Ihn Sook Jeong; Soon Mi Park; Kyung Ju Park

doi:10.4040/jkan.2016.46.4.534

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Original Article
Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children: Ihn Sook Jeong, Soon Mi Park, Kyung Ju Park; Journal of Korean Academy of Nursing 2016;46(4):534-541.
DOI: https://doi.org/10.4040/jkan.2016.46.4.534
Published online: August 31, 2016

¹College of Nursing, Pusan National University, Yangsan, Korea.

²Department of Nursing, Pusan National University Yangsan Hospital, Yangsan, Korea.

Address reprint requests to: Jeong, Ihn Sook. College of Nursing, Pusan National University, 49 BusanDaehak-ro, Mulgeum-eup, Yangsan-si, Gyeongnam 50612, Korea. Tel: +82-51-510-8342, Fax: +82-51-510-8308, jeongis@pusan.ac.kr

• Received: February 26, 2016 • Revised: May 3, 2016 • Accepted: May 13, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
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REFERENCES

Abstract

Purpose
The aim of this study was to identify the effect of an observation window (OW) at peripheral intravenous (IV) catheter sites on early detection of IV infiltration among hospitalized children.
Methods
This was a retrospective observational study with history control group design. Participants were children who had IV infiltration after peripheral catheterization when hospitalized from January to May, 2014 and January to May, 2015 at a children's hospital located in Yangsan city, Korea. The 193 patients, who were hospitalized from January to May, 2014 formed the control group and did not have OW, and the 167 patients, who were hospitalized from January to May, 2015 formed the window group and had OW. Data were analyzed using χ²-test, independent samples t-test and multiple logistic regression.
Results
First stage IV infiltration was 39.5% for the window group and 25.9% for the control group, which was significantly different (p=.007). The likelihood of 2^nd stage and above IV infiltration decreased by 44% in the window group, which was significantly different (p=.014).
Conclusion
OW at the peripheral IV catheter site was found to be an effective measure in early recognition of IV infiltration. Considering the effect of OW, we recommend that nurses should make an OW with transparent dressing during stabilization of the IV catheter site in hospitalized children in clinical settings.
Keywords: Child; Intravenous infusion; Observation; Recognition

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (2015R1A2A2A04003415).

The authors declared no conflict of interest.

