Complication and Dwell Time of Neonatal Peripheral Venous Catheters with and without Splint: A Descriptive, Correlational, and Prospective Study
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View abstract on PubMed
Summary
This summary is machine-generated.Peripheral intravenous catheters (PICs) in neonates have short dwell times. Using splints with PICs in neonates significantly increased catheter dwell time but may delay extravasation detection.
Area Of Science
- Neonatal intensive care
- Medical device efficacy
- Clinical nursing research
Background
- Neonatal peripheral intravenous catheters (PICs) present challenges due to short dwell times and frequent replacement needs.
- Interventions like splints are explored to prolong the indwelling time of PICs in neonates.
- This study investigates complications and dwell time of PICs with and without splints in a neonatal intensive care unit.
Purpose Of The Study
- To determine the complications associated with peripheral intravenous catheters (PICs) in neonates.
- To compare the dwell time of PICs when used with and without splints in infants.
- To evaluate the impact of splints on the longevity and safety of PICs in the neonatal intensive care unit.
Main Methods
- A descriptive, correlational, and prospective study was conducted on neonates in Mahdieh Hospital, Tehran.
- Neonates were divided into two groups: those with splints and those without splints.
- Catheter dwell time and complications were monitored thrice daily for three months using a researcher-made checklist and analyzed with IBM SPSS 16.
Main Results
- Extravasation was the most frequent complication in the splint group (52.40%), while obstruction was most common in the non-splint group (34.50%).
- The mean dwell time for PICs was 43.29 hours with splints and 37.18 hours without splints.
- Statistical analysis showed a significant positive impact of splints on catheter dwell time (t = 2.59, p = 0.01).
Conclusions
- Splints have a significant positive effect on increasing the dwell time of peripheral intravenous catheters in neonates.
- While splints extend catheter dwell time, they may potentially delay the detection of complications like extravasation.
- The absence of splints may increase catheter occlusion rates, leading to earlier removal.
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