Selecting an intravascular catheter: a modern look and own  experience

Authors

  • Dmytro Dmytriiev
  • Oleksandr Nazarchuk National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • Yuliana Babina National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • A Andriiets National Pirogov Memorial Medical University, Vinnytsia, Ukraine
  • E Andriiets National Pirogov Memorial Medical University, Vinnytsia, Ukraine

DOI:

https://doi.org/10.31636/prmd.v2i2.6

Keywords:

intravascular cannulas, complications, catheter-associated infections, vein choice, selecting aintravascular cannula, polyurethane, teflon (FEP)

Abstract

The choice of an intravascular cannula (catheter) is a rather difficult and important issue in modern medicine, especially in the anesthesiology and intensive care unit. In today’s market there are many variants of cannulas, which differ in size and material. As for the size of the cannula, the issue is resolved. The American Medical Device Manufacturers Association proposed measuring the outer diameter of cannulas in “gauge” G. The European Standard ISO 10555.5 regulates the outer diameter of cannulas in millimeters and states that each catheter should have a color marker indicating the nominal outer tube. Color marking helps to find quickly the right size of cannula in extreme situations. The marking of cannulas in “gauge” G and mm is made on the packaging of the product. As to the choice of material, the question remains open. Therefore, in this article, we decided to cover the issue of choice of intravascular cannulas on the material. We have also developed some practical guidelines that facilitate catheterization of peripheral veins and allow cannula to stay longer in the vein. This article will be interesting for doctors and nursing staff.

Downloads

Download data is not yet available.

References

O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO et al. Guidelines for the Prevention of Intravascular Catheter-related Infections. Clinical Infectious Diseases [Internet]. Oxford University Press (OUP); 2011 May 1; 52(9):e162–e193. Available from: https://doi.org/10.1093/cid/cir257

Berezhanskij BV, Zhevnerev AA. Kateter-associirovannye infekcii krovotoka [Catheter-Associated Blood Flow Infections]. Klinicheskaya mikrobiologiya, antimikrobnaya himioterapiya; 2008; 8(2):130–142. [In Russian].

Mermel LA, Farr BM, Sherertz RJ, Raad II, O’Grady N, Harris JS et al. Guidelines for the Management of Intravascular Catheter-Related Infections. Clinical Infectious Diseases [Internet]. Oxford University Press (OUP); 2001 May 1; 32(9):1249–72. Available from: https://doi.org/10.1086/320001 DOI: https://doi.org/10.1086/320001

Spencer RC. Novel methods for the prevention of infection of intravascular devices. Journal of Hospital Infection [Internet]. Elsevier BV; 1999 Dec; 43:S127–S135. Available from: https://doi.org/10.1016/s0195–6701(99)90075–0 DOI: https://doi.org/10.1016/S0195-6701(99)90075-0

Becker K, von Eiff C, Skov RL. Staphylococcus, Micrococcus, and Other Catalase-Positive Cocci. Manual of Clinical Microbiology, 11th Edition [Internet]. American Society of Microbiology; 354–82. Available from: https://doi.org/10.1128/9781555817381.ch21 DOI: https://doi.org/10.1128/9781555817381.ch21

Bouza E, Burillo A, Muoz P. Catheter-related infections: diagnosis and intravascular treatment. Clinical Microbiology and Infection [Internet]. Elsevier BV; 2002 May; 8(5):265–74. Available from: https://doi.org/10.1046/j.1469–0691.2002.00385.x DOI: https://doi.org/10.1046/j.1469-0691.2002.00385.x

McGee DC, Gould MK. Preventing Complications of Central Venous Catheterization. New England Journal of Medicine [Internet]. Massachusetts Medical Society; 2003 Mar 20; 348(12):1123–33. Available from: https://doi.org/10.1056/nejmra011883 DOI: https://doi.org/10.1056/NEJMra011883

Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O’Grady NP et al. Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter Related Infection: 2009 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases [Internet]. Oxford University Press (OUP); 2009 Jul; 49(1):1–45. Available from: https://doi.org/10.1086/599376 DOI: https://doi.org/10.1086/599376

Wenzel RP, Brewer TF, Butzler JP. A Guide to infection control in the hospital. PMPH-USA; 2002.

Acosta-Gnass SI, Stempliuk VD. Sterilization manual for health centers. Pan American Health Organization; 2010.

Berrington A. Use of antibiotic locks to treat colonized central venous catheters. Journal of Antimicrobial Chemotherapy [Internet]. Oxford University Press (OUP); 2001 Nov 1; 48(5):597–603. Available from: https://doi.org/10.1093/jac/48.5.597 DOI: https://doi.org/10.1093/jac/48.5.597

Rodrguez-Bao J. Selection of empiric therapy in patients with catheter-related infections. Clinical Microbiology and Infection [Internet]. Elsevier BV; 2002 May; 8(5):275–81. Available from: https://doi.org/10.1046/j.1469–0691.2002.00386.x DOI: https://doi.org/10.1046/j.1469-0691.2002.00386.x

Trautner BW, Darouiche RO. Catheter-Associated Infections. Archives of Internal Medicine [Internet]. American Medical Association (AMA); 2004 Apr 26; 164(8):842. Available from: https://doi.org/10.1001/archinte.164.8.842 DOI: https://doi.org/10.1001/archinte.164.8.842

Barker P, Anderson A, MacFie J. Randomised clinical trial of elective re-siting of intravenous cannulae. Annals of The Royal College of Surgeons of England [Internet]. Royal College of Surgeons of England; 2004 Jul 1; 86(4):281–3. Available from: https://doi.org/10.1308/147870804317

Bregenzer T, Conen D, Sakmann P, Widmer AF. Is Routine Replacement of Peripheral Intravenous Catheters Necessary? Archives of Internal Medicine [Internet]. American Medical Association (AMA); 1998 Jan 26; 158(2):151. Available from: https://doi.org/10.1001/archinte.158.2.151

Catney MR, Hillis S, Wakefield B, Simpson L, Domino L, Keller S et al. Relationship Between Peripheral Intravenous Catheter Dwell Time and the Development of Phlebitis and Infiltration. Journal of Infusion Nursing [Internet]. Ovid Technologies (Wolters Kluwer Health); 2001 Sep; 24(5):332–41. Available from: https://doi.org/10.1097/00129804–200109000–00008

Gillies D, Wallen MM, Morrison AL, Rankin K, Nagy SA, O’Riordan E. Optimal timing for intravenous administration set replacement. Gillies D, editor. Cochrane Database of Systematic Reviews [Internet]. John Wiley & Sons, Ltd; 2005 Oct 19; Available from: https://doi.org/10.1002/14651858.cd003588.pub2

Homer LD, Holmes KR. Risks associated with 72- and 96-hour peripheral intravenous catheter dwell times. J Intraven Nurs. 1998 Sep-Oct; 21(5):301–5.

Idvall E, Gunningberg L. Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis: a systematic review. Journal of Advanced Nursing [Internet]. Wiley; 2006 Sep; 55(6):715–22. Available from: https://doi.org/10.1111/j.1365–2648.2006.03962.x

Lai KK. Safety of prolonging peripheral cannula and IV tubing use from 72 hours to 96 hours. American Journal of Infection Control [Internet]. Elsevier BV; 1998 Feb; 26(1):66–70. Available from: https://doi.org/10.1016/s0196–6553(98)70063-x

Webster J, Clarke S, Paterson D, Hutton A, Dyk S v., Gale C et al. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ [Internet]. BMJ; 2008 Jul 8; 337(jul08 1):a339–a339. Available from: https://doi.org/10.1136/bmj.a339

Webster J, Lloyd S, Hopkins T, Osborne S, Yaxley M. Developing a Research base for Intravenous Peripheral cannula re-sites (DRIP trial). A randomised controlled trial of hospital in-patients. International Journal of Nursing Studies [Internet]. Elsevier BV; 2007 Jul; 44(5):664–71. Available from: https://doi.org/10.1016/j.ijnurstu.2006.02.003

