survey. Setting: Single academic teaching hospital participated in this study. Participants: The study enrolled 276 physicians from multiple clinical disciplines. Interventions: None. Measurements: A seven-level reference system labeled on a sample chest radiograph was used to identify the acceptable lower and upper limits and landmarks used to determine the optimal central venous catheter tip position as well as the pattern of clinical practices based on the specialty and level of experience of participants. Main results: Among the 276 respondents, the ratio of cumulative acceptance for the lower and upper catheter tip limit was 62% and 66.3% within a 4-cm range below or above the carina, respectively. Intensive care unit (ICU) physicians showed a greater tendency to choose a catheter tip 4 cm below and 6 cm above the carina (p = 0.004 and 0.002, respectively) as did experienced physicians (p = 0.007 and < 0.001, respectively). The commonest reason for catheter tip withdrawal was arrhythmia (50% of cases). Physicians in the ICU and experienced physicians were more concerned about the risk of cardiac perforation than other respondents (p < 0.001 and < 0.001, respectively). The carina was the most commonly used landmark in 71.7% of all physicians, although 50% of radiologists also used other landmarks. Conclusions: The acceptable limit of the catheter tip is 4 cm above and below the carina (-4 to +4), as determined on chest radiography, without a need for tip adjustment.

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Temporary central venous catheter at hemodialysis initiation and reasons for use: a cross-sectional study

Renal Replacement Therapy ◽

10.1186/s41100-021-00318-y ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Izaya Nakaya ◽

Taijiro Goto ◽

Yuki Nakamura ◽

Kazuhiro Yoshikawa ◽

Junji Oyama ◽

...

Keyword(s):

Healthcare Providers ◽

Venous Catheter ◽

Japanese Patients ◽

Cross Sectional Study ◽

High Rate ◽

Sectional Study ◽

Central Venous ◽

Cross Sectional ◽

Arteriovenous Fistulas ◽

Stage Renal Disease

Abstract Background Creating permanent vascular access (VA) is recommended before hemodialysis initiation in patients with end-stage renal disease (ESRD). Although many patients are still introduced to hemodialysis with temporary central venous catheters (CVCs), the reasons for their use remain unclear. We aimed to clarify the characteristics of Japanese patients introduced to hemodialysis using temporary CVCs, the reasons for their use, and whether this rate can be reduced in the future. Methods We conducted this cross-sectional study in an acute care general hospital in Japan. We enrolled 393 patients aged ≥ 18 years who received a permanent VA creation for initiating hemodialysis. We classified participants into the temporary CVC group or the permanent VA group according to the VA type at hemodialysis initiation and compared their backgrounds. We identified why permanent VA could not be used at hemodialysis initiation for patients in the temporary CVC group. Results Of the 393 patients, 137 (35%) initiated hemodialysis with a temporary CVC, and arteriovenous fistulas (AVFs) were created as the first VA in all patients during hospitalization following hemodialysis initiation. The remaining 256 patients (65%) initiated hemodialysis via AVF cannulation. The duration of predialysis nephrology care was significantly shorter in the temporary CVC group than that in the permanent VA group. The median time from AVF creation to the first successful cannulation was also shorter in the temporary CVC group (8 vs. 66 days, P < 0.001), but the estimated glomerular filtration rate values at hemodialysis initiation did not differ. Reasons for temporary CVC use were varied and complex. Problems on the part of healthcare providers, patient behavioral issues, and characteristics of causative kidney disease itself were underlying reasons. Delayed referral to a nephrologist was less frequent than expected (16%) and the most commonly reported reason (20%) was that a nephrologist was unable to predict the timing of hemodialysis initiation. Conclusions Patients with ESRD should be referred to a nephrologist earlier for AVF creation. However, given the already relatively high rate of hemodialysis initiation with permanent VA in Japan, we considered it surprisingly difficult to further reduce the temporary CVC usage rate in Japan.

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The Biochemical parameters in venous blood sampling by direct venipuncture and peripheral intravenous catheter

Journal of Contemporary Medical Sciences ◽

10.22317/jcms.v6i5.829 ◽

2020 ◽

Vol 6 (5) ◽

Author(s):

Fatemeh Jaafaraghaei ◽

Monireh Aghajany-Nasab ◽

Mahsa Aghaei ◽

Nazila Javadi pashaki ◽

Ehsan Kazemnejhad Leili

Keyword(s):

Venous Blood ◽

Venous Catheter ◽

Cross Sectional Study ◽

Blood Sampling ◽

Cross Sectional ◽

Sodium Potassium ◽

Blood Samples ◽

Peripheral Venous Catheter ◽

Peripheral Intravenous Catheter ◽

Sodium And Potassium

Objective: The aim of this study was to compare the results of some biochemical values in venous blood samples obtained by direct venipuncture (DV) and peripheral venous catheter (PVC). Methods: In this cross-sectional study, 78 hospitalized patients in different wards of Poor-Sina Medical and Educational Center of Rasht in 2017 were divided into three equal groups, including patients who were treated with normal saline and dextrose saline and those who did not receive this solution. Two separate blood samples were obtained from each patient, one from PVC and the other from DV. The levels of sodium, potassium, creatinine and blood urea nitrogen (BUN) were measured and compared. Results: Difference of PVC with DV in BUN was generally 0.32±3.18 mg/dl; creatinine, sodium and potassium were 0.02±0.12 mg/dl, 1.00±2.49 mEq/L and 0.15±0.48 mEq/L respectively. There were no statistically significant differences between the two methods in relation to BUN and creatinine (P = 0.377 and P = 0.149, respectively), but significant differences in levels of sodium and potassium were observed between the two blood sampling methods (P = 0.001 and P = 0.008, respectively). Conclusion: According to the results of this study and other studies, PVC can be used to measure BUN and creatinine, not so for sodium and potassium. For other parameters, further investigation is needed.

