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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

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Venous Thrombosis IV: Nursing Management

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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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Related Experiment Video

Updated: Jun 19, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
05:51

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

Published on: January 13, 2026

Does elective re-siting of intravenous cannulae decrease peripheral thrombophlebitis? A randomized controlled study.

S Nishanth1, G Sivaram, R Kalayarasan

  • 1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India.

The National Medical Journal of India
|October 27, 2009
PubMed
Summary
This summary is machine-generated.

Changing intravenous cannulae every 48 hours significantly reduces peripheral venous thrombophlebitis (PVT) incidence and severity. This practice is recommended for patients needing prolonged IV therapy to prevent PVT complications.

Related Experiment Videos

Last Updated: Jun 19, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
05:51

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

Published on: January 13, 2026

Area of Science:

  • Medical Research
  • Clinical Practice Guidelines
  • Patient Safety

Background:

  • Peripheral venous thrombophlebitis (PVT) is a frequent complication following intravenous cannulation, affecting approximately 30% of patients.
  • The study addresses the need for improved management of IV-related complications in patients receiving prolonged intravenous therapy.

Purpose of the Study:

  • To evaluate the impact of elective intravenous cannula re-siting every 48 hours on the incidence and severity of PVT.
  • To determine if a standardized re-siting protocol can mitigate PVT development in surgical patients.

Main Methods:

  • A randomized controlled trial involving 42 patients undergoing major abdominal surgery.
  • Patients were assigned to either a control group (cannulae changed only if symptomatic) or a study group (cannulae electively re-sited every 48 hours).
  • Daily monitoring for signs and symptoms of PVT at infusion sites was conducted for all participants.

Main Results:

  • A dramatic reduction in PVT incidence was observed, with 100% in the control group versus 9.5% in the study group (p < 0.0001).
  • The severity of PVT was also significantly lower in the group with elective cannula re-siting.
  • The majority of PVT episodes (82.6%) occurred by day 3 of cannulation.

Conclusions:

  • Elective re-siting of intravenous cannulae every 48 hours is highly effective in reducing PVT incidence and severity.
  • This practice should be implemented as standard care for patients requiring extended intravenous therapy to enhance patient safety and outcomes.