Study Title |
Year |
Method |
Findings |
[26] Paediatric vascular access |
2015 |
Review |
The choice of a long-term vascular access device in children is guided by duration and frequency of therapy, the infusate’s properties, and the condition and preferences of the patient and caregivers. |
[25] Routine versus clinically indicated replacement of intravenous catheter complications in children: a randomized clinical trial |
2015 |
Randomized clinical trial |
The findings of this study showed superior clinical indication method compared with routine catheter replacement. |
[12] Clinically-indicated replacement versus routine replacement of peripheral venous catheters. |
2015 |
Systematic Review |
The authors found no evidence to support changing catheters every 72 to 96 h. Consequently, they suggested that healthcare organizations consider a policy in which catheters are changed only if clinically indicated. |
[23] Peripheral intravenous (IV) device management. |
2014 |
Guidelines |
Re-cannulation should be avoided where possible, as this will cause the child and family further distress. There is no limit to the length of time that a cannula may remain in situ and with appropriate care, several days may be possible. Cannulas only need to be replaced when there is accidental dislodgement, occlusion, Phlebitis and infection. |
[19] Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. |
2012 |
Randomized controlled equivalence trial |
Peripheral intravenous catheters can be removed as clinically indicated; this policy will avoid millions of catheter insertions, associated discomfort, and substantial costs in both equipment and staff workload. |
[14] Guidelines for the prevention of intravascular catheter-related infections |
2011 |
Guidelines |
Replace peripheral catheters in children only when clinically indicated. |
[24] Routine resite of peripheral intravenous devices every three days did not reduce complications compared with clinically indicated resite: a randomised controlled trial |
2010 |
Randomized controlled trial |
There is growing evidence to support the extended use of peripheral IVDs with removal only on clinical indication. |
[27] Healthcare Infection Control Practices Advisory Committee. Guidelines for the prevention of intravascular catheter-related infections. |
2002 |
Guidelines |
The risk for phlebitis in children has not increased with the duration of catheterisation. |
[28] Peripheral intravenous catheter complications in critically ill children: a prospective study. |
1992 |
Prospective study |
Replacing catheters in critically ill children every 72 hours would not decrease phlebitis, bacterial colonisation, or catheter-induced sepsis and could increase extravasation risk. Catheters can be safely maintained with adequate monitoring for up to 144 hours in critically ill children. |
[29] Percutaneous central venous catheterization in a pediatric intensive care unit: a survival analysis of complications |
1989 |
Prospective study |
No relation was found between duration of catheterisation and the daily probability of infection. |
[30] Infectious complications during peripheral intravenous therapy with Teflon catheters: a prospective study. |
1987 |
Prospective study |
In children in a general pediatric ward, the risk of catheter colonisation and subsequent sepsis should not be used as reasons for routinely removing complication-free peripheral Teflon catheters at 72 hours. |