Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1



Effect of joint immobilization on the lifespan of intravenous cannula: a randomised controlled trial

Megha Raghavan, Praveen BK.

Abstract
Background: The use of peripheral intravenous cannulas (IVCs) for the purpose of providing fluid and medications to the newborn is a consistent requirement in Neonatal Intensive Care Units (NICUs). Proper securement of cannulas can preserve catheter life. However; no consensus is available on the factors affecting the duration of patency. The present study was a randomized controlled trial designed to compare the effect of limb splinting versus non-splinting with the functional duration of peripheral IV cannula in neonates requiring IV infusion and/or medications.
Methods: This prospective interventional study was conducted over a period of 5 months in the NICU of Father Muller Medical College. Eligible cannulations were randomised to either ‘‘splint’’ or ‘‘no-splint’’ group. In the splint group, firm splint covered with sterile gauze was used to immobilise the joint at the peripheral IV cannula site. No attempt was made to immobilise the limb in the no-splint group. Duration from time of insertion to removal on the basis of predefined criteria was measured.
Results: A total of 449 peripheral IV cannulations in 390 newborns were randomized to either the splint (n= 230) or no-splint group (n=219). After exclusion, 202 cannulations in the splint group and 184 cannulations in the no-splint group were analyzed. The median survival time of IVC in the splint group was marginally more compared to the no-splint group (h; 51.08 hours (SD 32.6) vs. 50.93 (SD 33.1), mean difference 0.9 hours, p value 0.807). Extravasation at the peripheral infusion site was the commonest indication for cannula removal in both the groups occurring more in the splint group (93.6 % versus 85.3%).
Conclusions: This study concludes that the application of limb splinting for intravenous cannulation only marginally prolongs the duration of the cannula and thus may not be useful. The authors believe that there is a need for more larger, planned RCTs involving specific variables to come to scientifically valid, evidence- based guidelines.

Key words: Intravenous cannula, Splint, Neonate



Share this Article


Advertisement
Journal of Molecular Pathophysiology

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons