Incidence Rate Of Phlebitis Research Articles

Clinical efficacy and safety of two concentrations of intravenous nicardipine hydrochloride for nicardipine-related phlebitis in patients with preeclampsia.

To evaluate the effect of two concentrations of intravenous administration of nicardipine hydrochloride on nicardipine-related phlebitis in patients with preeclampsia. A total of 100 preeclampsia patients were administered with nicardipine hydrochloride and divided into the low-concentration (LC) and high-concentration (HC) groups. The incidence and severity of phlebitis, time from treatment to onset of phlebitis, skin temperature, visual analogue scale (VAS) score, induration, and systemic adverse reactions were compared between two groups. The incidence rate of phlebitis in the LC group was 20% (10/50), significantly lower than 42% (21/50) in the HC group (P< 0.05). Ridit Analysis showed that the severity of phlebitis in the LC group was remarkably lower than that in the HC group (P< 0.05). In the LC group, the time from intravenous administration to onset of phlebitis was longer, the average skin temperature was higher, the VAS score was lower, and the indurated area was smaller than those in the HC group (all P< 0.05). Intravenous infusion of nicardipine hydrochloride with constant and low concentration reduces the incidence rate of phlebitis, prolongs the time from treatment to onset of phlebitis, alleviates the severity of phlebitis and pain, maintains skin temperature, and minimizes induration in preeclampsia patients without systemic adverse reactions.

Effect of the Phlebitis Assessment Scale on the Incidence of Phlebitis Rate on Peripheral Infusion: A Systematic Review

Background: Phlebitis is a common complication of peripheral intravenous cannulation. To assess phlebitis, carried out by using a phlebitis assessment scale. There're many scales of phlebitis assessment, however there’s no uniformity in their use, causes the incidence rate of phlebitis is increasing to reach. Purpose: To identify the effect of phlebitis assessment scale used in clinical settings. Design: We conducted a systematic review from 3 world online libraries (Pubmed, Science direct, Ebsco) until June 2020. The research used was in English, type of research randomized controlled trials, prospective cohort, and cross-sectional. Occur 267 articles found based on keywords. After exclusion resistance, 9 articles including the criteria inclusion and analyzed using the phlebitis assessment scale of the research. Conclusion: Phlebitis scale assessments found in the selected studies have diversity, on types and applications, has an impact on difference in incidence rate and output assessment. Two studies used definition in determining phlebitis (22.2%). 1 of a study used a scale based on a rating system (11.1%). Other studies used the severity level of 6 studies (66.7%). The scale of the phlebitis assessment contributed to the differences in the incidence of phlebitis in surveillance, causes assessment of phlebitis scale not standardized with expected output.

Phlebitis Induced by Intravenous Prostaglandin E1 in Patients with Malignancy Following Flap Reconstruction: A Case Series Study

Background: Prostaglandin E1 (PGE1) is a vasodilator and smooth-muscle relaxant commonly used in patients with free flap reconstruction to increase the survival rate of the flap. However, phlebitis is the most common adverse event in patients who receive an intravenous solution of PGE1, and it will lead to more medical treatment. Objective: The incidence of PGE1-induced phlebitis has not been well examined. This study aimed to determine which patient characteristics increase the risk of PGE1-induced phlebitis. Methods: We retrospectively reviewed the medical records of patients with phlebitis caused by PGE1 in our hospital from May 2018 to May 2019. Among the records, we focused on patients with head and neck malignancy who received free flap reconstruction. Results: In total, 1026 patients were prescribed PGE1, and 13 patients developed PGE1-induced phlebitis. Among 78 patients with head and neck cancer, the incidence rate of phlebitis was 15.4% (12 patients). These patients’ mean age was 56 ± 9 years, and all were men. Their mean body weight, estimated glomerular filtration rate, serum creatinine level, white blood cell count, and neutrophil count were 69.6±12.6kg, 81± 18 mL/min/1.73 m2, 0.97 ± 0.19 mg/dL, 10.3 ± 4.4 103/μL, and 75% ± 12%, respectively, before PGE1 administration. The white blood cell count before PGE1 administration was significantly higher (p&lt;0.05) in patients with phlebitis than in those without phlebitis. Conclusion: Prescribers of PGE1 should be aware that patients with head and neck malignancy who receive flap reconstruction may have an increased risk of phlebitis. These patients should be monitored upon admission to prevent PGE1-induced phlebitis.