REFERENCES

1. Hadaway L. Short peripheral intravenous catheters and infections. J Infus Nurs. 2012;35(4):230–240. Article PubMed
2. Rickard CM, Webster J, Wallis MC, Marsh N, McGrail MR, French V, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: A randomised controlled equivalence trial. Lancet. 2012;380(9847):1066–1074. Article PubMed
3. Thomas J. Standard practice and evolving trends in pediatric intravenous access. Air Med J. 2007;26(1):8–11. Article PubMed
4. Webster J, Osborne S, Rickard CM, New K. Clinically-indicated replacement versus routine replacement of peripheral venous catheters. Cochrane Database Syst Rev. 2015;(8):CD007798Article
5. Pettit J. Assessment of the infant with a peripheral intravenous device. Adv Neonatal Care. 2003;3(5):230–240.Article PubMed
6. Thigpen JL. Peripheral intravenous extravasation: Nursing procedure for initial treatment. Neonatal Netw. 2007;26(6):379–384. Article PubMed
7. Doellman D, Hadaway L, Bowe-Geddes LA, Franklin M, LeDonne J, Papke-O'Donnell L, et al. Infiltration and extravasation: Update on prevention and management. J Infus Nurs. 2009;32(4):203–211. PubMed
8. Hadaway L. Infiltration and extravasation. Am J Nurs. 2007;107(8):64–72. Article
9. Hetzler R, Wilson M, Hill EK, Hollenback C. Securing pediatric peripheral IV. catheters-application of an evidence-based practice model. J Pediatr Nurs. 2011;26(2):143–148. Article PubMed
10. de Lima Jacinto AK, Avelar AF, Pedreira ML. Predisposing factors for infiltration in children submitted to peripheral venous catheterization. J Infus Nurs. 2011;34(6):391–398. Article PubMed
11. Kim JS, Lee YR, Kim NS. Effects of the structured nursing intervention for caregivers on maintenance of intravenous infusions in infants. J Korean Acad Child Health Nurs. 2012;18(3):135–142. Article
12. Jung JH. A study of peripheral intravenous cannulation & intravenou injection pain in hospitalized children[master's thesis]. Daejeon, Eulji University. 2009;1–84.
13. McCullen KL, Pieper B. A retrospective chart review of risk factors for extravasation among neonates receiving peripheral intravascular fluids. J Wound Ostomy Continence Nurs. 2006;33(2):133–139.Article PubMed
14. Fang L, Fang SH, Chung YH. Factors affecting the unplanned peripheral reinsertion in pediatric patients from a teaching hospital in Taiwan. J Infus Nurs. 2011;34(6):366–372. Article PubMed
15. Talbot SG, Rogers GF. Pediatric compartment syndrome caused by intravenous infiltration. Ann Plast Surg. 2011;67(5):531–533. Article PubMed
16. Lamagne P, McPhee M. Troubleshooting pediatric peripheral IVs: Phlebitis and infiltration. Nurs Spectr. 2004;8(13):18–20.
17. Amjad I, Murphy T, Nylander-Housholder L, Ranft A. A new approach to management of intravenous infiltration in pediatric patients: Pathophysiology, classification, and treatment. J Infus Nurs. 2011;34(4):242–249. PubMed
18. Woody G, Davis BA. Increasing nurse competence in peripheral intravenous therapy. J Infus Nurs. 2013;36(6):413–419. Article PubMed
19. Clifton-Koeppel R. Wound care after peripheral intravenous extravasation: What is the evidence? Newborn Infant Nurs Rev. 2006;6(4):202–211. Article
20. Roth D. Pediatric infiltration and extravasation. J Assoc Vasc Access. 2006;11(1):14Article PDF
21. Park SM, Jeong IS, Kim KL, Park KJ, Jung MJ, Jun SS. The effect of intravenous infiltration management program for hospitalized children. J Pediatr Nurs. 2016;31(2):172–178. Article PubMed
22. Flemmer L, Chan JS. A pediatric protocol for management of extravasation injuries. Pediatr Nurs. 1993;19(4):355–358. 424. PubMed
23. Park SM. Identification of risk factors and development of a risk prediction model for infiltration among hospitalized children[dissertation]. Busan, Pusan National University. 2014;1–62.
24. Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs. 2006;29:1 Suppl. S1–S92.PubMed
25. Sauerland C, Engelking C, Wickham R, Corbi D. Vesicant extravasation part I: Mechanisms, pathogenesis, and nursing care to reduce risk. Oncol Nurs Forum. 2006;33(6):1134–1141. Article PubMed

Figure 1

Dressing process for the observation window group and control group.

Figure 2

Distribution of infiltration stage by group.

Table 1

General Characteristics of the Participants (N=360)

^*Psychiatry, rehabilitation etc.

Table 2

Catheterization–Specific Characteristics (N=360)

Table 3

Effect of Observation Window on the Incidence of Infiltration of Grade 2 or above after Controlling Covariates (N=360)

^*Outcome variable: infiltration of grade 2 or above; ^†Hosmer & Lemeshow's Goodness of Fit test: χ²=10.98 (p=.203).

Figure & Data

REFERENCES

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Risk factors for infiltration in children and adolescents with peripheral intravenous catheters
Luciano Marques dos Santos, Irlane Batista Figueredo, Cleonara Sousa Gomes e Silva, Uliana Oliveira Catapano, Bianka Sousa Martins Silva, Ariane Ferreira Machado Avelar
Revista Brasileira de Enfermagem.2022;[Epub] CrossRef

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Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children

J Korean Acad Nurs. 2016;46(4):534-541. Published online August 31, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.4.534

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Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children

Figure 1 Dressing process for the observation window group and control group.

Figure 2 Distribution of infiltration stage by group.

Figure 1

Figure 2

Effect of Observation Window at Peripheral Intravenous Catheter Site on Early Recognition of Infiltration among Hospitalized Children

Table 1

General Characteristics of the Participants (N=360)

^*Psychiatry, rehabilitation etc.

Table 2

Catheterization–Specific Characteristics (N=360)

Table 3

Effect of Observation Window on the Incidence of Infiltration of Grade 2 or above after Controlling Covariates (N=360)

^*Outcome variable: infiltration of grade 2 or above; ^†Hosmer & Lemeshow's Goodness of Fit test: χ²=10.98 (p=.203).

Table 1 General Characteristics of the Participants (N=360)

^*Psychiatry, rehabilitation etc.

Table 2 Catheterization–Specific Characteristics (N=360)

Table 3 Effect of Observation Window on the Incidence of Infiltration of Grade 2 or above after Controlling Covariates (N=360)

^*Outcome variable: infiltration of grade 2 or above; ^†Hosmer & Lemeshow's Goodness of Fit test: χ²=10.98 (p=.203).