Analysis of influencing factors on the duration of pediatric peripheral intravenous catheter

2021 ◽  
pp. 112972982110440
Author(s):  
Yanxian Peng ◽  
Yawei Zhou
Keyword(s):  
Pediatric Patients ◽  
White Blood Cells ◽  
Intravenous Catheter ◽  
Object Based ◽  
Laboratory Test Results ◽  
Long Time ◽  
Peripheral Intravenous Catheter ◽  
Indwelling Time ◽  
General Data ◽  
Short Time

Background: 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.

scholarly journals Current practices of peripheral intravenous catheter fixation in pediatric patients and factors influencing pediatric nurses’ knowledge, attitude and practice concerning peripheral intravenous catheter fixation: a cross-sectional study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Li-Sha Huang ◽  
Yan Huang ◽  
Juan Hu
Keyword(s):  
Pediatric Patients ◽  
Pass Rate ◽  
Attitude Score ◽  
Multivariate Linear Regression Analysis ◽  
Pediatric Nurses ◽  
Intravenous Catheter ◽  
Attitude And Practice ◽  
Peripheral Intravenous Catheter ◽  
Knowledge Attitude And Practice ◽  
Nurses Knowledge

Abstract Background Peripheral intravenous catheters (PIVCs) are the most widely used intravenous treatment tools for hospitalized patients. Compared to adult patients, PIVC fixation issues are more likely to occur in pediatric patients and can be more complex. However, research on PIVC fixation in pediatric patients is rare. This study aimed to investigate the pass rate for PIVC fixation in pediatric patients and the factors that influence pediatric nurses’ knowledge, attitude, and practice (KAP) concerning PIVC fixation. Methods An on-site investigation using a self-designed PIVC fixation standard inspection checklist for first insertion and routine maintenance in pediatric patients and a follow-up questionnaire survey investigating pediatric nurses’ KAP concerning PIVC fixation was conducted in a hospital in China between November 1 and December 31, 2019. Data were analyzed using SPSS 21.0. Results The pass rate for PIVC fixation in pediatric patients was 52.02%. The pediatric nurses’ knowledge, attitude and practice scores on PIVC fixation were 7.2 ± 1.36, 28.03 ± 2.42, and 31.73 ± 2.94, respectively. The multivariate linear regression analysis results show that department (where nurses are working in) and job position are the factors that influence knowledge score (B > 0, P < 0.05); department is also a factor that influences attitude score (B > 0, P < 0.05); and department and nursing hierarchy are the factors that influence practice score (B > 0, P < 0.05). Conclusion PIVC fixation in pediatric patients is affected by multiple factors. The level of pediatric nurses’ KAP on PIVC fixation needs to be improved. It is suggested that guidelines for PIVC fixation in pediatric patients be formulated and that training on PIVC fixation in pediatric patients be provided for pediatric nurses in an effort to raise the pass rate in terms of PIVC fixation in pediatric patients.

Nurse performed peripheral intravenous catheter first time insertion success in pediatric patients in Bhutan: An observational study

2018 ◽  
Vol 20 (2) ◽  
pp. 184-189 ◽  
Author(s):  
Jigme Choden ◽  
Peter J Carr ◽  
Aleisha R Brock ◽  
Adrian Esterman
Keyword(s):  
Skin Color ◽  
Pediatric Patients ◽  
Linear Models ◽  
National Sample ◽  
Intravenous Catheter ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Peripheral Intravenous Catheter ◽  
The Impact ◽  
First Time

Introduction: Peripheral intravenous catheter insertion is a clinical procedure commonly performed by nurses for pediatric patients in Bhutan. This study describes peripheral intravenous catheter first attempt success and factors associated with such insertions. Methods: A cross-sectional survey was conducted from October 2016 to March 2017, comprised of a national sample of the Bhutan pediatric patient population (0–12 years). We collected data on peripheral intravenous catheter first time insertion success rate of admitted pediatric patients, to identify predictors of a successful first time attempt. Clustered log binomial generalized linear models were used to obtain the prevalence of first time attempt success and predictors of success. Results: The prevalence rate of successful first time attempt adjusted for clustering was 64% (95% confidence interval: 51%–80%). Predictors of a successful first time attempt were older patient age, lighter skin color, the vein being visible with a tourniquet, and the left hand being used for insertion. A transilluminator was used in 52 patients, and the peripheral intravenous catheter was eventually successfully placed in 82% of the patients. Discussion: Our first time successful cannulation rate is substantially lower than that found in similar studies in other countries. Considering the impact a peripheral intravenous catheter has on patients’ clinical outcomes and cost implications, reducing the number of failed attempts should be of high importance. Better education and simulation, combined with the adoption of vessel locating technology, are required to improve insertion practice in Bhutan. This could lead to greater efficiency of the health facilities in Bhutan.