Effects of bundle care on colorectal cancer patients receiving peripherally inserted central catheter

Objective To explore the effects of bundle care on colorectal cancer patients receiving peripherally inserted central catheter (PICC) . Methods Colorectal patients who received PICC in Quzhou Third Hospital between January 2016 and December 2017 were selected by convenient sampling. Totally 90 patients receiving PICC between January and December 2016 were divided into the control group which received conventional nursing cate, while another 90 patients receiving PICC between January and December 2017 were divided into the observation group which received bundle care. The patients' clinical data were collected. The PICC Self-Management Capacity Scale, Connor-Davidson Resilience Scale and Quality of life Questionnaire-Core 30 were used to evaluate the patients' PICC self-management capacity, psychological elasticity and quality of life. Results There was no statistical difference in the total scores of PICC self-management capacity, psychological resilience and overall health/quality of life or in any single dimension of function or symptom between the two groups before the intervention (P>0.05) ; After intervention, the scores of PICC self-management capacity, psychological resilience, functional domain, overall health/quality of life of patients in the observation group were higher than those in the control group, while the symptom domain score and single domain score were lower than those in the control group, with statistical significances (P<0.05) . The incidence rate of phlebitis, catheter-related infection, oozing of puncture point, drug extravasation, catheter obstruction and venous thrombosis in the observation group were lower than that in the control group after the intervention (P<0.05) . Conclusions Bundle care show significant effects on colorectal cancer patients receiving PICC, which can improve patients' PICC self-management capacity, psychological elasticity and quality of life and reduce the incidence rate of catheter-related adverse effects, complications and venous thrombosis. Key words: Colorectal neoplasms; Bundle care; Peripherally inserted central catheter (PICC); Complications; Venous thrombosis

Phlebitis and infiltration: vascular trauma associated with the peripheral venous catheter.

ABSTRACTObjective:to determine the incidence rate and risk factors for the nursing-sensitive indicators phlebitis and infiltration in patients with peripheral venous catheters (PVCs). Method:cohort study with 110 patients. Scales were used to assess and document phlebitis and infiltration. Socio-demographic variables, clinical variables related to the PVC, medication and hospitalization variables were collected. Descriptive and inferential analysis and multivariate logistic models were used. Results:the incidence rate of phlebitis and infiltration was respectively 43.2 and 59.7 per 1000 catheter-days. Most PVCs with these vascular traumas were removed in the first 24 hours. Risk factors for phlebitis were: length of hospital stay (p=0.042) and number of catheters inserted (p<0.001); risk factors for infiltration were: piperacillin/tazobactan (p=0.024) and the number of catheters inserted (p<0.001). Conclusion:the investigation documented the incidence of nursing-sensitive indicators (phlebitis and infiltration) and revealed new risk factors related to infiltration. It also allowed a reflection on the nursing care necessary to prevent these vascular traumas and on the indications and contraindications of the PVC, supporting the implementation of the PICC as an alternative to PVC.

Observation on the effect of dexamethasone applied to peripherally inserted central catheter to prevent the phlebitis

Objective To explore the preventive effect of two medicine solution (dexamethasone and physiological saline ) on phlebitis caused by peripherally inserted central catheter Methods A total of 200 patients with the need of peripherally inserted central catheter in our hospital from December 2013 to December 2014 were randomly divided into treatment group and control group, 100 cases in each group.The catheter of the treatment group was soaked in 40 ml saline and 5 mg dexamethasone before the insertion of PICC, while the catheter of the control group was soaked in 40 ml physiological saline only.The incidence rate of phlebitis, time of occurance and incidence rate of other complications after the insertion of PICC of the two groups were compared. Results After PICC were inserted, the incidence of phlebitis caused by PICC of patients of the treatment group was decreased significantly than that of the control group(P 0.05). Conclusions Peripherally inserted central catheter pretreated with dexamethasone was shown better effect to prevent phlebophlogosis without any other complications.It is worthy of reference for clinical. Key words: Dexamethasone; Physiological saline; Peripherally inserted central catheter; Phlebophlogosis

