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Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide
Open accessAbstract
BACKGROUND: Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE: To investigate the characteristics, management practices, and outcomes of PIVCs internationally. DESIGN: Cross‐sectional study. SETTING/PATIENTS: Hospitalized patients from rural, regional, and metropolitan areas internationally. MEASUREMENTS: Hospital, device, and inserter characteristics were collected along with assessment of the catheter insertion site. PIVC use in different geographic regions was compared. RESULTS: We reviewed 40,620 PIVCs in 51 countries. PIVCs were used primarily for intravenous medication ( n = 28,571, 70%) and predominantly inserted in general wards ( n = 22,167, 55%). Two‐thirds of all devices were placed in non‐recommended sites such as the hand, wrist, or antecubital veins. Nurses inserted most PIVCs ( n = 28,575, 71%); although there was wide regional variation (26% to 97%). The prevalence of idle PIVCs was 14% ( n = 5,796). Overall, 10% ( n = 4,204) of PIVCs were painful to the patient or otherwise symptomatic of phlebitis; a further 10% ( n = 3,879) had signs of PIVC malfunction; and 21% of PIVC dressings were suboptimal ( n = 8,507). Over one‐third of PIVCs ( n = 14,787, 36%) had no documented daily site assessment and half ( n = 19,768, 49%) had no documented date and time of insertion. CONCLUSIONS: In this study, we found that many PIVCs were placed in areas of flexion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice.
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“The potential influences of the environment in which health care is provided cannot be analyzed with these studies, but it appears to be clear that cannulation practices can be influenced by differences in users' health conditions, local protocols and routines, staff habits and preferences, intended use for the cannula, and other.44”
From Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis (2020) · cites this paper as [44]
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Metadata
- Authors
- Alexandrou, E., Ray‐Barruel, G., Carr, P. J., Frost, S. A., Inwood, S., Higgins, N., Lin, F., Alberto, L., Mermel, L., Rickard, C. M., & the OMG Study Group
- Affiliations
- Griffith University (AU)
- Liverpool Hospital (AU)
- Corresponding author
- Alexandrou, Evan
- ORCID
- Venue
- Journal of Hospital Medicine
- Publisher
- Wiley
- Published
- 2018-05
- Volume
- 13
- Issue
- 5
- ISSN
- 1553-5592 (ISSN-L)
- 1553-5606
- OpenAlex
- W2806490016
- Cited by
- 430
- References
- 42
- Citations by year
- 2026: 30 · 2025: 54 · 2024: 67 · 2023: 59 · 2022: 68 · 2021: 61 · 2020: 60 · 2019: 24 · 2018: 6
- FWCI
- 57.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Hospital Medicine (publishedVersion)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- Cook Medical
- Griffith University
- Western Sydney University
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Central Venous Catheters and Hemodialysis
- Physical Sciences › Engineering › Biomedical Engineering › Intravenous Infusion Technology and Safety
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
- Keywords
- peripheral intravenous catheters, catheter insertion site, catheter malfunction, phlebitis, catheter dressing, regional variation in practice, hospitalized patients
- MeSH terms
- Catheterization, Peripheral, Catheters, Indwelling, Cross-Sectional Studies, Documentation, Female, Hospitals, Humans, Male, Middle Aged, Internationality, Administration, Intravenous
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