Some factors related to complications of peripheral venous needle return in newbors at Vinmec Times City International General Hospital

  • Nguyễn Thị Quyên Bệnh viện Đa khoa quốc tế Vinmec Times City
  • Trần Thị Phương Bệnh viện Đa khoa quốc tế Vinmec Times City
  • Nguyễn Thị Thương Bệnh viện Đa khoa quốc tế Vinmec Times City
  • Nguyễn Thị Hiền Trường Đại học Y Dược, Đại học Thái Nguyên
  • Nguyễn Thị Hiền Trường Đại học Y Dược, Đại học Thái Nguyên
  • Quản Thanh Nga Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Newborn, needle insertion, peripheral veins,, complications, needle retention

Abstract

Objective: To evaluate some factors related to complications of peripheral intravenous needle retention in newborns. Subject and method: A cross-sectional descriptive study was conducted on 150 newborns. Including 313 peripheral intravenous needle placement locations, at Vinmec Times City International General Hospital. Result: In this study, the proportion of male newborns was 67.3%; Premature infants had a complication rate 2.94 times higher than full-term infants; The group of children with a birth weight of less than 2500grams had a complication rate 2.86 times higher than the group of children with a birth weight of over 2500grams; Children diagnosed with jaundice due to increased free bilirubin had a complication rate 2.62 times higher than children without jaundice. The complication rate in the group which the line was used for both injection and intravenous infusion was 3.78 times higher than in the group which the line was used only for intravenous injection. The infusion line using hypertonic solution had a complication rate 4.11 times higher than the group not using it with p<0.01. The rate of complications in continuous drug administration was 4.04 times higher than in intermittent drug administration. Conclusion: Complications of needle retention are related to premature infants; children with birth weight less than 2500grams; Children with jaundice have increased free bilirubine, using both injection and intravenous infusion; hypertonic solution; continuous drug infusion compared.

Article Details

References

1. Rickard CM, Webster J, Wallis MC, Marsh N, McGrail MR, French V, Foster L, Gallagher P, Gowardman JR, Zhang L, McClymont A, Whitby M (2012) Routine versus clinically indicated replacement of peripheral intravenous catheters: A randomised controlled equivalence trial. Lancet 380(9847): 1066-1074.
2. González López JL, Arribi Vilela A, Fernández del Palacio E, Olivares Corral J, Benedicto Martí C, Herrera Portal P (2014) Indwell times, complications and costs of open vs closed safety peripheral intravenous catheters: A randomized study. J Hosp Infect 86(2): 117-126.
3. Wallis MC, McGrail M, Webster J, Marsh N, Gowardman J, Playford EG, Rickard CM (2014) Risk factors for peripheral intravenous catheter failure: A multivariate analysis of data from a randomized controlled trial. Infect Control Hosp Epidemiol 35(1): 63-68.
4. Suliman M, Saleh W, Al-Shiekh H, Taan W, AlBashtawy M (2020) The Incidence of Peripheral Intravenous Catheter Phlebitis and Risk Factors among Pediatric Patients. J Pediatr Nurs 50: 89-93.
5 Yuningsih R, Rustina Y, Efendi D (2020) The related factors of phlebitis among low birth weight infants in perinatology ward. Pediatr Rep 12(1): 8691.
6. Higginson R, Parry A (2011) Phlebitis: treatment, care and prevention. Nurs Times 107(36): 18-21.
7. Millam DA (1988) Managing complications of i.v. therapy (continuing education credit). Nursing 18(3): 34-43.
8. Gefen A, Alves P, Ciprandi G, Coyer F, Milne CT, Ousey K, Ohura N, Waters N, Worsley P, Black J, Barakat-Johnson M, Beeckman D, Fletcher J, Kirkland-Kyhn H, Lahmann NA, Moore Z, Payan Y, Schlüer AB (2022) Device-related pressure ulcers: SECURE prevention. Second edition. J Wound Care 31(3): 1-72.
9. Beall V, Hall B, Mulholland JT, & Gephart SM (2013) Neonatal extravasation: An overview and algorithm for evidence-based treatment. J Newborn Infant Nursing Reviews 13(4): 189-195.
10. Bolcato M, Russo M, Donadello D, Rodriguez D, Aprile A (2017) Disabling outcomes after peripheral vascular catheter insertion in a newborn patient: A case of medical liability?. Am J Case Rep 18: 1126-1129.
11. Atay S, Sen S, Cukurlu D (2018) Incidence of infiltration/extravasation in newborns using peripheral venous catheter and affecting factors. Rev Esc Enferm USP 52: 03360.
12. van Rens MFPT, Hugill K, Mahmah MA, Bayoumi M, Francia ALV, Garcia KLP, van Loon FHJ (2021) Evaluation of unmodifiable and potentially modifiable factors affecting peripheral intravenous device-related complications in neonates: A retrospective observational study. BMJ Open 11(9): 047788.
13. Danski MT, Mingorance P, Johann DA, Vayego SA, Lind J (2016) Incidência de complicações locais e fatores de risco associados ao cateter intravenoso periférico em neonates [Incidence of local complications and risk factors associated with peripheral intravenous catheter in neonates]. Rev Esc Enferm USP 50(1): 22-28.