The effects of humanized nursing on health knowledge and life quality in PICC cath-eterization patients

Objective To investigate the effects of humanistic nursing in PICC catheterization patients.Methods A total of 60 ca-ses of PICC catheterization patients were divided the observation group and the control group according to different nursing methods , 30 cases in each group .The control group was received routine nursing care , the observation group was given humanistic nursing , nursing effects were compared between the two groups.Results Health knowledge awareness rate , treatment compliance , comfort in the observation group were higher than those in the control group , the incidence rate of phlebitis was less than that in the control group , nursing satisfaction was higher than that in the control group , with statistical significance （ P〈0.05 ） .Life quality scores in physical function , social function , mental function in the observation group were higher than those in the control group , with statistical significance （ P〈0.05 ） .Conclusions Hu-manistic nursing can increase the health knowledge of PICC catheterization patients , improve the self nursing ability and life quality during treatment. Key words: Humanistic nursing; PICC ; Health knowledge; Life quality

Effect of nursing intervention on complications and compliance of cancer patients with PICC

Objective To probe into the effect of nursing intervention on complications and compliance of cancer patients with PICC. Methods 86 tumor patients selected from June 2007 to June 2010were randomly divided into the intervention group and the control group with 43 patients in each group. After the two groups of patients were diagnosed they were treated with routine care, the intervention group wasgiven additional comprehensive nursing interventions aiming at PICC complications and compliance. The complications and treatment compliance of the patients were analyzed. Results Compared with the control group, the rate of full compliance significantly improved and the rate of partial compliance significantly decreased in the intervention group. At the same time, compared with the control group, the incidence rate of phlebitis, catheter-related bloodstream infection and catheter blockage and catheter off of the intervention group were significantly lower. Conclusions Nursing intervention for cancer patients with PICC can reduce complications and improve treatment compliance of them and is of great clinical significance. Key words: Nursing intervention; Cancer; Complications; Compliance

Clinical research in prevention and cure effect of anisodamine gel on phlebitis caused by intra-venous infusion of KLT

Objective To investigate the prevention and cure effect of anisodamine gel on phlebitis caused by intravenous infusion of KLT. Methods 96 patients with intravenous infusion of KLT were divided into the experimental group and the control group, 48 patients in each group, and the skin at the top of transfusion puncture points of the patients of the experimental group was evenly embrocated with 2% anisodamine gel along the vein before 3 to 5 minutes of intravenous infusion of KLT, while the control group was without any treatment. After observing the situation of venous injury, the skin at the top of transfusion puncture points of the positive patients would be embrocated with 2% anisodamine gel. The incidence, degree of phlebitis and treatment effect were compared between the two groups. Results The incidence rate of phlebitis of the control group was 68.7%, of which grade II, III occupied 60.4%, while the incidence rateof phlebitis of the experimental group was 10.4%, in which there was no occurrence of grade II, III phlebitis. All the venous injury symptoms of 33 patients of the control group and 5 patients of the experi -mental group disappeared after treatment, and after statistical processing, the incidence rate of phlebitis in the experimental group and the control group showed significant differences. Conclusions The embrocating of 2% anisodamine gel can effectively avoid the occurrence of the phlebitis caused by intravenous infusion of KLT. Key words: Anisodamine gel; KLT; Phlebitis

Evaluation of a Visual Infusion Phlebitis Scale for Determining Appropriate Discontinuation of Peripheral Intravenous Catheters

Approximately 150 million peripheral intravenous (PIV) catheters are inserted annually in the United States, with a 5% incidence rate of phlebitis as an acceptable benchmark. In 2002, the Centers for Disease Control and Prevention recommended that PIV sites and administration sets be changed at least every 96 hours, yet clinical practice supported that at least 25% of PIV catheters showed no signs of phlebitis at 96 hours' dwell time. This study reports the assessment results of 850 PIV catheters over the indwelling life of the catheter, using the Visual Infusion Phlebitis scale as the measure determining when a PIV should be removed.