Hi,
I´m asking about your opinion on different PIV design. I work in Sweden and the PIV used mostly has a design with an injektion-port on top of the catheter(BD Venflon). These ports are used for injektions of drugs even though it´not recommended because it´s not possible to clean these port before use. I´m trying to convince nurses to use PIV without injektion-port but it´s not easy. Is there anyone who has seen any scientific work done on PIV design ?
Best Regards Anders Larsson MD Cosultant Anesthetist Gavle, Sweden
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Ported catheters have never been on the market in the USA, so we have no experience with them at all. I regard them as a serious risk for infection. That cap can not be removed and replaced and can easily be contaminated. There are a couple of studies showing a trend toward a greater infection risk with these catheters. Go to my website and download an integrative lit review I published a couple of years ago. Click here Resources, then scroll down to find the article Short Peripheral Intravenous Catheters and Infection. That review contains a short discussion of these ported catheters and has the references I found. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
It's going to be a huge task to change the tradition, in Sweden, with these PIVs.
I'm trying to introduce the Nexiva catheter at our ward but i'm encountering a lot of resistance from nurses.
The evidence is probably too weak. Good luck!
Nurse specialist ICU/ANE/PICC.
Dep. of Neurosurgery
Umea University Hospital/SWEDEN
I don't think I would qualify the evidence as weak, but it is very limited. It will be up to nurses in countries where this catheter is being used to do the studies showing what their outcomes actually are. Good luck. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861