Catheter Dwell Time and Its Risk of Failure for Adult Patients with Peripheral Venous Catheters | ||||
Port Said Scientific Journal of Nursing | ||||
Volume 10, Issue 4, December 2023, Page 281-305 PDF (595.58 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/pssjn.2023.212004.1261 | ||||
![]() | ||||
Authors | ||||
Alaa A. Fahmy ![]() | ||||
1Master Degree of Medical-Surgical Nursing, Faculty of Nursing Port Said University | ||||
2Assist Prof. of Medical-Surgical Nursing Department-Faculty of Nursing- Port Said University | ||||
3Lecturer of Medical-Surgical Nursing Department- Faculty of Nursing- Port Said University | ||||
Abstract | ||||
Background: Peripheral venous catheters, which are often used in adult patients, may have a critical threshold dwell length associated with a higher risk of catheter failure. Aim: This study aimed to assess catheter dwell time and its risk of failure for adult patients with Peripheral Venous Catheters. Subjects and method: Design: The study design was descriptive. Setting: The study was conducted at the Universal Health Insurance Hospitals (El Mabara, Al Salam, and Alhayat Port Fouad) in Port Said City. Subjects: convenient sample contained (110) adult patients with peripheral venous catheter. Tool: Peripheral Venous Catheter Assessment Sheet for Adult Patient; Part 1: patient’s characteristics, Part 2: Assessment of Catheter Failure-related Factors: Presence of co- morbid diseases, skin assessment, peripheral venous catheter assessment, dwell time, monitoring risk factors (phlebitis, infiltration., occlusion, dislodgement, local infection, psychological factors, and quality of nursing management) .The results: The current findings showed that there is a statistically significant difference between dwell time with occlusion (p ≤ 0.048), infiltration (p ≤ 0.024), leakage (p ≤ 0.001), and phlebitis (p ≤ 0.001). There were not any statistically significant relationships between dwell time and displacement (p ≤ 0.229). Conclusion: The current results showed positive correlation between dwell time and peripheral catheter phlebitis, occlusion, infiltration, leakage, infection, and displacement. Moreover, the studied patients’ dwell time were 48-72 hrs. accounted for one-third of all analyzed patients' dwell times. Recommendation: Continuous education should be provided to nurses to teach them how to manage dwell time and prevent peripheral venous catheter PVC failure. | ||||
Keywords | ||||
Catheters Failure; Dwell Time; Peripheral Venous Catheters | ||||
References | ||||
Anand, L., Lyngdoh, V., Chishi, L., Chyne, I. D., Gandhimathi, M., & Borgohain, U. (2020). Risk factors of phlebitis in adult patients of tertiary teaching hospital of North-Eastern India. IOSR Journal of Nursing and Health Science, 9(2), 27-39.
Blanco-Mavillard, I., Castro-Sánchez, E., Parra-García, G., Rodríguez-Calero, M.Á., Bennasar-Veny, M., Fernández-Fernández, I., Lorente-Neches, H. and de Pedro-Gómez, J., (2022). What fuels suboptimal care of peripheral intravenous catheter-related infections in hospitals? A qualitative study of decision-making among Spanish nurses. Antimicrobial Resistance & Infection Control, 11(1), 1-9.
Braga, L. M., Parreira, P. M., Oliveira, A. D. S. S., Mónico, L. D. S. M., Arreguy-Sena, C., & Henriques, M. A. (2018). Phlebitis and infiltration: vascular trauma associated with the peripheral venous catheter. Revista Latino-Americana de Enfermagem, 26: e3002
Capdevila, J.A., Guembe, M., Barberán, J., de Alarcon, A., Bouza, E., Fariñas, M.C., Gálvez, J., Goenaga, M.A., Gutiérrez, F., Kestler, M. & Llinares, P. (2016). 2016 Expert consensus document on prevention, diagnosis and treatment of short-term peripheral venous catheter-related infections in adults. Cirugía Cardiovascular, 23(4), 192-198.
Chen, S., O'Malley, M., & Chopra, V. (2021). How common are indwelling devices in hospitalized adults? A contemporary point prevalence study in a tertiary care hospital. American Journal of Infection Control, 49(2), 194-197.
Daniel, E. (1999). Provision of electronic banking in the UK and the Republic of Ireland. International Journal of bank marketing, 17(2), 72-83.
