1
|
Pittiruti M, Van Boxtel T, Scoppettuolo G, Carr P, Konstantinou E, Ortiz Miluy G, Lamperti M, Goossens GA, Simcock L, Dupont C, Inwood S, Bertoglio S, Nicholson J, Pinelli F, Pepe G. European recommendations on the proper indication and use of peripheral venous access devices (the ERPIUP consensus): A WoCoVA project. J Vasc Access 2023; 24:165-182. [PMID: 34088239 DOI: 10.1177/11297298211023274] [Citation(s) in RCA: 38] [Impact Index Per Article: 38.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Since several innovations have recently changed the criteria of choice and management of peripheral venous access (new devices, new techniques of insertion, new recommendations for maintenance), the WoCoVA Foundation (WoCoVA = World Conference on Vascular Access) has developed an international Consensus with the following objectives: to propose a clear and useful classification of the currently available peripheral venous access devices; to clarify the proper indication of central versus peripheral venous access; discuss the indications of the different peripheral venous access devices (short peripheral cannulas vs long peripheral cannulas vs midline catheters); to define the proper techniques of insertion and maintenance that should be recommended today. To achieve these purposes, WoCoVA have decided to adopt a European point of view, considering some relevant differences of terminology between North America and Europe in this area of venous access and the need for a common basis of understanding among the experts recruited for this project. The ERPIUP Consensus (ERPIUP = European Recommendations for Proper Indication and Use of Peripheral venous access) was designed to offer systematic recommendations for clinical practice, covering every aspect of management of peripheral venous access devices in the adult patient: indication, insertion, maintenance, prevention and treatment of complications, removal. Also, our purpose was to improve the standardization of the terminology, bringing clarity of definition, and classification.
Collapse
Affiliation(s)
| | | | | | - Peter Carr
- School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland
| | | | | | | | - Godelieve Alice Goossens
- Nursing Centre of Excellence, University Hospitals, Leuven, Belgium and Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Belgium
| | - Liz Simcock
- University College London Hospitals NHS Foundation Trust, London, UK
| | - Christian Dupont
- Cochin University Hospital, Assistance Publique - Hôpitaux de Paris, France
| | | | | | - Jackie Nicholson
- St George's University Hospitals NHS Foundation Trust, London, UK
| | | | - Gilda Pepe
- Catholic University Hospital 'A. Gemelli', Rome, Italy
| |
Collapse
|
2
|
Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N, Lin F, Alberto L, Mermel L, Rickard CM. Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. J Hosp Med 2018; 13. [PMID: 29813140 DOI: 10.12788/jhm.3039] [Citation(s) in RCA: 186] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Peripheral intravenous catheter (PIVC) use in health care is common worldwide. Failure of PIVCs is also common, resulting in premature removal and replacement. OBJECTIVE To investigate the characteristics, management practices, and outcomes of PIVCs internationally. SETTING/PATIENTS Cross-sectional study. Hospitalized patients from rural, regional, and metropolitan areas internationally. MEASUREMENTS Hospital, device, and inserter characteristics were collected along with assessment of the catheter insertion site. PIVC use in different geographic regions was compared. RESULTS We reviewed 40,620 PIVCs in 51 countries. PIVCs were used primarily for intravenous medication (n = 28,571, 70%) and predominantly inserted in general wards (n = 22,167, 55%). Two-thirds of all devices were placed in non-recommended sites such as the hand, wrist, or antecubital veins. Nurses inserted most PIVCs (n = 28,575, 71%); although there was wide regional variation (26% to 97%). The prevalence of iIn this study, we found that many PIVCs were placed in areas of flexion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice.dle PIVCs was 14% (n = 5,796). Overall, 10% (n = 4,204) of PIVCs were painful to the patient or otherwise symptomatic of phlebitis; a further 10% (n = 3,879) had signs of PIVC malfunction; and 21% of PIVC dressings were suboptimal (n = 8,507). Over one-third of PIVCs (n = 14,787, 36%) had no documented daily site assessment and half (n = 19,768, 49%) had no documented date and time of insertion. CONCLUSIONS In this study, we found that many PIVCs were placed in areas of flexion, were symptomatic or idle, had suboptimal dressings, or lacked adequate documentation. This suggests inconsistency between recommended management guidelines for PIVCs and current practice.
