Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective
| Autor: | José Ángel Rodríguez-Gómez, María Begoña Sánchez-Gómez, Maria Elisa Castro-Peraza, Aitana Guanche-Sicilia, Gonzalo Duarte-Clíments, Juan Gómez-Salgado |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice Leadership and Management medicine.medical_treatment evidence-based practice MEDLINE Health Informatics Review patient-centered care Asepsis catheters 03 medical and health sciences Nursing care phlebitis 0302 clinical medicine Health Information Management patient safety medicine Nursing Interventions Classification 030212 general & internal medicine Intensive care medicine 030504 nursing business.industry Health Policy Catheter Intravenous therapy Medicine Peripheral venous catheter nursing care 0305 other medical science business |
| Zdroj: | Healthcare Healthcare, Vol 9, Iss 611, p 611 (2021) |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare9050611 |
| Popis: | The objective of this work was to identify available evidence on nursing interventions for the prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter. For this, a scoping systematic review was carried out following the guidelines in the PRISMA declaration of documents published between January 2015 and December 2020. The search took place between December 2020 and January 2021. Scielo, Pubmed, Medline, Scopus, WOS, CINHAL, LILACS, and Dialnet databases were consulted, and CASPe, AGREE, and HICPAC tools were used for the critical reading. A total of 52 studies were included to analyze nursing interventions for treatment and prevention. Nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. With regard to the nursing interventions to treat phlebitis, these were focused on vigilance and caring and also on the use of medical treatment protocols. For the prevention of phlebitis, the highest rated evidence regarding asepsis include the topical use of >0.5% chlorhexidine preparation with 70% alcohol or 2% aqueous chlorhexidine, a proper hygienic hand washing, and the use clean gloves to handle connections and devices. Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring. It is recommended to remove any catheter that is not essential. Once discharged from hospital, it will be necessary to warn the patient about signs of phlebitis after PVC removal. |
| Databáze: | OpenAIRE |
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