A prospective study of peripheral inserted venous catheter related local complications

Abstract

Background: Different types of vascular access devices are commonly used for delivery of intravenous fluids, most common is peripheral intravenous catheter. It is inserted into peripheral vein of extremity and used for short-term delivery of intravenous fluids, medications, blood products. It is prone to complications and failure prior to completion of treatment. Aim was to study peripheral inserted venous catheter related local complications.Methods: The observational study was conducted among 900 indoor patients admitted between April 2020 to September 2021 of surgery department who requires IV therapy and willing to give consent for study.Results: Local complications significantly increased as the gauze of the vein flow increases in compare to caliber of veins Complications like thrombophlebitis, redness and pain are 0.8 times less in peripheral cather places over forearm than compared to places at hand. Peripheral cather have 0.8 times less risk of swelling and infiltration when served on forearm than hand. 40.92% of cases develop thrombophlebitis or redness or pain after 72 hours of peripheral catheter in situ. Swelling or infiltration observed in 27.02% cases after 72 hours of peripheral catheter in situ. 3 times cannulation on same vein has higher risk of developing complications.Conclusions: Study supports choosing insertion site as forearm than hand, using chlorhexidine 2.5% as antiseptic solutions and Gauze of peripheral vein flow catheter as adequately enters the vein with a single prick on the same vein and changing of cannula within 72 hours of insertion.