“Just in case”. Use of large-bore peripheral intravenous catheters in parturient women: A global study

Q4 Nursing Vascular Access Pub Date : 2019-04-30 DOI:10.33235/VA.5.1.4-7
J. Webster, G. Ray-Barruel, C. Rickard, N. Marsh, Gabor Mihalia, E. Alexandrou
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引用次数: 1

Abstract

Objective: The aim of the current study was to map a global picture of the practice of inserting large-bore peripheral intravenous catheters in parturient women. Methods: We analysed a sub-set of data from a prospective, multi-centre, international prevalence study, the One Million Global peripheral intravenous catheter study. The obstetric cohort was drawn from 163 maternity units in 35 countries (1477 women, 1577 catheters) and was collected between 1 June 2014 and 31 July 2015. Clinicians at each of the participating sites collected data using tools that had been previously validated. Results are reported as frequencies and proportions. Results: Overall, 42% of all peripheral intravenous catheters were large bore and of all catheters placed in females in obstetric units, 438 (70%) of these were placed in the hand or wrist. The phlebitis rate was higher in the large-bore group (12%) compared with those with smaller catheters (7%). Only 2% of women received blood products, but it was unclear which catheter was used for this purpose. Conclusion: Large-bore peripheral intravenous catheters are overused for vascular access in parturient women. They are painful and may cause vascular damage. If there is no indication, a catheter should not be placed at all.
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“以防万一”。孕妇使用大口径外周静脉导管:一项全球研究
目的:目前的研究的目的是绘制一个全球图片的做法插入大口径外周静脉导管在产妇。方法:我们分析了一项前瞻性、多中心、国际流行病学研究的子集数据,即100万全球外周静脉导管研究。产科队列从35个国家的163个产科单位抽取(1477名妇女,1577根导管),收集时间为2014年6月1日至2015年7月31日。每个参与地点的临床医生使用先前已验证的工具收集数据。结果以频率和比例报告。结果:总体而言,42%的外周静脉留置管是大口径的,在产科病房放置的所有女性留置管中,438(70%)放置在手或腕部。大导管组静脉炎发生率(12%)高于小导管组(7%)。只有2%的女性接受了血液制品,但不清楚是哪种导管用于这一目的。结论:大口径外周静脉导管在孕妇血管通路中被过度使用。疼痛,并可能造成血管损伤。如果没有指征,则根本不应放置导管。
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来源期刊
Vascular Access
Vascular Access Nursing-Advanced and Specialized Nursing
CiteScore
0.70
自引率
0.00%
发文量
2
期刊介绍: Vascular Access, the CVAA journal, is published three times a year and it has much in the way of excellent information regarding every aspect of vascular access and infusion therapy. There are many pertinent topics covered in each issue. A subscription to Vascular Access is free with a CVAA membership. PDF copies of back issues are available on the website for CVAA members.
期刊最新文献
I-DECIDED® – A decision tool for assessment and management of invasive devices in the hospital setting From the Deputy Editor The S2C Study – Securing Cannulas in Combat: a simulation-based mixed-method study New eviQ central venous access device education and resources available Message from the President
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