Collapse
Affiliation(s)
- Evan Alexandrou
- Western Sydney University, New South Wales, Australia.
- Department of Intensive Care, Liverpool Hospital, New South Wales, Sydney, New South Wales, Australia
- Department of Intensive Care, Liverpool Hospital, New South Wales, Sydney, New South Wales, Australia
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia
- Centre for Applied Nursing Research & Ingham Institute for Applied Medical Research, South Western Sydney Local Health District, South Western Sydney Clinical School, University of New South Wales, New South Wales, Australia
| | - Gillian Ray-Barruel
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia
- National Centre of Research Excellence in Nursing, Griffith University, Brisbane, Queensland, Australia
| | - Peter J Carr
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia
- National Centre of Research Excellence in Nursing, Griffith University, Brisbane, Queensland, Australia
- The University of Western Australia, Perth, Western Australia, Australia
| | - Steven A Frost
- Western Sydney University, Sydney, New South Wales, Australia
- Department of Intensive Care, Liverpool Hospital, New South Wales, Sydney, New South Wales, Australia
- Centre for Applied Nursing Research & Ingham Institute for Applied Medical Research, South Western Sydney Local Health District, South Western Sydney Clinical School, University of New South Wales, New South Wales, Australia
| | | | - Niall Higgins
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia
- Queensland University of Technology, Brisbane, Queensland, Australia
| | - Frances Lin
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia
| | - Laura Alberto
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia
| | - Leonard Mermel
- Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
| | - Claire M Rickard
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute, Griffith University, Brisbane, Queensland, Australia
- National Centre of Research Excellence in Nursing, Griffith University, Brisbane, Queensland, Australia
| | | |
Collapse
|
3
|
Alexandrou E, Ray-Barruel G, Carr PJ, Frost S, Inwood S, Higgins N, Lin F, Alberto L, Mermel L, Rickard CM. International prevalence of the use of peripheral intravenous catheters. J Hosp Med 2015; 10:530-3. [PMID: 26041384 DOI: 10.1002/jhm.2389] [Citation(s) in RCA: 129] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Revised: 04/19/2015] [Accepted: 04/26/2015] [Indexed: 11/06/2022]
Abstract
Over a billion peripheral intravenous catheters (PIVCs) are inserted each year in hospitalized patients worldwide. However, international data on prevalence and management of these devices are lacking. The study assessed the prevalence of PIVCs and their management practices across different regions of the world. This global audit involved 14 hospitals across 13 countries, with 479 patients screened for the presence of a PIVC. We found 59% of patients had at least 1 PIVC in place, and 16% had other types of vascular devices. We also found that overall, 25% of patients had no vascular device in place. The majority of PIVCs were inserted by nursing staff or a specialist team. The prevalence of idle PIVCs in place with no fluid or medication orders was 16%, and 12% of PIVCs had at least 1 symptom of phlebitis.
