Effect of Tubular Bandage Application on Peripheral Intravenous Catheter Usage Time and Infiltration in Children
Trial Parameters
Brief Summary
In pediatric patients, placement of peripheral intravenous catheters is the most commonly performed invasive medical procedure. In addition to the administration of medications, parenteral nutrition, intravenous fluids, and blood products, peripheral intravenous catheters are placed prophylactically before procedures and for emergency use in unstable patients. One of the most common complications of peripheral intravenous catheters is infiltration. Infiltration is a vascular trauma resulting from a lesion in the vascular layers and subsequent perforation, resulting in the leakage of medications or non-vesicant solutions into the tissues surrounding the site of placement of the peripheral venous catheter. In pediatric patients, physical factors (e.g. hyperactivity, sweating), tight fixation (may affect blood circulation and iatrogenic skin injury), loose fixation (may cause peripheral intravenous catheter displacement and infection), poor-quality fixation (may cause unplanned removal and skin injuries due to pressure), etc. causes more peripheral intravenous catheter fixation problems in pediatric patients than in adult patients Additional fixation products may be effective in preventing dislocation and micromotion in an active pediatric patient. However, limited recommendations regarding medical adhesive tapes and additional fixation products are guided only by low-evidence studies. The purpose of this study was to determine the effect of tubular bandage use on the duration of pediatric peripheral intravenous catheter use and the incidence of infiltration.
Eligibility Criteria
inclusion criteria Willingness to participate in the study * Parent/child's proficiency in Turkish * Intact skin integrity in the application area * First-time application of the peripheral venous catheter to the middle part of the child's forearm * Recommendation by a physician for intravenous fluid containing 5% dextrose, 0.45% NaCl, and 75% KCL through a peripheral venous catheter * Child's age between 6-12 years * Successful placement of the peripheral venous catheter on the first attempt exclusion criteria Coagulation abnormalities * Receiving blood and blood products through the peripheral venous catheter * Nutritional issues * Hematologic or oncologic diseases * Congenital genetic or neurological disorders * Problems with skin integrity and movement in the upper extremities * Sensitivity to the tubular bandage * Fever above 37.5°C * Accidental dislodgement of the catheter * Early completion of treatment and removal of the catheter