scholarly journals Primary Intraventricular Hemorrhage in Pediatric Patients: Causes, Characteristics, and Outcomes

2019 ◽  
Author(s):  
Rui Guo ◽  
Chaofeng Fan ◽  
Ruiqi Chen ◽  
Zhiyuan Yu ◽  
Rui Tian ◽  
...  
Keyword(s):  
Intraventricular Hemorrhage ◽  
Arteriovenous Malformations ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Unfavorable Outcome ◽  
Rare Type ◽  
Long Time ◽  
The Mean ◽  
Short Time

Abstract Background: Primary intraventricular hemorrhage is a rare type of stroke and little is known its causes, characteristics and outcomes in children. Methods: We retrospectively analyzed the clinical characteristics of patients aged one month to 21 years during seven consecutive years with primary intraventricular hemorrhage. Primary intraventricular hemorrhage was defined as bleeding confined to the ventricular system without parenchymal or subarachnoid hemorrhage involved. Results: Of the included eighteen patients, 55.6% were female, and the mean age was 13.8 ± 6.0 years. The most common symptoms on presentation were headache (77.8%) and vomiting (33.3%). Fifteen patients (83.3%) were diagnosed with known etiologies, including arteriovenous malformations (66.7%), Moyamoya disease (11.1%), and aneurysms (5.6%). Idiopathic PIVH was diagnosed in only 3 patients (16.7%). Fifteen patients (83.3%) underwent surgical intervention, and 3 patients (16.7%) received conservative treatment. Four patients (28.6%) had an unfavorable outcome at discharge and unfavorable was observed in 3 patients (16.7%) at the 3-month follow-up. Higher Graeb score was associated with an unfavorable outcome both in short-time and long-time follow-up. Conclusions: Most primary intraventricular hemorrhage patients were diagnosed with arteriovenous malformations in the pediatric population. Specific surgical treatment of underlying etiologies should be required to increase clinical improvement. The children with higher Graeb score at admission tended to have poor early and late outcome. Keywords: Primary intraventricular hemorrhage; pediatric; surgery; vascular disorders.

The Incidence of Peripheral Intravenous Catheter Phlebitis and Risk Factors among Pediatric Patients

2020 ◽  
Vol 50 ◽  
pp. 89-93 ◽  
Author(s):  
Mohammad Suliman ◽  
Wafa Saleh ◽  
Hind Al-shiekh ◽  
Wafa Taan ◽  
Mohammed AlBashtawy
Keyword(s):  
Risk Factors ◽  
Pediatric Patients ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter

scholarly journals Establishment of peripheral intravenous catheter for pediatric patients in the emergency department: who and how?

2017 ◽  
Vol 4 (2) ◽  
pp. 79-84
Author(s):  
Ryun Kyung Lee ◽  
Dong Hoon Kim ◽  
Tae Yun Kim ◽  
Changwoo Kang ◽  
Soo Hoon Lee ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Patients ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter

scholarly journals FAKTOR RISIKO EKSTERNAL KEJADIAN PHLEBITIS PADA PEMASANGAN KATETER INTRAVENA PERIFER: STUDI DOKUMENTASI

2021 ◽  
Vol 5 (2) ◽  
pp. 467
Author(s):  
Ester Jois Maragani ◽  
Fourini Marethalia ◽  
Laura Margareth ◽  
Ni Gusti Ayu Eka ◽  
Gracia Aktri M. Manihuruk
Keyword(s):  
Standard Procedure ◽  
Sampling Technique ◽  
Catheter Insertion ◽  
External Factors ◽  
Intravenous Catheter ◽  
Purposive Sampling ◽  
Long Time ◽  
Peripheral Intravenous Catheter ◽  
Catheter Size ◽  
External Risk

