scholarly journals Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 611
Author(s):  
Aitana Guanche-Sicilia ◽  
María Sánchez-Gómez ◽  
María Castro-Peraza ◽  
José Rodríguez-Gómez ◽  
Juan Gómez-Salgado ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Venous Access ◽  
Medication Administration ◽  
Volume Control ◽  
Nursing Interventions ◽  
Intravenous Therapy ◽  
Treatment Protocols ◽  
Peripheral Venous Catheter ◽  
Treatment And Prevention ◽  
Prevention And Treatment

The objective of this work was to identify available evidence on nursing interventions for the prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter. For this, a scoping systematic review was carried out following the guidelines in the PRISMA declaration of documents published between January 2015 and December 2020. The search took place between December 2020 and January 2021. Scielo, Pubmed, Medline, Scopus, WOS, CINHAL, LILACS, and Dialnet databases were consulted, and CASPe, AGREE, and HICPAC tools were used for the critical reading. A total of 52 studies were included to analyze nursing interventions for treatment and prevention. Nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. With regard to the nursing interventions to treat phlebitis, these were focused on vigilance and caring and also on the use of medical treatment protocols. For the prevention of phlebitis, the highest rated evidence regarding asepsis include the topical use of >0.5% chlorhexidine preparation with 70% alcohol or 2% aqueous chlorhexidine, a proper hygienic hand washing, and the use clean gloves to handle connections and devices. Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring. It is recommended to remove any catheter that is not essential. Once discharged from hospital, it will be necessary to warn the patient about signs of phlebitis after PVC removal.

scholarly journals Phlebitis due to the insertion of peripheral venous catheters: issues relevant to nursing care

2010 ◽  
Vol 5 (1) ◽  
pp. 134
Author(s):  
Paula Elaine Diniz Reis ◽  
Emilia Campos de Carvalho
Keyword(s):  
Nursing Care ◽  
Preventive Measures ◽  
Signs And Symptoms ◽  
Venous Catheter ◽  
Venous Access ◽  
Intravenous Therapy ◽  
Peripheral Venous Catheter ◽  
Multiple Factors ◽  
Factores De Riesgo ◽  
Toma De Decisiones

ABSTRACTObjective: to contribute to the reflection on the mechanisms leading to phlebitis as a complication of intravenous therapy. Methodology: this is about an update paper, which presents the epidemiology, predisposing factors, preventive measures and evaluation methods of phlebitis due to insertion of peripheral venous catheter, in order to subsidize the nursing plan. Results: the phenomenon of phlebitis is quite prevalent in hospitalized patients, related to multiple factors such as hyperosmolarity and pH of the solution infused, type of device used venous and nursing care with regard to the procedure of venipuncture and venous access. It is important for nurses to learn the tools to diagnose phlebitis, identifying signs and symptoms of inflammation, thus being able to intervene according to the degree shown, preventing the occurrence of phlebosclerosis. Conclusion: knowing the types of phlebitis and, consequently, their risk factors helps the nurse to have a better basis for decision making regarding the construction of specific protocols aimed at preventing this complication. Descriptors: phlebitis; catheterization, peripheral; nursing care.RESUMOObjetivo: informar aos leitores sobre os mecanismos que conduzem à flebite enquanto complicação da terapia intravenosa. Metodologia: artigo de atualização, o qual apresenta os aspectos epidemiológicos, fatores predisponentes, medidas preventivas e métodos de avaliação da flebite decorrente de inserção de cateter venoso periférico, com vistas a subsidiar as condutas de enfermagem. Resultados: a flebite consiste em fenômeno bastante prevalente em pacientes hospitalizados, relacionado a múltiplos fatores, tais como hiperosmolaridade e ph da solução infundida, tipo de dispositivo venoso utilizado e o cuidado de enfermagem no que se refere ao procedimento de venopunção e manutenção do acesso venoso. É fundamental que o enfermeiro conheça os métodos disponíveis para diagnosticar a flebite, identificando sinais e sintomas flogísticos, podendo assim intervir de acordo com o grau evidenciado, prevenindo a ocorrência de fleboesclerose. Conclusão: conhecer os tipos de flebite e, consequentemente, seus fatores de risco contribui para que o enfermeiro tenha melhor embasamento para a tomada de decisão no que concerne à construção de protocolos específicos visando à prevenção desta complicação. Descritores: flebite; cateterismo venoso periférico; cuidados de enfermagem.RESUMENObjetivo: contribuir a la discusión de los mecanismos que conducen a la flebitis como complicación de la terapia intravenosa. Metodología: documento de actualización, que presenta la epidemiología, factores predisponentes, las medidas preventivas y métodos de evaluación de flebitis debido a la inserción de catéter venoso periférico, con el fin de subsidiar el plan de enfermería. Resultados: el fenómeno de la flebitis es muy frecuente en pacientes hospitalizados, relacionado con múltiples factores tales como hiperosmolaridad y el pH de la solución infundida, el tipo de dispositivo utilizado atención venosa y de enfermería en relación con el procedimiento de punción venosa y el acceso venoso. Es importante para las enfermeras aprender las herramientas para disgnosticar la flebitis, la identificación de signos y síntomas de inflmación, con lo que haya podido intervenir en función del grado se muestra, evitando la aparición de phlebosclerosis. Conclusión: conocer los tipos de flebitis y, en consecuencia, sus factores de riesgo ayuda a la enfermera para tener una mejor base para la toma de decisiones respecto a la construcción de protocolos específicos para prevenir esta complicación. Descriptores: flebitis; cateterismo periférico; atención de enfermería. 

