| Influence of fine-bore catheter length on infusion thrombophlebitis in peripheral intravenous nutrition: a randomised controlled trial. | |
| | |
MedLine Citation:
|
PMID: 9196346 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Previous studies indicated that the risk of thrombophlebitis associated with continuous infusion of intravenous nutrition (IVN) via peripheral veins was reduced when fine-bore catheters, inserted to 15 cm, were used in place of standard intravenous cannulas. An explanation has not been identified, but may be owing to the greater length of the catheters. A randomised controlled study was performed in which a standard nutritional solution was infused via 22G polyurethane catheters inserted to a length of either 5 cm or 15 cm. Catheters were reviewed twice each day and removed when complications occurred, or when IVN was no longer required. There was no significant difference in median time to thrombophlebitis or extravasation, or in daily risk of thrombophlebitis, between insertion lengths. Survival proportions were similar for each length at all times. Catheters inserted into cephalic veins were more prone to thrombophlebitis or extravasation (nine episodes, 14 catheters) than catheters inserted into basilic veins (five episodes, 24 catheters, P = 0.009). The survival proportion was at all times greater when catheter tips lay in basilic veins. Thus, the risk of thrombophlebitis or extravasation was not influenced by the length of catheter within the vein. However, the vein in which the catheter tip lay appeared to influence the development of morbidity. |
| | |
Authors:
|
N J Everitt; M J McMahon |
Related Documents
:
|
22532186 - Bilateral superficial ulnar artery with high origin from the axillary artery: its anato... 8522576 - An infrequent complication of swan-ganz catheters. 7102506 - Influence of blood sampling site and technique on thromboxane concentrations in patient... 22451796 - Accessing the basilar artery apex: is the temporopolar transcavernous route an anatomic... 261356 - Disease of the carotid system. 19321406 - Abdominal aortic pseudoaneurysm secondary to melioidosis. |
Publication Detail:
|
Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: Annals of the Royal College of Surgeons of England Volume: 79 ISSN: 0035-8843 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 1997 May |
Date Detail:
|
Created Date: 1997-07-10 Completed Date: 1997-07-10 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 221-4 Citation Subset: IM |
Affiliation:
|
Nutritional Support Service, General Infirmary at Leeds. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Catheterization, Peripheral / adverse effects, instrumentation, methods* Extravasation of Diagnostic and Therapeutic Materials / etiology Female Humans Male Middle Aged Parenteral Nutrition / adverse effects, instrumentation, methods* Risk Factors Severity of Illness Index Thrombophlebitis / etiology* Time Factors |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Ionising radiation: are orthopaedic surgeons' offspring at risk?
Next Document: The qualities and conduct of an English surgeon in 1446: as described in a manuscript attributed to ...