Complications of Peripheral Venous Access Devices: Prevention, Detection, and Recovery Strategies

Crit Care Nurse. 2017 Apr;37(2):e1-e14. doi: 10.4037/ccn2017657.

Abstract

Most hospitalized patients have placement of a peripheral venous access device, either a short peripheral catheter or a peripherally inserted central catheter. Compared with central venous catheters that are not peripherally inserted, the other 2 types are generally perceived by health care providers as safer and less complicated to manage, and less emphasis is placed on the prevention and management of complications. Expertise of nurses in inserting, managing, and removing these devices may reduce the likelihood of complications, and increased recognition of complications associated with use of the devices is important to ensure continued improvements in the safety, quality, and efficiency of health care. Complications associated with short peripheral catheters and peripherally inserted central catheters include tourniquet retention, tubing and catheter misconnections, phlebitis, air embolism, device fragment embolization, and inadvertent discharge with a retained peripheral venous access device. Integration of prevention, detection, and recovery strategies into personal nursing practice promotes the quality and safety of health care delivery.

Publication types

  • Comparative Study

MeSH terms

  • Catheter-Related Infections / nursing*
  • Catheter-Related Infections / prevention & control*
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / instrumentation
  • Catheterization, Central Venous / methods
  • Catheterization, Central Venous / nursing*
  • Catheterization, Peripheral / adverse effects*
  • Catheterization, Peripheral / instrumentation
  • Catheterization, Peripheral / methods
  • Catheterization, Peripheral / nursing*
  • Critical Care Nursing / standards*
  • Humans
  • Practice Guidelines as Topic