[The use of venous catheter : Which ones to choose, how to prevent their complications?]
M Ponsoye1, F Espinasse2, L Coutte3
1Hôpital Foch, 40 rue Worth, 92150 Suresnes, France.
Insights
This review covers various intravenous (IV) catheters, essential for patient care but linked to significant risks. It guides clinicians on proper selection, use, and complication management for diverse IV access devices.
Area of Science:
- Medical Devices
- Vascular Access
- Infection Control
Background:
- Intravenous (IV) catheters are critical in healthcare but associated with substantial morbidity and mortality.
- A wide array of IV catheter types are available, including peripheral, midline, and central venous catheters, each with specific applications.
- Effective management of IV catheters requires careful consideration of selection, duration of use, and complication prevention.
Purpose of the Study:
- To provide clinicians with an updated overview of current knowledge regarding IV catheters.
- To outline best practices for the selection, use, and management of various IV catheter types.
- To reduce complications associated with IV catheter use in clinical practice.
Main Methods:
- Review of current literature and clinical guidelines on IV catheter use.
- Synthesis of information on different types of IV catheters and their indications.
- Analysis of strategies for preventing and managing IV catheter-related complications.
Main Results:
- Multiple types of IV catheters exist, each suited for different clinical scenarios.
- Proper selection and management are crucial for optimizing efficacy and minimizing risks.
- Evidence-based guidelines exist for the prevention and treatment of common IV catheter complications.
Conclusions:
- Clinicians must be knowledgeable about the diverse range of IV catheters available.
- Adherence to best practices in selection, use, and maintenance is essential for patient safety.
- Ongoing education and adherence to guidelines can mitigate the risks associated with IV catheterization.
Abstract:
Intravenous catheters are multiple and essential for daily practice. They are also responsible for high morbidity and mortality. Simple or echo-guided peripheral venous catheters, midlines, PICCline, tunneled or non-tunneled central venous catheters, and implantable venous access device are currently at our disposal. Thus, catheter selection, duration and indications for use, and prevention and treatment of complications vary according to the situation. The objective of this update is to provide the clinician with an overview of knowledge and rules of good practice on the use of catheters.
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