TY - JOUR
T1 - Predicting factors for complications in peripheral intravenous catheters in the pediatric population
AU - Resnick, Ortal
AU - Abu Ahmad, Wiessam
AU - Bancovsky, Daniel
AU - Rogachev, Sonia
AU - Ashash, Amit
AU - Ohana Sarna Cahan, Lea
AU - Rekhtman, David
AU - Hashavya, Saar
AU - Gross, Itai
N1 - Publisher Copyright:
© 2020 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd
PY - 2021/5
Y1 - 2021/5
N2 - Aim: To characterise the association between peripheral intravenous catheter (PIVC) gauge (G), the patient's age, insertion site and complication incidence. Methods: This prospective study was performed in Hadassah Medical Center, Jerusalem, Israel, between June 2018 and March 2019. Children with PIVC admitted to the paediatric departments were included. PIVCs were evaluated daily. Results: A total of 113 children with 132 PIVCs were included in the study. The most common site of insertion was the antecubital fossa (43.9%). PIVCs were most commonly used for intravenous (IV) antibiotics (46.6%). Complications were observed for 40.9% PIVCs. Dislodgement was the most common complication. The complication rate was higher for the lower limbs (60%) and external jugular veins (100%) p = 0.002. In infants younger than 12 months, the complication rate was higher for 22 G PIVCs or larger (58.7% versus 27.5%; p = 0.05). In contrast, for the 1-6 years age group, PIVCs smaller than 24 G had a higher complication rate (p = 0.004). Patients with comorbidities had a higher complication rate (p = 0.003). Conclusion: Risk factors for complications are comorbidities and sites of insertion other than the upper limbs. In infants, 24 G PIVC or smaller should be inserted, whereas 22 G PIVC or larger are superior for 1- to 6-year-old children.
AB - Aim: To characterise the association between peripheral intravenous catheter (PIVC) gauge (G), the patient's age, insertion site and complication incidence. Methods: This prospective study was performed in Hadassah Medical Center, Jerusalem, Israel, between June 2018 and March 2019. Children with PIVC admitted to the paediatric departments were included. PIVCs were evaluated daily. Results: A total of 113 children with 132 PIVCs were included in the study. The most common site of insertion was the antecubital fossa (43.9%). PIVCs were most commonly used for intravenous (IV) antibiotics (46.6%). Complications were observed for 40.9% PIVCs. Dislodgement was the most common complication. The complication rate was higher for the lower limbs (60%) and external jugular veins (100%) p = 0.002. In infants younger than 12 months, the complication rate was higher for 22 G PIVCs or larger (58.7% versus 27.5%; p = 0.05). In contrast, for the 1-6 years age group, PIVCs smaller than 24 G had a higher complication rate (p = 0.004). Patients with comorbidities had a higher complication rate (p = 0.003). Conclusion: Risk factors for complications are comorbidities and sites of insertion other than the upper limbs. In infants, 24 G PIVC or smaller should be inserted, whereas 22 G PIVC or larger are superior for 1- to 6-year-old children.
KW - catheter gauge
KW - complications
KW - paediatrics
KW - peripheral intravenous cannulas
KW - phlebitis
UR - http://www.scopus.com/inward/record.url?scp=85096959022&partnerID=8YFLogxK
U2 - 10.1111/apa.15687
DO - 10.1111/apa.15687
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C2 - 33226669
AN - SCOPUS:85096959022
SN - 0803-5253
VL - 110
SP - 1639
EP - 1644
JO - Acta Paediatrica, International Journal of Paediatrics
JF - Acta Paediatrica, International Journal of Paediatrics
IS - 5
ER -