Journal of infusion nursing : the official publication of the Infusion Nurses Society
-
Comparative Study
Comparison of two methods of peripheral intravenous cannula securement in the pediatric setting.
This prospective, nonrandomized study compared the effect of two peripheral catheter dressings (a combination transparent polyurethane film/soft cloth surgical tape dressing, and adhesive tape) on the incidence of complications in children and adolescents. A total of 407 catheter dressings were studied: 212 in the control group (adhesive tape) and 195 in the study group (transparent dressing). ⋯ There were few differences in the observed incidence of phlebitis or extravasation. The new combination dressing may be considered for use in children when prolonged catheterization is anticipated.
-
Clinical Trial
A descriptive study of peripheral intravenous catheters in patients admitted to a pediatric unit in one Australian hospital.
Over a 5-month period, 496 peripheral intravenous catheters (PIVs) inserted into neonates, infants, and children were prospectively studied. Data were collected on demographic patient characteristics, PIV indications for use, dwell time, and reasons for removal, together with nursing actions. ⋯ The risk of phlebitis increased when the PIV remained in place longer, the child was younger, or medication was administered. The greatest risk was age, with neonates being 5(1/2) times more likely to have some degree of phlebitis than non-neonates.
-
Glutamine is the most abundant amino acid in the body. It is also one of the most widely researched amino acids, with multiple clinical trials on various aspects of medical nutritional care including gastrointestinal disease, oncology, burn-trauma, HIV/AIDS, and chronic wound management. Glutamine often is used as a singular nutrient supplement in both hospital and home settings. The goal of this article is to review patient applications and supportive literature, and to provide the reader with guidelines for daily use of glutamine as an oral or enteral supplement.
-
The infusion nurse specialist working with pediatric patients must demonstrate competencies related to all stages of child growth and development. In addition, specific skills requiring competency validation in the pediatric practice setting include calculation of pediatric dosages, maintaining fluid balance, use of specific devices, age-specific skills, and management of complications. This article presents a discussion of each of these areas as well as recommendations for methods of competency validation.
-
Randomized Controlled Trial Clinical Trial
Local anesthesia prior to the insertion of peripherally inserted central catheters.
Using a randomized, controlled study, the investigators evaluated and compared the effects of local anesthesia versus no anesthesia on pain associated with peripherally inserted central catheter (PICC) insertion. A sample of 42 subjects was selected and divided into three groups. Group 1 received EMLA cream. ⋯ The short form of the McGill Pain Questionnaire was used to measure pain quality and intensity. A numerical Visual Analogue Scale accompanied the questionnaire and measured overall pain intensity. Results showed that buffered lidocaine was statistically superior to EMLA cream or no anesthetic in relieving pain associated with PICC insertion.