Barker P, Anderson A, MacFie J. Randomised clinical trial of elective re-siting of intravenous cannulae. Annals of The Royal College of Surgeons of England [Internet]. Royal College of Surgeons of England; 2004 Jul 1; 86(4):281–3. Available from: https://doi.org/10.1308/147870804317 DOI: https://doi.org/10.1308/147870804317

Bregenzer T, Conen D, Sakmann P, Widmer AF. Is Routine Replacement of Peripheral Intravenous Catheters Necessary? Archives of Internal Medicine [Internet]. American Medical Association (AMA); 1998 Jan 26; 158(2):151. Available from: https://doi.org/10.1001/archinte.158.2.151 DOI: https://doi.org/10.1001/archinte.158.2.151

Callaghan S, Copnell B, Johnston L. Comparison of Two Methods of Peripheral Intravenous Cannula Securement in the Pediatric Setting. Journal of Infusion Nursing [Internet]. Ovid Technologies (Wolters Kluwer Health); 2002 Jul; 25(4):256–64. Available from: https://doi.org/10.1097/00129804–200207000–00009 DOI: https://doi.org/10.1097/00129804-200207000-00009

Catney MR, Hillis S, Wakefield B, Simpson L, Domino L, Keller S et al. Relationship Between Peripheral Intravenous Catheter Dwell Time and the Development of Phlebitis and Infiltration. Journal of Infusion Nursing [Internet]. Ovid Technologies (Wolters Kluwer Health); 2001 Sep; 24(5):332–41. Available from: https://doi.org/10.1097/00129804–200109000–00008 DOI: https://doi.org/10.1097/00129804-200109000-00008

O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO et al. Guidelines for the Prevention of Intravascular Catheter-related Infections. Clinical Infectious Diseases [Internet]. Oxford University Press (OUP); 2011 May 1; 52(9):e162–e193. Available from: https://doi.org/10.1093/cid/cir257 DOI: https://doi.org/10.1093/cid/cir257

Chaiyakunapruk N, Veenstra DL, Lipsky BA, Saint S. Chlorhexidine Compared with Povidone-Iodine Solution for Vascular Catheter–Site Care. Annals of Internal Medicine [Internet]. American College of Physicians; 2002 Jun 4; 136(11):792. Available from: https://doi.org/10.7326/0003–4819–136–11–200206040–00007 DOI: https://doi.org/10.7326/0003-4819-136-11-200206040-00007

Frey AM, Schears GJ. Why Are We Stuck on Tape and Suture? Journal of Infusion Nursing [Internet]. Ovid Technologies (Wolters Kluwer Health); 2006 Jan; 29(1):34–8. Available from: https://doi.org/10.1097/00129804–200601000–00007 DOI: https://doi.org/10.1097/00129804-200601000-00007

Gillies D, Wallen MM, Morrison AL, Rankin K, Nagy SA, O’Riordan E. Optimal timing for intravenous administration set replacement. Gillies D, editor. Cochrane Database of Systematic Reviews [Internet]. John Wiley & Sons, Ltd; 2005 Oct 19; Available from: https://doi.org/10.1002/14651858.cd003588.pub2 DOI: https://doi.org/10.1002/14651858.CD003588.pub2

Goode CJ, Titler M, Rakel B, Ones DS, Kleiber C, Small S et al. A Meta-Analysis of Effects of Heparin Flush and Saline Flush. Nursing Research [Internet]. Ovid Technologies (Wolters Kluwer Health); 1991 Nov; 40(6):324–330. Available from: https://doi.org/10.1097/00006199–199111000–00002 DOI: https://doi.org/10.1097/00006199-199111000-00002

Homer LD, Holmes KR. Risks associated with 72- and 96-hour peripheral intravenous catheter dwell times. J Intraven Nurs. 1998 Sep-Oct; 21(5):301–5.

