Document Detail

Position of peripheral venous cannulae and the incidence of thrombophlebitis: an observational study.
MedLine Citation:
PMID:  19374679     Owner:  NLM     Status:  MEDLINE    
AIM: This paper is a report of a study conducted to investigate the most suitable location of peripheral venous cannulae to reduce the incidence of thrombophlebitis. BACKGROUND: Peripheral intravenous cannulae are used for vascular access, but the site of insertion and size of the cannula could expose patients to local and systemic infectious complications. Small cannula size is an important factor in reducing the incidence of thrombophlebitis, but cannula location has not yet been studied. Evidence-based knowledge on how to prevent these complications is needed. METHOD: An observational survey carried out was carried out in 2007 with 427 patients in one Italian hospital. A structured observation protocol was used to survey the frequency of thrombophlebitis and the relationship of location and size of peripheral intravenous cannulae. The variables evaluated were age, gender, cannula size and site of cannula location. Chi-square or Student t tests were used, and the adjusted odds ratios and relative 95% confidence intervals are reported. RESULTS: The frequency of peripheral intravenous cannulae thrombophlebitis was higher in females (OR:1.91;CI:1.20-3.03;P < 0.006). The highest incidence was found in patients with cannulae inserted in the dorsal side of the hand veins compared to those with cannulae inserted in cubital fossa veins (OR:3.33;CI:1.37-8.07; P < 0.001). CONCLUSION: The use of cubital fossa veins rather than forearm and hand veins should be encouraged to reduce the risk of thrombophlebitis in patients with peripheral intravenous cannulae.
Giancarlo Cicolini; Antonia Pollidoro Bonghi; Luisa Di Labio; Rocco Di Mascio
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Publication Detail:
Type:  Journal Article     Date:  2009-04-03
Journal Detail:
Title:  Journal of advanced nursing     Volume:  65     ISSN:  1365-2648     ISO Abbreviation:  J Adv Nurs     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-12     Completed Date:  2009-09-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609811     Medline TA:  J Adv Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  1268-73     Citation Subset:  IM; N    
Clinical Research Center, University G.d'Annunzio of Chieti, Italy.
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MeSH Terms
Arm / blood supply
Catheterization, Peripheral / adverse effects*,  methods*,  nursing
Catheters, Indwelling / adverse effects
Clinical Nursing Research
Middle Aged
Severity of Illness Index
Sex Factors
Thrombophlebitis / epidemiology*,  etiology,  prevention & control

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