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Effects of a Clinically Indicated Peripheral Intravenous Replacement on Indwelling Time and Complications of Peripheral Intravenous Catheters in Pediatric Patients: A Randomized Controlled Trial

Author

Listed:
  • Su-Wen Lin

    (Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

  • Shu-Ching Chen

    (School of Nursing and Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
    Department of Radiation Oncology and Proton and Radiation Therapy Center, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
    School of Nursing, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
    Shu-Ching Chen has equal contribution as the first author.)

  • Fang-Yi Huang

    (Department of Nursing, New Taipei Municipal Tucheng Hospital Chang Gung Memorial Hospital, New Taipei 236, Taiwan)

  • Ming-Ying Lee

    (Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

  • Chun-Chu Chang

    (Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
    Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan)

Abstract

Peripheral intravenous catheters (PVCs) are common treatment modalities for pediatric patients, and may cause infection, infiltration, occlusion, and phlebitis. The purpose of this study was to evaluate the effect of a clinically indicated peripheral intravenous replacement (CIPIR) on PVC indwelling time and complication rates in pediatric patients. This study used a randomized, pre- and post-repeated measures design. A total of 283 participants were randomly assigned to an experimental group ( n = 140) and a control group ( n = 143). The experimental group received CIPIR and the control group received usual care with routine PVC replacement every three days. The insert sites of PVC were assessed every day until the signs of infiltration, occlusion, or phlebitis were presented. Patients in the experimental group had significantly longer PVC indwelling times compared to those in the control group ( t = −18.447, p < 0.001). No significant differences were noted between groups in infiltration (χ 2 = 2.193, p = 0.139), occlusion (χ 2 = 0.498, p = 0.481), or phlebitis (χ 2 = 3.865, p = 0.050). CIPIR can prolong the PVC indwelling time in pediatric patients with no increase in the rate of adverse events.

Suggested Citation

  • Su-Wen Lin & Shu-Ching Chen & Fang-Yi Huang & Ming-Ying Lee & Chun-Chu Chang, 2021. "Effects of a Clinically Indicated Peripheral Intravenous Replacement on Indwelling Time and Complications of Peripheral Intravenous Catheters in Pediatric Patients: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(7), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3795-:d:530510
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