Idvall E, Gunningberg L. Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis: a systematic review. Journal of Advanced Nursing [Internet]. Wiley; 2006 Sep; 55(6):715–22. Available from: https://doi.org/10.1111/j.1365–2648.2006.03962.x DOI: https://doi.org/10.1111/j.1365-2648.2006.03962.x

Infusion Nurses Society. Infusion Nursing Standards of Practice. J Infus Nurs. 2011; 34 (1S) January/February. Supplement: 35–41.

Infusion Nurses Society. Infusion Nursing Standards of Practice. J Infus Nurs. 2006; 29 (1S): 1–92. DOI: https://doi.org/10.1097/00129804-200601001-00001

Lai KK. Safety of prolonging peripheral cannula and IV tubing use from 72 hours to 96 hours. American Journal of Infection Control [Internet]. Elsevier BV; 1998 Feb; 26(1):66–70. Available from: https://doi.org/10.1016/s0196–6553(98)70063-x DOI: https://doi.org/10.1016/S0196-6553(98)70063-X

O’Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG et al. Guidelines for the Prevention of Intravascular Catheter–Related Infections. Infection Control & Hospital Epidemiology [Internet]. Cambridge University Press (CUP); 2002 Dec; 23(12):759–69. Available from: https://doi.org/10.1017/s0195941700080577 DOI: https://doi.org/10.1017/S0195941700080577

Shah PS, Ng E, Sinha AK. Heparin for prolonging peripheral intravenous catheter use in neonates. Cochrane Database of Systematic Reviews [Internet]. Wiley; 2005 Oct 19; Available from: https://doi.org/10.1002/14651858.cd002774.pub2 DOI: https://doi.org/10.1002/14651858.CD002774.pub2

Sheppard K, LeDesma M, Morris NL, O’Connor K. A prospective study of two intravenous catheter securement techniques in a skilled nursing facility. J Intraven Nurs. 1999 May-Jun; 22(3):151–6.

Tripepi-Bova K, Woods K, Loach M. A comparison of transparent polyurethane and dry Gauze dressings for peripheral i.v. catheter sites: rates of phlebitis, infiltration, and dislodgment by patients. American Journal of Critical Care [Internet]. AACN Publishing; 1997 Sep 1; 6(5):377–81. Available from: https://doi.org/10.4037/ajcc1997.6.5.377 DOI: https://doi.org/10.4037/ajcc1997.6.5.377

Webster J, Clarke S, Paterson D, Hutton A, Dyk S v., Gale C et al. Routine care of peripheral intravenous catheters versus clinically indicated replacement: randomised controlled trial. BMJ [Internet]. BMJ; 2008 Jul 8; 337(jul08 1):a339–a339. Available from: https://doi.org/10.1136/bmj.a339 DOI: https://doi.org/10.1136/bmj.a339

Webster J, Lloyd S, Hopkins T, Osborne S, Yaxley M. Developing a Research base for Intravenous Peripheral cannula re-sites (DRIP trial). A randomised controlled trial of hospital in-patients. International Journal of Nursing Studies [Internet]. Elsevier BV; 2007 Jul; 44(5):664–71. Available from: https://doi.org/10.1016/j.ijnurstu.2006.02.003 DOI: https://doi.org/10.1016/j.ijnurstu.2006.02.003

Wood D. A comparative study of two securement techniques for short peripheral intravenous catheters. J Intraven Nurs. 1997 Nov-Dec; 20(6):280–5

Selecting an intravascular catheter: a modern look and own experience

Published

2019-11-01

How to Cite

1.
Dmytriiev D, Nazarchuk O, Babina Y, Andriiets A, Andriiets E. Selecting an intravascular catheter: a modern look and own  experience. prmd [Internet]. 2019 Nov. 1 [cited 2023 Jun. 1];2(2):38-49. Available from: https://perioperative.org.ua/index.php/prtmdc/article/view/34

Issue

Section

Clinical thinking

Most read articles by the same author(s)

1 2 > >>