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Peripheral Intravenous Administration of High-Risk Infusions in Critical Care: A Risk-Benefit Analysis
1Barb Nickel is the critical care clinical nurse specialist for CHI Health St. Francis, Grand Island, Nebraska. She is a member of the Infusion Nurses Society Standards of Practice Committee.
Short peripheral intravenous catheters are essential in critical care but pose higher risks than previously thought. Evidence highlights significant patient harm from complications like phlebitis and infection, necessitating improved standards of care.
Area of Science:
- Critical Care Medicine
- Vascular Access
- Patient Safety
Background:
- Short peripheral intravenous catheters (PIVCs) are vital for emergency medication and fluid administration in critical care.
- Current perceptions often underestimate the inherent risks associated with PIVCs, leading to significant patient harm.
- Lack of standardized definitions and surveillance for PIVC-related complications (phlebitis, infection, extravasation) hinders accurate risk assessment.
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