مشخصات مقاله:
عنوان فارسی مقاله:
عوارض مرتبط با استفاده از کاتتر عروق محیطی: آزمایش بالینی تصادفی
عنوان انگلیسی مقاله:
Complications related to the use of peripheral venous catheters: a randomized clinical trial
کلمات کلیدی مقاله:
سونداژ، دستگاه های جانبی/ تاثیرات مخرب، سونداژ/ تاثیرات مخرب، روش های درون عروقی/ تاثیرات مخرب، بزرگسال
مناسب برای رشته های دانشگاهی زیر:
پزشکی
مناسب برای گرایش های دانشگاهی زیر:
قلب و عروق
وضعیت مقاله انگلیسی و ترجمه:
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قسمتی از مقاله انگلیسی:
Introduction
Intravenous therapy is widely used in hospital contexts, mainly through the placement of peripheral venous catheters. Most catheters are removed due to the occurrence of complications, the end of the treatment or lack of use.(1) The following local complications are associated with the use of peripheral intravenous catheter: hematoma, thrombosis, phlebitis, thrombophlebitis, infiltration, extravasation, local infection and venous spasm.(2) More than 70% of inpatients need a peripheral venous catheter. In the United States (USA), about 200 million catheters are used each year.(3) In Spain, about 50% of the inpatients receive an intravenous catheter, 95% of which are peripheral.(4) Other studies appoint usage rates of peripheral venous catheters in 86.4%(5) and 80.6%(6) of the patients. Thus, the nurses and nursing team’s technical-scientific knowledge about intravenous therapy guarantee the treatment efficacy and the quality of care delivery, making it fundamental to know the best technologically and evidence-based care practices. That justifies the importance of this research for daily nursing care practice, as it produces knowledge and scientific evidence to support the nursing professionals’ decision making on the most appropriate peripheral venous catheter for patients submitted to intravenous therapy. Hence, the objective in this research was to analyze the complications deriving from the use of peripheral venous catheters in adults.
Methods
A randomized, controlled clinical trial was undertaken at clinical and surgical services of a large teaching hospital. The randomization was achieved through systematic random sampling, in which two groups were set up: complete safety catheter (Trial Group) and short flexible catheter (Control Group). The complete safety catheter consists of a silicon needle with biangular and three-faceted bezel connected to the spindle through a metallic guide and knob; made out of polyurethane biomaterial; has a complete needle protection device; activated after the puncture; wings with grooves; transparent vinyl extension tube; bioselective reflux chamber filter lid; rapid cut clamp; two access routes consisting of a female connector in “Y”, being one Luer-Lok® connector and another with a removable male plug device. The short flexible catheter is of the over-theneedle type, with an internal safety device (passively activated) and flip, single use and disposable, needs to be coupled to an extensor for the infusion to take place; the extensors used at the research institution included cannulas, simple equipment and intermediary extensors with two or four access routes. The variable local complication of peripheral venous catheterization was the primary outcome and covered the occurrence of phlebitis, thrombophlebitis, extravasation, infiltration, obstruction, accidental catheter traction and local infection, assessed according to international guidelines.