Antimicrobial
Conditions
Brief summary
This study applies long PIVCs to patients undergoing antimicrobial therapy, and compares the effects of different placement sites, aiming to provide a reference basis for patients undergoing antimicrobial treatment to select the optimal placement site, thus reducing complications, prolonging catheter retention time, and alleviating the patient's pain.
Detailed description
This study investigates the use of long PIVCs in patients undergoing antimicrobial therapy, and compares the effects of different insertion sites. The aim is to provide evidence-based recommendations for the optimal placement site for long PIVCs in antimicrobial treatment, with the goals of reducing complications, prolonging catheter retention time, and alleviating patient discomfort.
Interventions
DEVICEinsert catheter
A fixed routine for pre-insertion cleaning and equipment was followed, including hand washing, placing the patient in a recumbent position, skin antisepsis, and preparation of the sterile field. Catheter insertion was performed by senior specialized nurses in the intravenous treatment room, which was a standardized setting for venipuncture.
Sponsors
Sir Run Run Shaw Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ① estimated time of intravenous infusion ≥1 week; ② age: ≥18 years; ③ antimicrobial therapy was only used for treatment during hospitalization, with a pH value of 5-9 and osmotic pressure \< 900 mOsm/L; and ④ patients were conscious and able to communicate normally; ⑤ the catheter-to-vessel ratio is less than 45%.
Exclusion criteria
* ① a history of radiotherapy, thrombosis, and trauma at the catheterization site and ② plans to discharge with a catheter during the study duration.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of catheter-related complications | After insertion of catheter | Catheter-related complications were assessed including thrombophlebitis, other phlebitis, catheter occlusion, bleeding, catheter-related infections, and weeping. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Puncture success rate with one-attempt | After insertion of catheter | The puncture success rate with one-attempt refers to the instance where the puncture needle successfully enters the target vein on the first attempt without needing to change the puncture site. |
| The procedure time | After insertion of catheter. | The procedure time is defined as the duration from the start of skin disinfection to the stabilization of the catheter with dressing. |
| Indwelling catheter duration | After insertion of catheter | The Indwelling catheter duration refers to the number of days between the date of catheter placement and its removal. |
Countries
China
Contacts
PRINCIPAL_INVESTIGATORZhao Linfang
Sir Run Run Shaw Hospital
Outcome results
None listed