Intravenous insertion therapy given for a long time can cause complications such as phlebitis. Phlebitis is an inflammatory reaction in the veins along with signs of pain, redness, swelling, heat, and hardening at the puncture site and along the vein. One main factor that influence the incidence of phlebitis are external factors such as inappropriate intravenous (IV) catheters, length of catheter insertion, location of the catheter, pH and fluid osmolarity and internal factors include age, sex and comorbidities. External factors are factors that can be modified according to the authority of the nurse, so that the modification can reduce the incidence of phlebitis in the hospital. The aim of this study was to identify the external risk factors for phlebitis on peripheral intravenous catheter insertion in the inpatient room of a private Indonesian hospital. This research method was descriptive quantitative. Samples based on population, obtained from the Slovin formula were 95 medical records of inpatients with purposive sampling technique. Data collection obtained from medical record documents, included in the observation sheet. This study showed that more than half of the patients with intravenous catheters had the incidence of phlebitis (53%). Patients who experienced the incidence of phlebitis used an intravenous catheter size of 24G (88,89%), the location was in the metacarpal (56,33%), used hipotonic fluid (81,25%) and had an intravenous catheter inserted for more or equal to three days (63,41%). It is important to be able to increase the knowledge and skills of nurses, especially regarding the standard procedure for infusion and treatment as well as external factors that influence the occurrence of phlebitis. Keywords: Intravenous therap;, Phlebitis; Eksternal factors AbstrakTerapi pemasangan intravena yang diberikan dalam jangka waktu yang lama dapat menimbulkan komplikasi seperti adanya kejadian phlebitis. Phlebitis adalah reaksi peradangan pada pembuluh darah vena beserta dengan tanda-tanda nyeri, kemerahan, bengkak, panas, serta pengerasan pada daerah tusukan dan sepanjang pembuluh darah vena. Salah satu faktor utama yang memengaruhi kejadian phlebitis adalah faktor eksternal seperti ukuran kateter intravena/IV yang tidak sesuai, lama pemasangan kateter IV, lokasi pemasangan kateter IV, pH dan osmolaritas cairan. Faktor lainnya yaitu faktor internal seperti usia, jenis kelamin dan penyakit penyerta. Faktor eksternal merupakan faktor yang dapat di modifikasi sesuai kewenangan perawat, sehingga dapat menurunkan angka kejadia phlebitis di rumah sakit.  Tujuan penelitian ini untuk mengidentifikasi faktor risiko eksternal kejadian phlebitis pada pemasangan kateter intravena perifer di ruang rawat inap di satu rumah sakit swasta Indonesia. Metode penelitian ini adalah deskriptif kuantitatif. Sampel berdasarkan populasi, yang didapatkan dari rumus Slovin adalah 95 rekam medis pasien rawat inap dengan teknik purposive sampling. Pengumpulan data yang didapatkan dari dokumen rekam medis di masukkan dalam lembar observasi. Penelitian ini menunjukkan bahwa lebih separuh pasien yang terpasang kateter intravena mengalami kejadian phlebitis (53%). Pasien yang mengalami kejadian phlebitis tersebut menggunakan ukuran kateter intravena 24G (88,89%), lokasi pada metacarpal (56,33%), menggunakan jenis cairan hipotonik (81,25%) serta terpasang kateter intravena lebih atau sama dengan tiga hari (63,41%). Penting untuk dapat meningkatkan pengetahuan dan keterampilan perawat khususnya tentang standar prosedur pemasangan infus dan perawatannya serta faktor eksternal yang memengaruhi terjadinya phlebitis.

scholarly journals Mothers’ knowledge regarding peripheral intravenous catheter caring and complications among pediatric patients: A cross-sectional study

2021 ◽  
Vol 11 (12) ◽  
pp. 31
Author(s):  
Rania Jaber ◽  
Huda Shaweesh ◽  
Alaa A. Zarqa ◽  
Othman A. Alfuqaha
Keyword(s):  
Pediatric Patients ◽  
Hospital Admissions ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Intravenous Catheter ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Peripheral Intravenous Catheter ◽  
Cross Sectional Design ◽  
Intravenous Catheters

Objective: Pediatric patients are considered at risk for Peripheral intravenous catheters (PIVCs) complications more than adults. This study aimed to assess the level of mothers’ knowledge of PIVC maintenance, caring, and complications among pediatric patients. It was also aimed to investigate the association between maintenance and complication knowledge of PIVC. Furthermore, demographic factors were investigated to assess associations on mothers’ knowledge of PIVC.Methods: The study adopted a cross-sectional design. This study was performed on a convenience sample of 193 mothers from a tertiary hospital in Jordan in 2020.Results: Mothers’ knowledge regarding complications was higher than their knowledge of maintenance and caring of PIVC. Mothers’ knowledge toward caring for PIVC was positively correlated with their knowledge about PIVC complications. Mothers’ age and the number of hospital admissions were found to be significantly associated with the level of maintenance and caring knowledge of PIVC but not with complication knowledge of PIVC. The higher the educational level of a mother the less prone she is to complications of PIVC in pediatric patients.Conclusions: It is recommended that health professionals working in pediatric engage mothers in educational sessions to improve maintenance, care, and to prevent complications of PIVC among pediatric patients.

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