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Nursing Jan 1997
Topics: Humans; Infusions, Intravenous; Patient Care Planning; Phlebitis
PubMed: 9016079
DOI: 10.1097/00152193-199701000-00012 -
The Veterinary Clinics of North... Dec 2003Organ thrombosis and laminitis are life-threatening complications in horses with acute gastrointestinal disease, especially those diseases that cause disruption of the... (Review)
Review
Organ thrombosis and laminitis are life-threatening complications in horses with acute gastrointestinal disease, especially those diseases that cause disruption of the protective mucosal barrier. Prevention of these complications should be a high priority when treating horses with gastrointestinal diseases because even with proper and intensive treatments, laminitis or organ thrombosis may not be curative. Preventative therapy should include expedient and appropriate treatment of the primary disease, normalization of tissue perfusion and oxygenation, and inhibition of gut-derived toxins or their systemically activated biologic products along with i.v. replacement of depleted anticoagulant proteins. Additionally, several risk factors for thrombophlebitis in horses with intestinal disease have been identified, and those risk factors should be minimized during the illness.
Topics: Animals; Foot Diseases; Gastrointestinal Diseases; Hoof and Claw; Horse Diseases; Horses; Phlebitis; Thrombosis
PubMed: 14740769
DOI: 10.1016/j.cveq.2003.08.002 -
BMJ (Clinical Research Ed.) Jan 1996
Topics: Humans; Phlebitis; Risk Factors; Thrombophlebitis; Varicose Veins
PubMed: 8563576
DOI: 10.1136/bmj.312.7025.198 -
Journal of Oncology Pharmacy Practice :... Dec 2023Chemotherapy is an integral part of cancer management which is associated with phlebitis in around 70% of patients receiving intravenous chemotherapy infusion. Thus, we... (Observational Study)
Observational Study
INTRODUCTION
Chemotherapy is an integral part of cancer management which is associated with phlebitis in around 70% of patients receiving intravenous chemotherapy infusion. Thus, we aimed to estimate the incidence, severity, and management of phlebitis associated with chemotherapy infusion among cancer patients.
METHODS
A prospective study was conducted among 145 patients receiving intravenous chemotherapy for the duration of six months in the oncology department. The relevant data for phlebitis was obtained and assessed using Phlebitis Grading Scale and Visual Analogue Scale for the assessment of severity and pain due to phlebitis, respectively.
RESULTS
Out of 145 patients, female (56.6%) patients predominated over male patients (43.5%) with a mean age of 53.5 ± 11.82 years. Phlebitis was encountered in 30.34% of patients among whom 22.8% (33) were females followed by 7.6% were males and the majority of patients (13.1%) were from the 46 to 60 years age group. Phlebitis was observed frequently among stage 2 (11%) and satge 4 (11%) patients. The highest incidence of phlebitis was seen among hypertensive (34.09%) and diabetic patients (27.27%) followed by those receiving chemotherapy through the 20-gauge intravenous cannula (22.8%) and 22-gauge (6.9%). Platinum compounds (56.8%) were commonly associated with phlebitis, followed by cyclophosphamide (20.5%). Heparin and benzyl nicotinate topical gel were used to treat phlebitis.
CONCLUSION
Platinum and cyclophosphamide are commonly associated with phlebitis which can be managed by topical heparin plus benzyl nicotinate. Phlebitis shouldn't be ignored as it has a high incidence, affects the quality of life, and increases the treatment burden.
Topics: Humans; Male; Female; Adult; Middle Aged; Aged; Prospective Studies; Quality of Life; Infusions, Intravenous; Heparin; Neoplasms; Cyclophosphamide; Phlebitis
PubMed: 36872649
DOI: 10.1177/10781552231161517 -
Journal of Infusion Nursing : the... 2007
Topics: Documentation; Humans; Infusions, Intravenous; Nursing Care; Phlebitis
PubMed: 17895804
DOI: 10.1097/01.NAN.0000292567.17022.53 -
Nutrition (Burbank, Los Angeles County,... Feb 1998
Topics: Humans; Osmolar Concentration; Parenteral Nutrition; Phlebitis; Solutions
PubMed: 9530653
DOI: 10.1016/s0899-9007(97)00427-9 -
Journal of Infusion Nursing : the...The most commonly used vascular access is the peripheral intravenous catheter (PIVC). However, it can trigger complications and the occurrence of adverse events, such as... (Observational Study)
Observational Study
The most commonly used vascular access is the peripheral intravenous catheter (PIVC). However, it can trigger complications and the occurrence of adverse events, such as phlebitis. This study evaluated the variables that are associated with the occurrence of phlebitis in medical and surgical inpatient units. This is an observational, retrospective, case-control study in medical and surgical hospitalization units of a private general hospital in the city of São Paulo. Participants were an average age of 66.3 years, and 71% were hospitalized in medical units. The risk variables associated with phlebitis were medical hospitalization (odds ratio [OR] = 4.36; P = .002), presence of comorbidity (OR = 10.73; P < .001), and having 5 or more PIVCs (OR = 53.79; P = .001). Regarding intravenous therapy, the use of contrast was a risk variable (OR = 2.23; P = .072). On the other hand, patient education regarding PIVCs was a protective measure against the development of phlebitis. The nursing team plays an essential role in the care of patients with PIVCs, inpatient guidance, planning, and device choice, taking into account the risk factors for phlebitis to maintain the preservation of vascular health and reduce adverse events.