Danski, M. T. R., Oliveira, G. L. R. D., Johann, D. A., Pedrolo, E., & Vayego, S. A. (2015). Incidence of local complications in peripheral venous catheters and associated risk factors. Acta Paulista de Enfermagem, 28, 517-523.
Engström, Å., & Forsberg, A. (2019). Peripheral intravenous catheter difficulty–A clinical survey of registered nurse and critical care nurse performance. Journal of Clinical Nursing, 28(3-4), 686-694.
García-Expósito, J., Reguant, M., Canet-Vélez, O., Mata, F. R., Botigué, T., & Roca, J. (2021). Evidence of learning on the insertion and care of peripheral venous catheters in nursing students: A mixed study. Nurse Education Today, 107, 105157.
Gold, J. I., SooHoo, M., Laikin, A. M., Lane, A. S., & Klein, M. J. (2021). Effect of an immersive virtual reality intervention on pain and anxiety associated with peripheral intravenous catheter placement in the pediatric setting: a randomized clinical trial. JAMA network open, 4(8), e2122569-e2122569.
Gorski, L. A., Hadaway, L., Hagle, M. E., Broadhurst, D., Clare, S., Kleidon, T., Meyer, B.M., Nickel, B., Rowley, S., Sharpe, E. & Alexander, M. (2021). Infusion therapy standards of practice. Journal of infusion nursing, 44(1S), S1-S224.
Groll, D., Davies, B., Mac Donald, J., Nelson, S., & Virani, T. (2010). Evaluation of the psychometric properties of phlebitis and infiltration scales for the assessment of complications of peripheral vascular access devices. Journal of Infusion Nursing, 33(6), 385-390.
Guembe, M., Pérez-Granda, M.J., Capdevila, J.A., Barberán, J., Pinilla, B., Martín-Rabadán, P., Bouza, E., Millán, J., de Oteyza, C.P., Muiño, A. & Villalba, M. (2017). Nationwide study on peripheral-venous-catheter-associated-bloodstream infections in internal medicine departments. Journal of Hospital Infection, 97(3), 260-266.
Guenezan, J., Marjanovic, N., Drugeon, B., Neill, R.O., Liuu, E., Roblot, F., Palazzo, P., Bironneau, V., Prevost, F., Paul, J. & Pichon, M. (2021). Chlorhexidine plus alcohol versus povidone iodine plus alcohol, combined or not with innovative devices, for prevention of short-term peripheral venous catheter infection and failure (CLEAN 3 study): an investigator-initiated, open-label, single centre, randomised-controlled, two-by-two factorial trial. The Lancet Infectious Diseases, 21(7), 1038-1048.
Ismail, M. (2015). Study of different neonatal vascular accesses in neonatal intensive care units in different universities hospitals in Egypt. AL-Azhar Assiut Medical Journal, 13(2), 224-231.
Jenkins, K. (2014). II. Needle phobia: a psychological perspective. British journal of anaesthesia, 113(1), 4-6.
Joaquin-Apaza, A., Vásquez, M. C., & Díaz, S. P. O. (2021). Intrinsic and extrinsic factors associated with phlebitis in hospitalized patients: Systematic Review [Factores intrínsecos y extrínsecos asociados a flebitis en pacientes hospitalizados: Revisión Sistemática]. Journal of Global Health and Medicine, 5(2), 26-30.
Kassahun, C. W., Abate, A. T., Tezera, Z. B., Beshah, D. T., Agegnehu, C. D., Getnet, M. A., Abate, H.K., Yazew, B.G. & Alemu, M. T. (2022). Incidence and Associated Factors of Failed First Peripheral Intravenous Catheters among Adult Patients at Medical Surgical Wards in Public Referral Hospitals of West Amhara, Ethiopia, 2021. Nursing Research and Practice, 2022. Article ID 8261225.
Keogh, S., Flynn, J., Marsh, N., Mihala, G., Davies, K., & Rickard, C. (2016). Varied flushing frequency and volume to prevent peripheral intravenous catheter failure: a pilot, factorial randomised controlled trial in adult medical-surgical hospital patients. Trials, 17(1), 1-10.
Liu, C., Chen, L., Kong, D., Lyu, F., Luan, L., & Yang, L. (2022). Incidence, risk factors and medical cost of peripheral intravenous catheter-related complications in hospitalised adult patients. The Journal of Vascular Access, 23(1), 57-66.
Lulie, M., Tadesse, A., Tsegaye, T., Yesuf, T., & Silamsaw, M. (2021). Incidence of peripheral intravenous catheter phlebitis and its associated factors among patients admitted to University of Gondar hospital, Northwest Ethiopia: a prospective, observational study. Thromb Journal, 19(1), 48.
