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Lifespan of peripheral intravenous short catheters in hospitalized children: A prospective study

Maria Elizabeth Gómez-Neva1, Martin Alonso Rondon Sepulveda2, Adriana Buitrago-Lopez2

  • 1Faculty of Nursing, Department of Clinical Nursing, San Ignacio University Hospital, Pontificia Universidad Javeriana, Bogota, Colombia.

The Journal of Vascular Access
|April 13, 2021
PubMed

Insights

The median lifespan of peripheral intravenous catheters in children was 129 hours. Younger children (≤1 year) had shorter complication-free catheter durations compared to older children.

Area of Science:

  • Pediatric Nursing
  • Medical Devices
  • Clinical Research

Background:

  • Peripheral intravenous catheters are crucial for administering medication and fluids in pediatric patients.
  • Determining the optimal lifespan of these catheters is essential for patient safety and effective treatment.
  • Current guidelines for peripheral intravenous catheter dwell times vary, necessitating further research.

Purpose of the Study:

  • To estimate the recommended lifespan of peripheral intravenous (PIV) accesses in pediatric services.
  • To analyze factors influencing PIV catheter lifespan in children.
  • To provide evidence-based recommendations for PIV catheter management in pediatric care.

Main Methods:

  • A cohort study involving 223 pediatric patients (up to 15 years) in Bogotá, Colombia.
  • Monitoring of peripheral intravenous catheter dwell time from insertion to removal.
  • Survival analysis to determine complication-free catheter lifespan.

Main Results:

  • The median complication-free lifespan for PIV catheters was 129 hours (IQR 73.6-393.4 hours).
  • Children aged ≤1 year had a significantly shorter median complication-free lifespan (98.3 hours) compared to older children (>1 year) (207.4 hours).
  • Catheter caliber (24G vs. 22G) showed minimal difference in complication-free time.

Conclusions:

  • The study provides valuable data on PIV catheter lifespan in a pediatric population.
  • Younger children (<1 year) require closer monitoring due to shorter complication-free PIV dwell times.
  • Findings can inform clinical practice and potentially revise guidelines for PIV management in pediatric services.
Abstract

Keywords:
CatheterizationChildchildcomplicationshospitalizedlifespannursespediatricperipheralperipheral venous catheter

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