TYPE OF PUBLICATION: original research
AUTHOR: Doelmann D. et al.
Darcy Doellman, MSN, RN, CRNI®, VA-BCTM Sylvia Rineair, MSHA, BSN, RN, VA-BCTM
Cincinnati Children’s Hospital, Cincinnati, OH

Topic

Prevention of peripheral cannula infiltration and extravasation in pediatric patients.

Why this article

Peripheral cannulas are the most widely used vascular access device; however, they are burdened by a serious risk of dislodgement, which causes guidelines to recommend their inspection every hour.


Abstract

Background: Infiltration is a common complication with peripheral intravenous (IV) catheters, and pediatric patients are a high-risk population. Frequent IV site assessments by the clinician are necessary to detect early symptoms of IV infiltration.
Methods: Data were collected on pediatric patients to 17 years of age who had a new IV in the hand or forearm and were receiving a continuous infusion from 2.5 kg. A sensor was placed in close proximity to the IV site. The IV site was routinely assessed by the bedside clinician. The device continuously monitored the IV. The study included a pilot group, a nonalarming group, and an alarming group. Data were collected and analyzed.
Results: There were 156 subjects enrolled in the nonalarming group and 57 subjects enrolled in the alarming group. In the nonalarming group, 23 clinician-confirmed infiltrations occurred (14.7%). In the alarming group, 15 clinician-confirmed infiltrations (26.3%) occurred.
Conclusions: The device demonstrated 80% sensitivity in detecting IV infiltration events and is capable of issuing notifications for infiltration before the clinician detects it.