Intravenous Therapy Team and Peripheral Venous Catheter-Associated Complications

1985 ◽  
Vol 29 (2) ◽  
pp. 122
Author(s):  
J. W. TOMFORD ◽  
C. O. HERSHEY ◽  
C. E. MCLAREN ◽  
D. K. PORTER ◽  
D. I. COHEN ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Intravenous Therapy ◽  
Peripheral Venous Catheter ◽  
Therapy Team

scholarly journals Prevention of Peripheral Venous Catheter Complications With an Intravenous Therapy Team

1998 ◽  
Vol 158 (5) ◽  
pp. 473 ◽  
Author(s):  
Neil E. Soifer ◽  
Steven Borzak ◽  
Brian R. Edlin ◽  
Robert A. Weinstein
Keyword(s):  
Venous Catheter ◽  
Intravenous Therapy ◽  
Peripheral Venous Catheter ◽  
Catheter Complications ◽  
Therapy Team

scholarly journals ANALYSIS OF NURSING CARE TO USERS OF PERIPHERAL VENOUS ACCESS

2018 ◽  
Vol 4 ◽  
Author(s):  
Alana Oliveira Porto ◽  
Carla Bianca De Matos Leal ◽  
Dieslley Amorim De Souza ◽  
Jéssica Lane Pereira Santos
Keyword(s):  
Nursing Care ◽  
Venous Catheter ◽  
Venous Access ◽  
Cross Sectional Study ◽  
Surgical Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Professional Identification ◽  
Peripheral Venous Catheter ◽  
Peripheral Venous Access

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.

Tunnelling a midline catheter: When the traffic light shifts from yellow to green

2018 ◽  
Vol 19 (6) ◽  
pp. 667-671
Author(s):  
Adam Fabiani ◽  
Lorella Dreas ◽  
Gianfranco Sanson
Keyword(s):  
Insertion Site ◽  
Venous Catheter ◽  
Venous Access ◽  
Axillary Vein ◽  
Traffic Light ◽  
Exit Site ◽  
Peripheral Venous Catheter ◽  
Ultrasound Guide ◽  
Ultrasound Evaluation ◽  
Difficult Venous Access

Introduction: A safe, largely used practice for difficult venous access patients is positioning a catheter in deeper veins under ultrasound guide. However, the risk of complications is increased when there is a high catheter-to-vein ratio or when the insertion site is in a zone with particular anatomical/physiological characteristics. Case description: A 60-year-old woman admitted to a post-operative intensive care unit after cardiac surgery had a complicated post-operative course. After the removal of a central venous catheter, it was necessary to insert a midline catheter. A complete ultrasound evaluation showed that only the axillary vein was suitable for direct cannulation. To avoid creating an exit site in the axillary cavity, the decision was made to tunnel the catheter to locate an exit site in a safer position. A guidewire was introduced through a needle in the axillary vein. A tunnel was created using a subcutaneous injection of lidocaine. A 14 G/13.3 cm peripheral venous catheter was inserted in the subcutaneous tract. A 4 Fr/20 cm catheter was introduced through the peripheral venous catheter and moved to the axillary vein through the previously inserted sheath. No acute complications occurred. The catheter was accessed several times a day during the period following its insertion to infuse drugs and take blood samples. It was removed 50 days after its placement because it was no longer needed. No symptomatic thrombosis or infections occurred. Conclusion: The placement of the tunnelled midline catheter is shown to be a safe and effective way to ensure vascular access for almost 2 months.

Higher success rates and satisfaction in difficult venous access patients with a guide wire–associated peripheral venous catheter

2015 ◽  
Vol 33 (12) ◽  
pp. 1742-1744 ◽  
Author(s):  
Gerardo Chiricolo ◽  
Andrew Balk ◽  
Christopher Raio ◽  
Wendy Wen ◽  
Athena Mihailos ◽  
...  
Keyword(s):  
Guide Wire ◽  
Venous Catheter ◽  
Venous Access ◽  
Success Rates ◽  
Peripheral Venous Catheter ◽  
Difficult Venous Access

scholarly journals Nursing Practices In Intravenous Therapy In Newborns: An Integrative Review

10.3823/2497 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Cíntia Lira Borges ◽  
Saul Filipe Pedrosa Leite ◽  
Renata Kelly Lopes de Alcântara ◽  
Maria Lígia Silva Nunes Cavalcante ◽  
Vanelly De Almeida Rocha ◽  
...  
Keyword(s):  
Saline Solution ◽  
Venous Catheter ◽  
Integrative Review ◽  
Evidence Based ◽  
Central Catheter ◽  
Intravenous Therapy ◽  
Cross Sectional ◽  
Vascular Access Devices ◽  
Peripheral Venous Catheter ◽  
Brazilian Studies

Objective: to identify the evidence on nursing practices in intravenous therapy in newborns. Method: integrative review in the PubMed, Scopus and SciELO databases. A total of 150 articles were selected, and after thorough reading, eight studies remained. Results: Most of the studies were descriptive and cross-sectional (50%), using peripheral venous catheter (62.5%). The years varied between 2006 and 2014. Brazilian studies corresponded to 37.5%. Conclusion: The main nursing practices were: use of saline solution for catheter clearing; use of larger caliber catheters; use of splints to support the limbs; adequate positioning of the upper limb during radiography for correct confirmation of the positioning of the tip of the peripherally inserted central catheter; management of pain with pharmacological and non-pharmacological actions. Descriptors: Nursing care; Newborn; Peripheral catheterization; Vascular access devices; Evidence-Based Clinical Practice.

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