Authors

1Cristina Fernández García, 2Esther Mata Peón, 3Sara Avanzas Fernández

Position

1Enfermera. Comisión de Cuidados de Enfermería. Unidad Psiquiatría. Fundación Hospital de Jove. Gijón (Asturias).2Enfermera. Comisión de Cuidados de Enfermería. Calidad. Fundación Hospital de Jove. Gijón (Asturias).3Enfermera. Comisión de Cuidados de Enfermaría. Unidad Medicina Interna. Fundación Hospitalde Jove. Gijón (Asturias).

Contact address

Cristina Fernández García Fundación Hospital de Jove. Avda. Eduardo Castro, s/n. 33290 Gijón (Asturias).

Contact email: ctrlpsq@hospitaldejove.com

Abstract

Objective: to learn about the incidence of extravasations in Peripheral Venous Catheters (PVCs) inserted in the hospitalization units of the Fundación Hospital de Jove (Asturias), and the characteristics both of PVCs and of patients who suffered this adverse event (demographic data, PVC characteristics, personal health background, and drugs administered).
Method: a longitudinal, descriptive, observational, and retrospective study, developed in six two-week stages between July, 2013 and January, 2014. In total, 1,442 PVCs that met the inclusion criteria were reviewed, and the incidence of extravasations was determined, as well as the following variables: age, gender, hospitalization unit, catheter diameter, place of insertion, previous insertion in the same limb, type of perfusion, hospital unit where the insertion took place, communication difficulties by the patient, personal health background, and drugs administered parenterally.
Results: the incidence of extravasations was 25.24%, and the patient characteristics were: female, with a median 81-year of age RIC:[69-87], from the Internal Medicine Unit (40.6%), with their PVC inserted in hospitalization units (46.8%), in their forearm (47.8%), and with a 20G diameter (76.3%), without communication difficulties (69.3%). The personal health details that mostly stand out are diabetes (27.9%) and neoplasms (23.3%).
Conclusions: the most frequent characteristics in extravasations have been: a female patient, with a 20G catheter inserted in her forearm. Other risk factors additional to those previously mentioned would be that the patient was hospitalized in the Internal Medicine Unit, with a continuous perfusion with ClK, and with antibiotic treatment also initiated.

Keywords:

Catheter; extravasation of therapeutic and diagnostic materials; intravenous infusions

Versión en Español

Título:

Incidencia y características de extravasaciones de vías venosas periféricas