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Most hospital patients receive fluids or medications via an intravenous catheter at some time during their hospital stay. An intravenous catheter also called an IV drip or intravenous cannula is a short, hollow tube placed in the vein to allow administration of medications, fluids or nutrients directly into the bloodstream. These catheters are often replaced every three to four days to try to prevent irritation of the vein or infection of the blood. However, the procedure may cause Aloe Thrombophlebitis to patients and is quite costly.
This review included all of the randomised controlled trials current up to Marchwhich have compared routine Aloe Thrombophlebitis changes with changing Aloe Thrombophlebitis catheter only if there were signs of inflammation or infection.
We measured catheter Aloe Thrombophlebitis blood stream infection, phlebitis and other problems associated with Aloe Thrombophlebitis catheters, such Aloe Thrombophlebitis local infection and catheter blockage.
There was no difference between the groups on Iserlohn kaufen Varikosette of these measures. However, we did find that it costs Aloe Thrombophlebitis, on average, when catheters were replaced when there was a clinical indication to do so, compared with routine changes.
The overall quality of the evidence was rated as being high for most Aloe Thrombophlebitis the outcomes.
We found no evidence of benefit to support current practice of changing catheters routinely every three to four days. The review found no evidence to support changing catheters every 72 to 96 hours. Consequently, healthcare organisations may consider changing to a policy whereby catheters are changed only if clinically indicated. This would provide significant cost savings and would spare patients the unnecessary Aloe Thrombophlebitis of Mutterschaft Strumpfhosen gegen Krampfadern re-sites in the absence of clinical indications.
To article source peripheral catheter Aloe Thrombophlebitis complications, the insertion site should be inspected at each shift change and the catheter removed if signs of inflammation, infiltration, or blockage are present.
US Centers for Disease Control guidelines recommend replacement of peripheral intravenous IV catheters no more frequently than every 72 to 96 hours.
Routine replacement is thought to reduce the risk of phlebitis and bloodstream infection. Catheter insertion is an unpleasant experience for patients and replacement may be unnecessary if the catheter remains functional and there are no signs of inflammation.
Costs associated with routine Aloe Thrombophlebitis may be considerable. This is an update of a review first published in To assess the effects of removing peripheral IV Aloe Thrombophlebitis when clinically indicated compared with removing and re-siting the catheter routinely.
We also searched clinical trials registries April Randomised controlled trials that compared routine removal of peripheral IV catheters with removal only when clinically indicated in hospitalised or community dwelling patients receiving continuous or intermittent infusions. Two review authors independently assessed trial quality and extracted data.
Seven trials with a total of Aloe Thrombophlebitis were included in the review. The quality of the evidence was high for most outcomes but was downgraded to moderate for the outcome catheter -related bloodstream infection CRBSI. The downgrade was due to wide confidence intervalswhich created a high level of uncertainty around the effect estimate.
CRBSI was assessed in five trials Aloe Thrombophlebitis. The risk ratio RR was 0. This result was unaffected by whether infusion through the catheter was continuous or intermittent. We also analysed the data by number of device days and again no differences between groups were observed RR Aloe Thrombophlebitis. One trial assessed all-cause bloodstream infection.
Cannulation costs were lower by approximately AUD 7. Replacing a Aloe Thrombophlebitis venous catheter when clinically indicated versus routine replacement Background Most hospital patients receive fluids or medications via an intravenous catheter at some time go here their hospital stay.
Study characteristics and key results This review included all of the randomised controlled trials current up to Marchwhich have compared routine catheter changes with changing the catheter only if there were signs Aloe Thrombophlebitis inflammation or infection. Quality of the evidence The overall quality of the evidence was rated as being high Aloe Thrombophlebitis most of the outcomes.
Data collection and analysis: You may also Aloe Thrombophlebitis interested in: Replacing heparin with saline to prevent complications in long term central venous catheters in children Venous cutdown versus the Seldinger technique for placement of totally implantable venous access ports Different types of intermittent pneumatic compression devices for preventing venous thromboembolism after total hip replacement Aloe vera for prevention and Aloe Thrombophlebitis of infusion phlebitis Heparin-bonded catheters for prolonging the patency of central Aloe Thrombophlebitis catheters in children.