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Int J Nurs Stud. 2007 Jul;44(5):664-71. Epub 2006 Mar 30.

Developing a Research base for Intravenous Peripheral cannula re-sites (DRIP trial). A randomised controlled trial of hospital in-patients.

Author information

1
Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia. joan_webster@health.qld.gov.au

Abstract

BACKGROUND:

There is currently no high grade evidence on which to base decisions about the frequency of intravenous cannula re-sites.

OBJECTIVE:

To assess the safety of changing peripheral venous cannulas when clinically indicated.

DESIGN:

Randomised controlled trial.

SETTING:

A tertiary referral hospital in Brisbane, Australia.

PARTICIPANTS:

Two hundred and six hospitalised patients from surgical, medical and orthopaedic wards.

INTERVENTIONS:

Peripheral intravenous cannulas were re-sited only when complications occurred (intervention group) or every 3 days (control group).

MAIN OUTCOME MEASURES:

The primary endpoint was any unplanned cannula removal, the secondary outcome was cost.

RESULTS:

Forty six patients had unplanned removals in the intervention group compared with 41 in the control group [relative risk 1.12, 95% confidence interval 0.81-1.55 (p=0.286)], a non-significant difference. Total duration of peripheral cannulation was similar in both groups (mean 123.3h in the intervention group and 125.9h in the control group: P=0.82) but significantly more re-sites occurred in the control group (167 in intervention group, 202 in the control group: p=0.022). Cost of cannula replacements in the intervention group was AUD$3,183.62 and in the control group AUD$3,837.56 (p=0.006).

CONCLUSION:

Re-siting peripheral venous cannulas when clinically indicated compared with changing them routinely every 3 days does not lead to more complications and reduces costs.

PMID:
16574123
DOI:
10.1016/j.ijnurstu.2006.02.003
[Indexed for MEDLINE]

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