Is Thrombus With Subcutaneous Edema Detected by Ultrasonography Related to Short Peripheral Catheter Failure? A Prospective Observational Study.

Toshiaki Takahashi Ryoko Murayama Makoto Oe Gojiro Nakagami Hidenori Tanabe Koichi Yabunaka Rika Arai Chieko Komiyama Miho Uchida Hiromi Sanada

J Infus Nurs

Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, University of Tokyo, Tokyo, Japan (Drs Nakagami, Yabunaka, and Sanada; Mr Takahashi); Department of Advanced Nursing Technology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan (Drs Murayama and Oe; Mr Tanabe and Mrs Arai); Terumo Corporation, Tokyo, Japan (Mr Tanabe and Mrs Arai); and Department of Nursing, University of Tokyo Hospital, Tokyo, Japan (Mrs Komiyama and Mrs Uchida). Toshiaki Takahashi, MHS, RN, is a student in the Department of Gerontological Nursing/Wound Care Management in the Graduate School of Medicine of the University of Tokyo, Tokyo, Japan. Ryoko Murayama, PhD, RN, RMW, is a project associate professor in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan. Makoto Oe, PhD, RN, is a project lecturer in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan. Gojiro Nakagami, PhD, RN, is a project lecturer in the Department of Gerontological Nursing/Wound Care Management in the Graduate School of Medicine of the University of Tokyo, Tokyo, Japan. Hidenori Tanabe, ME, is a collaborative researcher in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan. He is also a research associate at Terumo Corporation in Tokyo. Koichi Yabunaka, PhD, RT, is an assistant professor in the Department of Gerontological Nursing/Wound Care Management in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan. Rika Arai, MS, is a collaborative researcher in the Department of Advanced Nursing Technology in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan, and is a research associate at Terumo Corporation in Tokyo. Chieko Komiyama, RN, is a director of the nursing department at the University of Tokyo Hospital in Tokyo, Japan. Miho Uchida, RN, is a vice director of the nursing department at the University of Tokyo Hospital in Tokyo, Japan. Hiromi Sanada, PhD, RN, WOCN, is a professor in the Department of Gerontological Nursing/Wound Care Management in the Graduate School of Medicine of the University of Tokyo in Tokyo, Japan.

Published: November 2017

Short peripheral catheter (SPC) failure is an important clinical problem. The purpose of this study was to clarify the relationship between SPC failure and etiologies such as thrombus, subcutaneous edema, and catheter dislodgment using ultrasonography and to explore the risk factors associated with the etiologies. Two hundred catheters that were in use for infusion, excluding chemotherapy, were observed. Risk factors were examined by logistic regression analysis. Sixty catheters were removed as the result of SPC failure. Frequency of thrombus with subcutaneous edema in SPC failure cases was significantly greater than in those cases where therapy was completed without complications (P < .01). Multivariate analysis demonstrated that 2 or more insertion attempts were significantly associated with thrombus with subcutaneous edema. Results suggest that subsurface skin assessment for catheterization could prevent SPC failure.

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http://dx.doi.org/10.1097/NAN.0000000000000216	DOI Listing

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