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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
[Use and maintenance of a peripheral venous catheter for more than three days]
Miriam Virto Pejenaute1, M Angeles Esteban Fernández, Amaya Garcés Tapia
1Servicio de Medicina Interna, Hospital de Navarra.
Insights
This study questions the routine 48-72 hour replacement of peripheral venous catheters, a common hospital procedure. Findings may support extended catheter dwell times, enhancing patient comfort and safety.
Area of Science:
- Medical Practice
- Infection Control
Context:
- Vascular access is a frequent hospital procedure.
- Complications like phlebitis are common with vascular access.
- Current practice involves changing peripheral venous catheters every 48-72 hours per CDC guidelines.
Purpose:
- To evaluate the necessity of routine 48-72 hour peripheral venous catheter changes.
- To assess if extended dwell times are safe for patients receiving medication via peripheral venous catheters.
- To determine if a new protocol is needed, as evidence for current practice is not conclusive.
Summary:
- This study investigates whether the standard 48-72 hour replacement interval for peripheral venous catheters is necessary.
- It specifically examines patients whose catheters are used for medication administration.
- The research aims to provide evidence for potentially extending catheter dwell times.
Impact:
- Potential to revise current clinical guidelines for peripheral venous catheter management.
- May lead to improved patient comfort and reduced healthcare costs.
- Could optimize resource allocation by reducing unnecessary procedures.
Abstract:
The use of vascular access in a frequent procedure in the field of hospital practice. Nonetheless, vascular access is not bereft of complications, phlebitis being the most common. Following the Center for Disease Control and Prevention (CDC) recommendations, in our internal medicine service, changing a peripheral venous catheter is systematically carried out every 48-72 hours. The objective of this present study is to evaluate the need to change the vein accessed systematically every 48-72 hours, following the Center for Disease Control and Prevention (CDC) recommendations, in those patients who have a catheter inserted in a peripheral vein blocked by the administration of medication as part of the treatment of their pathology; or to evaluate the need to establish a new operational protocol since, according to other studies, its utility has not been demonstrated in a convincing manner. As a final conclusion, and while awaiting the results obtained in this study the authors believe it is possible to amplify the established periods for changing peripheral venous catheters while guaranteeing the security and comfort of patients having peripheral venous catheters inserted.
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