Randomised clinical trial of elective re-siting of intravenous cannulae

Annals of the Royal College of Surgeons of England
P BarkerJ MacFie

Abstract

Peripheral venous thrombophlebitis (PVT) represents a considerable source of iatrogenic morbidity, occurring in about 20% of hospital in-patients. The aim of this prospective randomised study was to investigate the effect of elective change of intravenous cannulae on the incidence of PVT in hospital in-patients. General medical and surgical inpatients requiring intravenous therapy were randomised into control (n = 26) or study (n = 21) groups. Cannulae in the control group were only removed if the site became painful, the cannula dislodged, or there were signs of PVT. Cannulae in the study group were changed electively every 48 h. All patients were examined daily for signs of PVT. Peripheral venous thrombophlebitis developed in 11/26 patients in the control group and 1/21 patients in the study group (P = 0.003). Elective change of cannulae did not significantly increase the total number of cannulae sited (41 cannulae in the control group versus 43 in the study group). Elective change of cannulae resulted in a significant reduction in the incidence of infusion phlebitis. The authors recommend that elective re-siting of intravenous cannulae becomes standard practice for all patients requiring intravenous therapy.

Citations

Apr 21, 2009·Journal of Advanced Nursing·Giancarlo CicoliniRocco Di Mascio
Jul 30, 2009·Journal of Clinical Nursing·Margary AhlqvistEva Johansson
Feb 22, 2012·Journal of Clinical Nursing·Ken H M Ho, Daphne S S Cheung
Jul 18, 2015·Journal of Evaluation in Clinical Practice·Nicole MarshClaire M Rickard
Aug 15, 2015·The Cochrane Database of Systematic Reviews·Joan WebsterKaren New
Aug 16, 2011·British Journal of Nursing : BJN·Luís Carlos do Rego Furtado
Sep 15, 2011·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Alvisa PalesePaola Sclauzero
Jan 24, 2019·The Cochrane Database of Systematic Reviews·Joan WebsterNicole Marsh
Jul 16, 2008·QJM : Monthly Journal of the Association of Physicians·M F DillonD O'Shea
Sep 25, 2019·The Journal of Vascular Access·Luyu Lv, Jiaqian Zhang
Nov 22, 2011·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Luís Carlos do Rego Furtado
May 17, 2007·British Journal of Nursing : BJN·Juyaly Biswas
Jun 20, 2007·British Journal of Nursing : BJN·Syed Zafar AbbasSyed Qamar Abbas
Jul 14, 2010·British Journal of Nursing : BJN·Peter J CarrThomas Jb Kropmans

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