Peripheral Intravenous Cannula Location and the Effect of the Antiseptic Solution on the Development of Thrombophlebitis: A Quasi-Experimental Study

Öz

Aim: Peripheral Intravenous Cannulae (PIVC) are an indispensable tool in modern medical treatment; however, their misapplication may lead to preventable complications such as thrombophlebitis. The location of the cannula and the antiseptic solution utilised have been hypothesised to exert an influence on the development of thrombophlebitis. The present study was conducted with the objective of investigating the effects of PIVC site and antiseptic solution on the development of thrombophlebitis. Methods: The present study adopts a quasi-experimental design, employing a pre- and post-test model. PIVC was applied to the veins of the dorsum of the hand, forearm and cubital fossa, which were determined according to the patient's condition, using 70% alcohol, 10% povidone iodine or 2% chlorhexidine antiseptic solutions sequentially. The cannula site was observed at 24-hour intervals post-application using the Visual Phlebitis Scale, with the results documented on the designated form. In this study, a total of 341 PIVC were observed for a maximum of 96 hours. Results: Following the conclusion of the study, it was determined that the optimal cannula location for the prevention of thrombophlebitis was the dorsum of the hand, and that the most efficacious antiseptic solution was 10% povidone iodine. Conclusion: Thrombophlebitis has been an important complication in the context of PIVC applications from past to present. The present study determined that the location of the PIVC and the aseptic solution used are effective in the development of thrombophlebitis. It is thought that performing cannula applications in this direction may prevent the complication of thrombophlebitis.

Anahtar Kelimeler

• antiseptics
• thrombophlebitis
• peripheral catheterization

Periferik İntravenöz Kanül Yeri ve Antiseptik Solüsyonun Tromboflebit Gelişimi Üzerindeki Etkisi: Yarı Deneysel Bir Çalışma

Öz

Amaç: Periferik Intravenöz Kanüller (PIVK), modern tıbbi tedavide vazgeçilmez bir araçtır; ancak yanlış kullanımı, tromboflebit gibi önlenebilir komplikasyonlara yol açabilir. Kanülün yerleştirildiği bölge ve kullanılan antiseptik solüsyonun tromboflebit gelişimini etkilediği bilinmektedir. Bu çalışma, PIVK yerleştirilen bölge ve antiseptik solüsyonun tromboflebit gelişimine etkisini araştırmak amacıyla yapılmıştır. Yöntemler: Bu çalışma, ön test ve son test modelini kullanan yarı deneysel bir tasarımdadır. PIVK uygulaması, hastanın durumuna göre belirlenen el üstü, önkol ve antekübital bölge damarlarına, sırasıyla %70 alkol, %10 povidon iyot ve %2 klorheksidin antiseptik solüsyonları kullanılarak gerçekleştirilmiştir. Kanül bölgesi, uygulama sonrası 24 saatlik aralıklarla Görsel Flebit Ölçeği kullanılarak gözlemlenmiş ve sonuçlar kaydedilmiştir. Bu çalışmada, toplam 341 PIVK maksimum 96 saat boyunca gözlemlenmiştir. Bulgular: Çalışmanın sonunda, tromboflebitin önlenmesi için en uygun kanül yerinin el üstü olduğu ve en etkili antiseptik solüsyonun %10 povidon iyot olduğu belirlenmiştir. Sonuç: Tromboflebit, geçmişten günümüze PIVK uygulamaları bağlamında önemli bir komplikasyon olmuştur. Bu çalışma, PIVK'nın yeri ve kullanılan antiseptik solüsyonun tromboflebit gelişiminde etkili olduğunu belirlemiştir.

Anahtar Kelimeler

• antiseptik
• trombofilebit
• periferik kateter

Kaynakça

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