Collapse
Affiliation(s)
- Evan Alexandrou
- School of Nursing and Midwifery, University of Western Sydney, Penrith, New South Wales, Australia
- Intensive Care, Liverpool Hospital, Sydney, New South Wales, Australia
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland, Centre for Health Practice Innovation, Griffith University, Nathan, Queensland, Australia
| | - Gillian Ray-Barruel
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland, Centre for Health Practice Innovation, Griffith University, Nathan, Queensland, Australia
- Australian National Health and Medical Research Council, Centre of Research Excellence in Nursing Interventions, Gold Coast Campus, Queensland, Australia
| | - Peter J Carr
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland, Centre for Health Practice Innovation, Griffith University, Nathan, Queensland, Australia
- Australian National Health and Medical Research Council, Centre of Research Excellence in Nursing Interventions, Gold Coast Campus, Queensland, Australia
- Emergency Medicine, The University of Western Australia, Perth, Western Australia, Australia
| | - Steven Frost
- School of Nursing and Midwifery, University of Western Sydney, Penrith, New South Wales, Australia
- Intensive Care, Liverpool Hospital, Sydney, New South Wales, Australia
| | - Sheila Inwood
- CareFusion, Rolle, Switzerland
- Royal Berkshire Hospital, Reading, United Kingdom
| | - Niall Higgins
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland, Centre for Health Practice Innovation, Griffith University, Nathan, Queensland, Australia
| | - Frances Lin
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland, Centre for Health Practice Innovation, Griffith University, Nathan, Queensland, Australia
| | - Laura Alberto
- Sanatorio de Alta Complejidad Sagrado Corazón, Buenos Aires, Argentina
| | - Leonard Mermel
- Rhode Island Hospital and Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
| | - Claire M Rickard
- Alliance for Vascular Access Teaching and Research Group, Menzies Health Institute Queensland, Centre for Health Practice Innovation, Griffith University, Nathan, Queensland, Australia
- Australian National Health and Medical Research Council, Centre of Research Excellence in Nursing Interventions, Gold Coast Campus, Queensland, Australia
| |
Collapse
|
4
|
Tuffaha H, Rickard C, Inwood S, Gordon L, Scuffham P. The epic3 recommendation that clinically indicated replacement of peripheral venous catheters is safe and cost-saving: how much would the NHS save? J Hosp Infect 2014; 87:183-4. [DOI: 10.1016/j.jhin.2014.04.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2014] [Accepted: 04/07/2014] [Indexed: 11/28/2022]
|
5
|
Affiliation(s)
- Sheila Inwood
- Clinical Nurse Specialist, Vascular Access Services, Royal Berkshire Hospital NHS Foundation Trust, Reading
| |
Collapse
|
6
|
Affiliation(s)
- Sheila Inwood
- Vascular Access Service, North Block, Royal Berkshire NHS Foundation Trust, London Road, Reading, Berkshire
| |
Collapse
|
7
|
Abstract
To describe mortality and neurodevelopmental outcome before and after the introduction of rescue therapy with natural surfactant in two neonatal units in Toronto, Canada, a retrospective cohort study of 891 liveborn 23-26 wk gestational age infants, 421 presurfactant (1982-1987) and 470 postsurfactant (1990-1994) was performed. Overall mortality was stable over time (41% vs 35%, p = 0.077), but declined for inborn 24 (71% vs 43%, p = 0.03) and 26 wk (26% vs 13%, p = 0.01) gestational age infants and was higher in surfactant-treated infants (p < 0.0001). Chronic lung disease (61% vs 34%, p < 0.0001) and bilateral blindness (8% vs 4%, p = 0.004) declined over time, with stable rates of cerebral palsy (12% vs 15%), cognitive deficit (27% vs 26%) and aided sensorineural hearing loss (5% vs 4%). Sixty-five percent of surviving infants in both eras were free from neurodevelopmental impairment, and severe impairment declined over time (p = 0.035). This study shows no secular change in overall mortality in a large cohort of 23-26 wk gestational age infants since the introduction of rescue therapy with natural surfactant. However, it does suggest that maternal transfer to and delivery of all extremely preterm infants in high risk perinatal centres is justified.
