• J Vasc Access · Jan 2012

    Prehospital peripheral venous catheters: a prospective study of patient complications.

    • Katarina E Göransson and Eva Johansson.
    • Department of Emergency Medicine, Karolinska University Hospital Solna, Stockholm, Sweden. katarina.goransson@karolinska.se
    • J Vasc Access. 2012 Jan 1; 13 (1): 16-21.

    PurposeTo investigate prehospital peripheral venous catheters (PVCs) in relation to the frequency of thrombophlebitis.MethodData in this prospective study were collated using three types of data source: a study-specific questionnaire, a PVC observation instrument (PVC assess), and electronic patient records. The questionnaire was distributed to ambulance crews who had inserted a PVC before bringing the patient to an emergency department at a level one trauma centre in Sweden during 10 weeks in 2008-2009. Patients admitted to hospital ward were followed-up daily by registered nurses using the PVC assess until the PVC was removed. Patient record data were collected by means of auditing.ResultsOf the 83 patients available for follow-up, 45 (54%) developed thrombophlebitis. Quick PVC removal was performed in 32 (71%) of these patients while 13 (29%) PVCs were left in situ for 1-8 days. No association was found between the occurrence of thrombophlebitis and potential risk factors.ConclusionsAlthough thrombophlebitis frequently occurred in PVCs inserted in a prehospital setting, early removal of the device with complication was common. Further studies are warranted to identify the optimal in situ time for PVCs inserted by prehospital emergency teams.

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