Pain upon inserting a peripheral intravenous catheter: Size does not matter

The Journal of Vascular Access
Fredericus H J van LoonArthur R A Bouwman

Abstract

Approximately 1.2 billion peripheral intravenous catheters are inserted across the world annually. It is known that intravenous cannulation may be a painful procedure, which affects cognitive abilities by increasing anxiety and discomfort. We hypothesized that inserting a smaller sized peripheral intravenous catheter has a lower level of pain sensation compared to a larger sized catheter. This observational, cross-sectional study was conducted between May and October 2016, in which surgical patients, aged 18 years or older, were eligible to participate. Experienced anesthesiologists and nurse anesthetists routinely obtained peripheral intravenous access according to the standards of care. The primary outcome was pain (verbal numeric rating scale, 0-10) upon intravenous cannulation. A total of 1063 patients were included and they were divided into four groups: group 1, 22 gauge (N = 29); group 2, 20 gauge (N = 447); group 3, 18 gauge (N = 531); and group 4, sized over 18 gauge (N = 56). Inserting an 18-gauged peripheral intravenous catheter resulted in the lowest pain score (3.2 ± 2.0). As a result of the multivariate linear analysis, five factors were significantly associated with pain upon inserting a peripheral intravenous ca...Continue Reading

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Citations

Mar 19, 2020·Journal of Clinical Medicine·Miguel Angel Rodriguez-CaleroJosé Miguel Morales-Asencio
Apr 24, 2020·British Journal of Nursing : BJN·Nikki Welyczko
Mar 5, 2021·Clinical Ophthalmology·Iwona ObuchowskaJoanna Konopińska

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