Collapse
Affiliation(s)
- S E Jacobs
- Division of Neonatology, Department of Pediatrics, the Hospital for Sick Children, Toronto, Ontario, Canada
| | | | | | | | | |
Collapse
|
8
|
Bracht M, Inwood S. Parent perceptions of an NICU follow-up clinic. Neonatal Netw 1998; 17:47-8. [PMID: 9668776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
|
9
|
Ryan G, Kelly EN, Inwood S, Altman D, Seaward PGR, McParland P, Morrow RJ, Farine D. Longterm paediatric follow up in non immune hydrops secondary to parvovirus infection. Am J Obstet Gynecol 1997. [DOI: 10.1016/s0002-9378(97)80347-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
10
|
Abstract
This article describes how one trust developed a training programme specifically for nurses to learn how to perform venepuncture and cannulation. Problems encountered and the lessons learnt from the programme are also discussed.
Collapse
|
11
|
Bryan H, Hawrylyshyn P, Hogg-Johnson S, Inwood S, Finley A, D'Costa M, Chipman M. Perinatal factors associated with the respiratory distress syndrome. Am J Obstet Gynecol 1990; 162:476-81. [PMID: 2309834 DOI: 10.1016/0002-9378(90)90415-4] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Perinatal factors related to the incidence of respiratory distress syndrome were analyzed by the multiple logistic regression statistical method in 263 mothers and their 298 offspring delivered between 24 and 35 weeks' gestation in a 1-year period in a regional referral perinatal center. The risk of respiratory distress syndrome in white infants rose with decreasing gestational age (p less than 0.0001) while prolonged rupture of membranes of greater than 24 hours in the absence of maternal infection (28% of cases) was highly protective (p less than 0.0001). Compared with vaginal delivery, cesarean delivery without labor increased the risk of respiratory distress syndrome (p = 0.03). The administration of tocolytic drugs was unrelated to the incidence of respiratory distress syndrome, but corticosteroid therapy given at least 72 hours before delivery was protective (p = 0.03). Male and female infants were equally at risk for respiratory distress syndrome as were black and white infants, but other races had a lower incidence (p = 0.004). Infants with respiratory distress syndrome were on mechanical ventilators longer than those with other respiratory illnesses.
Collapse
Affiliation(s)
- H Bryan
- Division of Neonatology, Mount Sinai Hospital, Toronto, Ontario, Canada
| | | | | | | | | | | | | |
Collapse
|
12
|
Inwood S, Downer H. The trouble with baby walkers. Can Nurse 1989; 85:14-5. [PMID: 2706613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
|
13
|
Abstract
The growth patterns of 158 infants with significant intrauterine growth retardation (IUGR) were studied for the first 2 years of life. Eighty-four infants were born after 36 completed weeks. All these full-term infants survived; complete follow-up data were obtained for 78. Acceleration of growth in weight began soon after birth and continued for an average of 6 months. Acceleration of linear growth began somewhat later, but was limited to the first 9 months. Twenty-three infants (29%) were still below the 5th centile for both weight and height by 2 years of age. There was a negative correlation between the neonatal ponderal index and length at 18 months for females only. Seventy-four infants were born prematurely, before 37 weeks' gestation. Mortality in this group was 18% and complete follow-up data were obtained for 49 of the 61 survivors. Birth weight was regained on average at 11 days; accelerated weight velocity began 4-6 weeks before the expected date of delivery (term date). The potential for catch-up growth lasted up to 9 months after the term date. By 18 months, however, 44% of these pre-term infants were still below the 5th centile for weight. Size at 18 months post-term was correlated with weight at the term date and length at 3 months post-term, but not with the degree of IUGR or with the ponderal index.
Collapse
Affiliation(s)
- P M Fitzhardinge
- Department of Paediatrics, Mount Sinai Hospital, Toronto, Ontario, Canada
| | | |
Collapse
|
14
|
Downer H, Inwood S, Knox K. Baby walkers and the premature infant. CMAJ 1988; 139:609-10. [PMID: 3416257 PMCID: PMC1268239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
|
15
|
Inwood S, Finley GA, Fitzhardinge PM. High-frequency oscillation: a new mode of ventilation for the neonate. Neonatal Netw 1986; 4:53-8. [PMID: 3083223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|