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European Journal of Oncology Nursing :... Dec 2023Phlebitis is a common complication in palliative patients. There are limited nursing practices in phlebitis care. The study was conducted to determine the effect of warm...
PURPOSE
Phlebitis is a common complication in palliative patients. There are limited nursing practices in phlebitis care. The study was conducted to determine the effect of warm moist compresses in patients with peripheral intravenous catheter-related phlebitis.
METHODS
70 patients (35 control and 35 experimental) with phlebitis symptoms who were hospitalized in the palliative clinic of a training and research hospital were recruited for the study. The phlebitis site of the patients in the control and experimental groups were followed for three days. While the control group received routine nursing care, the experimental group received a warm moist compresses at 28 °C for 15 min three times a day for three days in addition to routine nursing care.
RESULTS
According to the results, there was a decrease in the initial and final phlebitis grades between the control and experimental groups, but the difference was not statistically significant (p = 0.957, p = 0.078). In the final evaluation of the phlebitis site, a statistically significant difference was observed in redness, edema width, and pain intensity between the control and experimental groups in favor of the experimental group (p˂0.001, p = 0.006, p˂0.001, respectively).
CONCLUSIONS
It was determined that applying warm water compresses three times a day in phlebitis care had a positive effect on healing.
Topics: Humans; Phlebitis; Catheterization, Peripheral; Hospitals; Pain Measurement; Catheters
PubMed: 37913684
DOI: 10.1016/j.ejon.2023.102438 -
Worldviews on Evidence-based Nursing Oct 2020Intravenous (IV) amiodarone has multiple indications including treatment of hemodynamically unstable patients and the prevention of atrial or ventricular arrhythmias...
BACKGROUND
Intravenous (IV) amiodarone has multiple indications including treatment of hemodynamically unstable patients and the prevention of atrial or ventricular arrhythmias after thoracic surgery. Inflammation of the vein, or phlebitis, is the most common adverse event associated with peripherally administered amiodarone. In 2017, a rise in reported phlebitis incidents was occurring at one large academic medical center.
AIM
This evidence-based quality improvement initiative aimed to decrease and enhance early detection of phlebitis in patients receiving amiodarone.
METHODS
Due to the variation in assessment and management standards, evidence-based practice (EBP) methodology was utilized to establish a process for quality improvement. A thorough literature search was completed, identifying evidence-based interventions to decrease phlebitis and enhance early detection. Thorough critiques of the literature and synthesis of the evidence were completed. Multidisciplinary guidelines based on the literature were created. The guidelines included interventions such as an increase in IV assessment frequency, vein selection criteria, and the utilization of a standardized grading tool for assessment.
RESULTS
Phlebitis was reduced by 30%-88%. In the first 6 months post-intervention, there was a 48% reduction in phlebitis cases. In addition, the severity of phlebitis and the quality of reporting also improved dramatically.
LINKING EVIDENCE TO ACTION
This evidence-based quality improvement process led to identifying relevant knowledge gaps in care that could be streamlined into everyday nursing practice to decrease patient harm. This paper describes an in-depth process of how EBP helped to quickly take a clinical inquiry and adapt change based on findings from the evidence. Other organizations can utilize EBP to solve patient safety concerns using similar processes.
Topics: Amiodarone; Evidence-Based Practice; Humans; Incidence; Infusions, Intravenous; Phlebitis; Quality Improvement; Quality Indicators, Health Care
PubMed: 33047461
DOI: 10.1111/wvn.12470 -
The Journal of Vascular Access Nov 2019
Topics: Aged; Amiodarone; Child, Preschool; Female; Humans; Incidence; Infant; Infant, Newborn; Infusions, Intravenous; Male; Middle Aged; Phlebitis; Retrospective Studies; Risk Factors
PubMed: 30958088
DOI: 10.1177/1129729819838123 -
The New England Journal of Medicine Jan 1985
Topics: Filtration; Humans; Infusions, Parenteral; Phlebitis
PubMed: 3964914
DOI: 10.1056/NEJM198501103120209 -
Revista Da Escola de Enfermagem Da U S P 2020To identify the average direct cost of the procedures performed for phlebitis treatment in patients in an Inpatient Unit and estimate the costs of the procedures...
OBJECTIVE
To identify the average direct cost of the procedures performed for phlebitis treatment in patients in an Inpatient Unit and estimate the costs of the procedures performed to treat phlebitis in this unit.
METHOD
A quantitative, exploratory-descriptive, single-case study. Initially, records of the procedures performed for phlebitis management were identified. Then, the cost was calculated by multiplying the execution time (timed using a chronometer) spent by nursing technicians by the unit cost of direct labor, added to the cost of materials in 2017.
RESULTS
107 phlebitis referring to 96 patients were reported. To treat the different grades of phlebitis, three procedures were carried out "application of ointment of chamomile flower extract"; "Compress application"; "Peripheral venous access installation". "Peripheral venous access installation with Íntima® catheter" corresponded to the most expensive procedure (US$ 8.90-SD=0.06). Considering the record of the execution of 656 (100%) procedures, the total average direct cost estimate corresponded to US$ 866.18/year.
CONCLUSION
Knowledge about the costs of procedures can support decision making that increase allocation efficiency of consumed resources.
