Peripheral Vein Thrombophlebitis in the Upper Extremity: a Frequent and Important Problem - ESMED

Shu Yun Heng, Singapore General Hospital "The acceptable incidence of thrombophlebitis following intravenous cannulation is 5%, as recommended by the Intravenous Nurses Society guidelines, but publications have reported startling figures of 20% to 80%. Given the frequency of intravenous lines, this presents a potential clinical problem. Thrombophlebitis can progress despite antibiotics to become a challenging clinical problem requiring surgical intervention. We aimed to determine the predisposing patient, catheter, and health care-related factors of peripheral vein thrombophlebitis in the upper extremity. We reviewed our experience of surgical intervention with analysis of the indications for intervention, description of the surgical procedures and outcomes. Qualitative syntheses revealed that patient-related factors that confer a higher risk included intercurrent illness, immunocompromised state, comorbidities such as diabetes mellitus, malignancy, previous thrombophlebitis, burns, and higher hemoglobin levels. Catheter-related risk factors included catheter size, duration, and site of insertion. Intravenous antibiotics and potassium chloride predisposed to thrombophlebitis. Cannulation by an intravenous therapy team and more nursing care were associated with a decreased risk. Splintage should be considered. Recognition of the predisposing factors would allow for targeted strategies to aid in the prevention of this iatrogenic infection, which may include closer monitoring of patients who are identified to be vulnerable. We developed an algorithm to guide clinical management." For more details please visit our website https://esmed.org/ and our YouTube channel below https://www.youtube.com/channel/UCp4b1lcWovYNFEKdvat-rQw/ and Twitter feed https://twitter.com/EuropeanSociet2 2021 European Society of Medicine General Assembly Interesting info from past conferences located here https://www.slideshare.net/MOsman14 and owner LinkedIn https://www.linkedin.com/in/m-osman-5b6887206/

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