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VISUAL OBSERVATION OF PHLEBITIS TO IDENTIFY FACTORS CONTRIBUTING TO THE DEVELOPMENT OF PHLEBITIS AMONG ADULT INPATIENT IN HCG HOSPITALS

10.36106/ijsr/3003341 ◽

2021 ◽

pp. 12-14

Author(s):

Sampa Mandal ◽

Amritanshu Ram ◽

Jyothi Vidya ◽

Punitharani Singh ◽

Hrishi V ◽

...

Keyword(s):

Venous Catheter ◽

Clinical Problem ◽

Cross Sectional Study ◽

Visual Observation ◽

Cross Sectional ◽

Peripheral Venous Catheter ◽

Hospitalization Period ◽

Adult Inpatient ◽

Indwelling Time ◽

Night Shifts

Introduction: Peripheral intravenous catheters are used for administration of uid-electrolytes, blood and blood products, medications and parenteral nutrition. Phlebitis is the most common complication affects 75% of inpatients and is a signicant clinical problem. It negatively affects the comfort of the patient, the duration of catheter use, the hospitalization period, and treatment costs. The purpose of this study is to determine the effect of PVC duration on the development of phlebitis in infectious diseases Materials and methods: A descriptive cross-sectional study was done among 652 samples to determine the effect of peripheral venous catheter (PVC) duration on the development of phlebitis in HCG hospitals. Patients between 18-80 years of age, who were on IV parenteral therapy were included according to inclusion and exclusion criteria. Results: Development of phlebitis was observed more during night shifts (p=0.049) and it was due to the solution used for site preparation(p=0.003), material of the needle(p=0.002), indwelling time of the catheter (0.001). Further, the number of attempts made for IV insertion(p=0.001) was showing statistically signicant association with the development of phlebitis. Conclusion: The results suggest that it is very important to focus on the problems associated with the development of phlebitis especially taking care of patients during night shifts by restricting hand movements. Furthermore, it is also noted that by reducing the number of attempts while inserting IVcannulas can lower the complications related to IVcannulation.

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A cross sectional study assessing six different methods to predict the ideal position of umbilical venous catheters in neonates of different weight categories

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20214712 ◽

2021 ◽

Vol 9 (12) ◽

pp. 3627

Author(s):

Nida Janna V. K. ◽

Serena Mohan Varghese ◽

Madhu George ◽

Susan John

Keyword(s):

Venous Catheter ◽

Cross Sectional Study ◽

Symphysis Pubis ◽

Suitable Method ◽

Sectional Study ◽

Cross Sectional ◽

X Ray ◽

Significant Difference ◽

Group A ◽

Final Length

Background: This was a cross sectional study done to find the most suitable method of assessing umbilical venous catheter (UVC) length in seventy two neonates of four different weight categories using six methods.Methods: Neonates were grouped into A (upto 1 kg), B (>1-1.5 kg), C (>1.5-2.5 kg) or D (>2.5 kg) based on their birth weight. UVC was placed using Shukla-Ferrara method and x-ray taken to finalize the catheter length. The predicted catheter length was also measured by Dunn method, umbilicus to nipple length, umbilicus to xiphisternum length, umbilicus to midpoint of inter mammary distance, and umbilicus to symphysis pubis length. ANOVA test was used to find the methods which did not have statistically significant difference with the final length from x-ray (p>0.5). The method with the least mean difference from final length was taken as the most suitable.Results: UVC length assessed by Shukla Ferrara method and umbilicus to midpoint of inter mammary distance did not have statistically significant difference with final catheter length on x-ray in all groups. UVC length assessed by Dunn method did not have statistically significant difference with final catheter length on x-ray in group A, C and D while UVC length assessed by umbilicus to nipple length did not have statistically significant difference in group D.Conclusions: Umbilicus to the midpoint of inter-mammary distance was the most suitable method to estimate length of insertion of UVC in neonates.

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Patients' understanding of words used to describe lumps: a cross-sectional study

The Journal of Laryngology & Otology ◽

10.1017/s0022215105006481 ◽

2005 ◽

pp. 1

Author(s):

Neil K Chadha ◽

Costa Repanos

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Does a Graduate Course in Fluency Disorders Make a Difference?

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd20.1.10 ◽

2010 ◽

Vol 20 (1) ◽

pp. 10-14 ◽

Cited By ~ 2

Author(s):

Evelyn R. Klein ◽

Barbara J. Amster

Keyword(s):

Undergraduate Students ◽

Graduate Programs ◽

The United States ◽

Cross Sectional Study ◽

Sectional Study ◽

Graduate Course ◽

Cross Sectional ◽

Fluency Disorders ◽

Introductory Course ◽

Communicative Disorders

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.

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