Lv, L., & Zhang, J. (2020). The incidence and risk of infusion phlebitis with peripheral intravenous catheters: A meta-analysis. The journal of vascular access, 21(3), 342-349.
Marsh, N., Larsen, E. N., Takashima, M., Kleidon, T., Keogh, S., Ullman, A. J. & Rickard, C. M. (2021). Peripheral intravenous catheter failure: A secondary analysis of risks from 11,830 catheters. International Journal of Nursing Studies, 124, 104095.
Marsh, N., Larsen, E. N., Takashima, M., Kleidon, T., Keogh, S., Ullman, A. J., Mihala, G., Chopra, V. & Rickard, C. M. (2021). Peripheral intravenous catheter failure: a secondary analysis of risks from 11,830 catheters. International Journal of Nursing Studies, 124, 104095.
McLenon, J., & Rogers, M. A. (2019). The fear of needles: A systematic review and meta‐analysis. Journal of advanced nursing, 75(1), 30-42.
Mermel, L. A. (2017). Short-term peripheral venous catheter–related bloodstream infections: a systematic review. Clinical Infectious Diseases, 65(10), 1757-1762.
Miliani, K., Taravella, R., Thillard, D., Chauvin, V., Martin, E., Edouard, S., Astagneau, P. & CATHEVAL Study Group. (2017). Peripheral venous catheter-related adverse events: evaluation from a multicentre epidemiological study in France (the CATHEVAL Project). PloS one, 12(1), e0168637.
Pezeshkmehr, A. (2022). Principles of vascular access and complications. Vascular Complications of Surgery and Intervention: A Practical Guide, 127-148.
Rickard, C. M., Larsen, E., Walker, R. M., Mihala, G., Byrnes, J., Saiyed, M., Cooke, M., Finucane, J., Carr, P.J. & Marsh, N. (2023). Integrated versus nonintegrated peripheral intravenous catheter in hospitalized adults (OPTIMUM): A randomized controlled trial. Journal of Hospital Medicine, 18(1), 21-32.
Saini R, Agnihotri M, Gupta A, Walia I. (2011). Epidemiology of infiltration and phlebitis. NMRJ. [Internet]. 2011 Jan [cited May 10, 2017]; 7(1):22-33.
Salgueiro-Oliveira, A. D. S., Basto, M. L., Braga, L. M., Arreguy-Sena, C., Melo, M. N., & Parreira, P. M. D. S. D. (2019). Nursing practices in peripheral venous catheter: phlebitis and patient safety. Texto & Contexto-Enfermagem, 28. e20180109.
Salma U., Sarker M., Zafrin N., Ahmed K. (2019). Frequency of Peripheral Intravenous Catheter Related Phlebitis and Related Risk Factors: A Prospective Study. Journal of Medicine, 20(1), 29-33.
Sato, A., Nakamura, I., Fujita, H., Tsukimori, A., Kobayashi, T., Fukushima, S., Fujii, T. & Matsumoto, T. (2017). Peripheral venous catheter-related bloodstream infection is associated with severe complications and potential death: a retrospective observational study. BMC Infectious Diseases, 17(1), 1-6.
Simin, D., Milutinović, D., Turkulov, V., & Brkić, S. (2019). Incidence, severity and risk factors of peripheral intravenous cannula-induced complications: An observational prospective study. Journal of Clinical Nursing, 28(9-10), 1585–1599.
Stefanos, S. S., Kiser, T. H., MacLaren, R., Mueller, S. W., & Reynolds, P. M. (2023). Management of noncytotoxic extravasation injuries: A focused update on medications, treatment strategies, and peripheral administration of vasopressors and hypertonic saline. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 43(4), 321-337.
Wei, T., Li, X. Y., Yue, Z. P., Chen, Y. Y., Wang, Y. R., Yuan, Z., Lin, Q., Tan, Y., Peng, S.Y. & Li, X. F. (2019). Catheter dwell time and risk of catheter failure in adult patients with peripheral venous catheters. Journal of Clinical Nursing, 28(23-24), 4488-4495.
Witting, M. D., Moayedi, S., Brown, L. A., & Ismail, A. (2017). Predictors and delays associated with the need for advanced techniques for intravenous access. The Journal of Emergency Medicine, 53(2), 172-177. | ||||
Statistics Article View: 190 PDF Download: 288 |
||||