Topics: Humans; Aged; Case-Control Studies; Retrospective Studies; Brazil; Phlebitis; Hospitals
PubMed: 38422406
DOI: 10.1097/NAN.0000000000000541 -
Journal of Healthcare Quality Research 2022Medicines delivered directly to systemic circulation have saved many lives from life-threatening conditions, but also can impart undesirable effects. (Observational Study)
Observational Study
BACKGROUND
Medicines delivered directly to systemic circulation have saved many lives from life-threatening conditions, but also can impart undesirable effects.
MATERIALS AND METHODS
A prospective observational study was performed for 10 months in the tertiary care hospital to identify and evaluate cannula induced phlebitis in our study population. The data collection form retrieved demographic details, diseases and cannulation particulars of each patient. Moreover, a patient feedback questionnaire (Cronbach's alpha=0.70) retrieved their concerns toward cannulation.
RESULTS
Phlebitis was identified in 96 patients out of 146 subjects enrolled in the study; 52% had the first sign of phlebitis. Female patients were more prone, and the complication occurred irrespective of age (p>0.05). On the other hand, those on IV cefoperazone-sulbactam (n=13, 13.5%) followed by amoxicillin clavulanic acid (n=6, 6%) had significant cannulation complication (p<0.01). The cannula indwells time (p=0.001) and vein assessment (p=0.001) were statistically associated with incidence of phlebitis. Half of our samples had pain lasting about five minutes (χ=9.2, p<0.05). Nevertheless, limited patients (n = 35, 36.5%) were prescribed topical Heparin Benzyl Nitrate, and none preferred to self-medicate nor opted for other home remedies.
CONCLUSIONS
The study depicted high prevalence of phlebitis factored in by poor vein assessment and increase in indwelling time. We recommend proper awareness with on-site skill improvement program for health professionals on administration techniques and monitoring principles in order to lower cannulation related complications.
Topics: Humans; Female; Cannula; Tertiary Care Centers; Feedback; Tertiary Healthcare; Phlebitis
PubMed: 35697599
DOI: 10.1016/j.jhqr.2022.04.003 -
Phlebitis Signs and Symptoms With Peripheral Intravenous Catheters: Incidence and Correlation Study.Journal of Infusion Nursing : the... 2018This study was undertaken to calculate the incidence of 8 signs and symptoms used for the diagnosis of phlebitis with peripheral intravenous catheters, or short...
This study was undertaken to calculate the incidence of 8 signs and symptoms used for the diagnosis of phlebitis with peripheral intravenous catheters, or short peripheral catheters, and the level of correlation between them. A total of 22 789 daily observations of 6 signs (swelling, erythema, leakage, palpable venous cord, purulent discharge, and warmth) and 2 symptoms (pain and tenderness) were analyzed of 5907 catheter insertion sites. Most signs and symptoms of phlebitis occurred only occasionally or rarely; the incidence of tenderness was highest (5.7%). Correlations were mostly low; warmth correlated strongly with tenderness, swelling, and erythema.
Topics: Catheterization, Peripheral; Catheters, Indwelling; Device Removal; Female; Humans; Incidence; Male; Nursing Staff, Hospital; Phlebitis; Randomized Controlled Trials as Topic; Time Factors
PubMed: 29958263
DOI: 10.1097/NAN.0000000000000288 -
Anales de Medicina Interna (Madrid,... May 1998
Topics: Aged; Humans; Male; Phlebitis; Travel
PubMed: 9629785
DOI: No ID Found