Topics: Bandages; Catheterization, Peripheral; Costs and Cost Analysis; Humans; Inpatients; Phlebitis
PubMed: 33331501
DOI: 10.1590/S1980-220X2019011403647 -
Der Pathologe Nov 1995Primary thrombosis and phlebitis with secondary thrombosis of superficial veins are frequent. A biopsy may be performed if the clinician suspects an underlying systemic... (Review)
Review
Primary thrombosis and phlebitis with secondary thrombosis of superficial veins are frequent. A biopsy may be performed if the clinician suspects an underlying systemic disease. The pathologist must be aware of the different types and their etiology because the further diagnostic and therapeutic procedures depend on his evaluation. The different types of primary thrombotic and primary phlebitic disorders are described and their possible etiology is discussed.
Topics: Diagnosis, Differential; Humans; Phlebitis; Postphlebitic Syndrome; Thrombophlebitis; Varicose Veins; Veins
PubMed: 8570556
DOI: 10.1007/s002920050118 -
European Journal of Cardiovascular... Dec 2023
Topics: Humans; Amiodarone; Incidence; Anti-Arrhythmia Agents; Phlebitis; Guideline Adherence
PubMed: 37337657
DOI: 10.1093/eurjcn/zvad057 -
Revista de Enfermeria (Barcelona, Spain) Sep 2004The authors' objectives are to determine the occurrence of phlebitis in patients hospitalized in the General Pediatrics Unit and to define the possible factors...
UNLABELLED
The authors' objectives are to determine the occurrence of phlebitis in patients hospitalized in the General Pediatrics Unit and to define the possible factors associated to its development. The authors carried out a prospective study in the "Sant Joan de Deu" Hospital in Barcelona during the month of July and from the 15th of September until the 15th of October in 2002. A one variant and two variant analysis using the chi squared method as the basis for estimating which associations took place. There were 153 patients admitted having 201 peripheral veins canalized; occurrence of phlebitis was 8.4%; a venous cord (53%) was the most frequent clinical sign. In cases of phlebitis, the back of a patient's hands (64.7%) was the main spot to make an insertion using a 22G "Vasocán" catheter (70.6%). Phlebitis appeared 2 days after insertion; the high number of antibiotics administered increased the risk of phlebitis (p>0.05).
CONCLUSION
Phlebitis is a frequent problem in pediatrics patients having endo-venous treatment, susceptible to prevention by means of the implementation of control measures and a program of continuous vigilance.
Topics: Catheterization, Peripheral; Child; Female; Humans; Incidence; Male; Phlebitis; Prospective Studies
PubMed: 15526578
DOI: No ID Found -
Annales de Cardiologie Et D'angeiologie Feb 1995Effort phlebitis, which represented the principal aetiological form of deep vein thromboses of the upper limb, has become rare, while secondary forms, especially... (Review)
Review
Effort phlebitis, which represented the principal aetiological form of deep vein thromboses of the upper limb, has become rare, while secondary forms, especially iatrogenic, are more frequent. The authors report two documented cases of effort phlebitis of the upper limb in two manual labourers aged 38 and 40 years. The aetiopathogenic and clinical features and clinical course of this disease are analysed.
Topics: Adult; Arm; Humans; Male; Phlebitis; Physical Exertion; Radiography; Time Factors
PubMed: 7741480
DOI: No ID Found -
Veterinary Radiology & Ultrasound : the... Nov 2019Peripheral vein phlebitis (inflammation) is a relatively frequent complication in dogs, however, published information on the ultrasonographic characteristics is...
Peripheral vein phlebitis (inflammation) is a relatively frequent complication in dogs, however, published information on the ultrasonographic characteristics is currently lacking. This prospective, observational study describes the ultrasound (US) characteristics of normal canine cephalic veins, and veins with clinical phlebitis. Correlations among US findings and between US findings versus time that the intravenous catheter was in place were investigated. Safety of the US procedure was evaluated. Fifty patients were prospectively recruited for the study and 18 met the final inclusion criteria. Each patient underwent daily US examinations and was assessed for multiple criteria (vascular wall appearance, compressibility, spontaneity of flow, color fill, and presence/absence of filling defects, flow contour, direction, non-pulsatility). Characteristics of normal canine cephalic veins were as follows: smooth and thin wall, complete compressibility, no flow disturbances, no filling defects, smooth flow contours, and unidirectional, non-pulsatile flow with no turbulence. Characteristics of cephalic veins with clinical phlebitis were as follows: wall thickening (83%), decreased compressibility (55%), filling defects consistent with intraluminal thrombus (55%), vessel wall hyperechogenicity (44%), and abnormal color Doppler flow (39%). Significant correlations were found between Doppler filling defects and compressibility, Doppler filling defects and presumed thrombosis, and compressibility and presumed thrombosis (P = .001, P = .001, P = .000, respectively). No correlation was found between the US findings and time the intravenous catheter was in place. Findings indicated that duplex and compressibility US are feasible and safe methods for characterizing and monitoring cephalic veins in dogs with clinical phlebitis.
Topics: Animals; Blood Flow Velocity; Dog Diseases; Dogs; Female; Male; Phlebitis; Prospective Studies; Pulsatile Flow; Ultrasonography, Doppler, Color
PubMed: 31515890
DOI: 10.1111/vru.12805