Related Experiment Video

Updated: Nov 18, 2025

Author Spotlight: Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model
08:51

Author Spotlight: Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model

Published on: March 31, 2023

4.8K

Duration of peripheral intravenous catheter patency in children

Marian Thorpe1, Warren Berry2, Juliet Soper2,3

  • 1Department of Pediatrics, University of Alberta, Edmonton, Alberta.

Paediatrics & Child Health
|February 8, 2021
PubMed

Insights

Running a slow continuous infusion to keep veins open (TKVO) did not extend peripheral intravenous (PIV) catheter patency compared to saline lock in pediatric patients. Older age was associated with longer PIV catheter duration.

Area of Science:

  • Pediatric Nursing
  • Intravenous Therapy
  • Clinical Practice Guidelines

Background:

  • Peripheral intravenous (PIV) catheter insertion is a common but potentially painful procedure in pediatric care.
  • Maintaining PIV catheter patency is crucial for effective treatment delivery and reducing patient discomfort.
  • Current practices for maintaining PIV patency include saline lock and continuous infusions to keep veins open (TKVO).

Purpose of the Study:

  • To compare the effectiveness of saline lock versus TKVO infusions in prolonging PIV catheter patency in pediatric patients.
  • To identify factors influencing PIV catheter dwell time in a pediatric setting.

Main Methods:

  • Retrospective chart review of pediatric patients with PIV catheters at a regional hospital.
  • Data abstraction included patient demographics, catheter characteristics, and time spent on therapeutic infusions, TKVO, or saline lock.
  • Statistical analysis compared PIV patency duration based on TKVO use, gender, and age.

Main Results:

  • Of 189 PIVs meeting inclusion criteria, the method of maintaining patency (TKVO vs. saline lock) did not significantly impact total PIV catheter duration (P=0.33).
  • Patient gender did not influence PIV patency.
  • Older patient age was significantly associated with increased PIV catheter patency duration (P=0.028).

Conclusions:

  • TKVO infusions are not superior to saline lock for maintaining PIV catheter patency in the pediatric population.
  • While age is a factor in PIV dwell time, interventions should focus on efficient catheter management strategies.
  • Further research may explore other methods to optimize PIV catheter longevity in children.
Abstract

Keywords:
ChildIntravenous catheterIntravenous infusionPaediatricPeripheral

More Related Videos

A Modified Method for Intrathecal Catheterization in Rats11:15

A Modified Method for Intrathecal Catheterization in Rats

Published on: February 14, 2025

2.3K
A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

13.4K

Related Concept Videos

Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
460
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
143
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
105
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
388
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
899
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
684