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Peripheral intravenous lock irrigation in children: current practice

E Bossert, P C Beecroft

    Pediatric Nursing
    |July 1, 1994
    PubMed

    Insights

    The most common practice for irrigating peripheral intravenous (IV) locks in children involves using 1 milliliter of heparinized saline every 8 hours. However, significant variations in this pediatric IV lock irrigation practice exist across hospitals.

    Area of Science:

    • Pediatric Nursing
    • Intravenous Therapy
    • Hospital Practices

    Background:

    • Peripheral intravenous (IV) locks are crucial for intermittent medication access in children.
    • Standardized protocols for IV lock irrigation are essential for maintaining patency and preventing complications.
    • Current practices for pediatric IV lock irrigation are not well-documented.

    Purpose of the Study:

    • To determine the current practices for irrigating peripheral intravenous (IV) locks in pediatric patients.
    • To identify common methods and solutions used for flushing IV locks in children's hospitals.
    • To highlight variations in current pediatric IV lock care protocols.

    Main Methods:

    • A nationwide questionnaire was distributed to selected children's hospitals.
    • Data on IV lock irrigation practices were collected from responding institutions.
    • Response rate and common practices were analyzed.

    Main Results:

    • A 74.4% response rate (N=32) was achieved from children's hospitals.
    • Considerable variation in peripheral IV lock irrigation practices was observed.
    • The most common practice involves irrigating with 1 milliliter (ml) of heparinized saline (10 units/ml) every 8 hours.

    Conclusions:

    • Current pediatric IV lock irrigation practices exhibit significant heterogeneity.
    • Heparinized saline is the most frequently used flush solution for pediatric IV locks.
    • Further research may be needed to establish evidence-based, standardized protocols for pediatric IV lock maintenance.

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