Catheter Dwell Time and Its Risk of Failure for Adult Patients with Peripheral Venous Catheters

Fahmy, Alaa A.; Abd El Ghaffar, Mona Abed El-Rahman; Boghdady, Elsaida Aly Gamal

doi:10.21608/pssjn.2023.212004.1261

Catheter Dwell Time and Its Risk of Failure for Adult Patients with Peripheral Venous Catheters

Document Type : Original Article

Authors

¹ Master Degree of Medical-Surgical Nursing, Faculty of Nursing Port Said University

² Assist Prof. of Medical-Surgical Nursing Department-Faculty of Nursing- Port Said University

³ Lecturer of Medical-Surgical Nursing Department- Faculty of Nursing- Port Said University

10.21608/pssjn.2023.212004.1261

Abstract

Background: Peripheral venous catheters, which are often used in adult patients, may have a critical threshold dwell length associated with a higher risk of catheter failure. Aim: This study aimed to assess catheter dwell time and its risk of failure for adult patients with Peripheral Venous Catheters. Subjects and method: Design: The study design was descriptive. Setting: The study was conducted at the Universal Health Insurance Hospitals (El Mabara, Al Salam, and Alhayat Port Fouad) in Port Said City. Subjects: convenient sample contained (110) adult patients with peripheral venous catheter. Tool: Peripheral Venous Catheter Assessment Sheet for Adult Patient; Part 1: patient’s characteristics, Part 2: Assessment of Catheter Failure-related Factors: Presence of co- morbid diseases, skin assessment, peripheral venous catheter assessment, dwell time, monitoring risk factors (phlebitis, infiltration., occlusion, dislodgement, local infection, psychological factors, and quality of nursing management) .The results: The current findings showed that there is a statistically significant difference between dwell time with occlusion (p ≤ 0.048), infiltration (p ≤ 0.024), leakage (p ≤ 0.001), and phlebitis (p ≤ 0.001). There were not any statistically significant relationships between dwell time and displacement (p ≤ 0.229). Conclusion: The current results showed positive correlation between dwell time and peripheral catheter phlebitis, occlusion, infiltration, leakage, infection, and displacement. Moreover, the studied patients’ dwell time were 48-72 hrs. accounted for one-third of all analyzed patients' dwell times. Recommendation: Continuous education should be provided to nurses to teach them how to manage dwell time and prevent peripheral venous catheter PVC failure.

Keywords

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