Send article
i

Dear community of the Chilean Journal of Nursing, we inform you that we continue to receive articles for publication this 2024,
with a continuous publication system on Nursing and Health Sciences topics;
and an average publication time of nine weeks from article submission to publication. (GUIDELINES FOR THE AUTOR)

 

Prevalence of factors associated with difficult peripheral venous access in a paediatric population in a Chilean hospital

Authors

Vol. 5 No. 1 (2023)
https://doi.org/10.5354/2452-5839.2023.69176

Abstract

Introduction: Half of the pediatric installations of a peripheral venous catheter turn out to be in the context of a patient, a difficult venous access, defined as the installation of a peripheral venous catheter frustrated in the first puncture. Currently, the DIVA score is used as a predictive tool for difficult venous access, however, there is research that proposes new associated factors, arising the need to study them in depth. Aim: To identify the prevalence of factors associated with difficult venous access in pediatric patients treated in the surgery service of a hospital in Chile, 2022. Methodology: Cross-sectional descriptive quantitative research with purposive sampling. Patients aged 0 to 14 years with difficult venous access were included. To investigate these clinical antecedents, 5 of the most mentioned in the literature were selected: Obesity, Diabetes, Sickle Cell Anemia, Chemotherapy and Dialysis. An Ad Hoc comparison grid was used, the results were analyzed using software and the confidence interval was 95%. Results: The median age was 1 year, with an interquartile range of 3. The most prevalent antecedent evaluated in patients with difficult venous access was obesity, present in 31% of the sample and the second, was sickle cell anemia, present in 5%. Conclusions: A wide difference was evidenced between the variables studied, with obesity being the most prevalent; the research achieved the purpose of providing evidence that helps decision-making for the care of the patient's venous capital.

Keywords:

Pediatrics, Catheterization, Peripheral, Vascular access devices, Nursing care, Evidence-Based Nursing

References

Kleidon TM, Cattanach P, Mihala G, Ullman AJ. Implementation of a paediatric peripheral intravenous catheter care bundle: A quality improvement initiative. J Paediatr Child Health 2019;55(10):1214-1223. https://doi.org/10.1111/jpc.14384

Schults J, Rickard C, Kleidon T, Paterson R, Macfarlane F, Ullman A. Difficult Peripheral Venous Access in Children: An International Survey and Critical Appraisal of Assessment Tools and Escalation Pathways. J Nurs Scholarsh 2019;51(5):537-546. https://doi.org/10.1111/jnu.12505

Borchert E, Lacassie H, Concha M, Rattalino M, Lema G. Acceso venoso difícil en pediatría. Rev. chil. anest 2021;50(5):685-689. http://doi.org/10.25237/revchilanestv50-03-08

Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N, Lin F, Alberto L, Mermel L, Rickard CM. Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. J Hosp Med 2018;13(5):e1-7. https://doi.org/10.12788/jhm.3039

Dias EF, Viana ACN, Andraus LMS, Pereira MS. Utilização do dispositivo intravenoso periférico intermitente em pediatria. Rev. Eletr. Enferm 2000;2(2). https://doi.org/10.5216/ree.v2i2.685

Rodriguez MA. Factores de riesgo de dificultad en la canalización venosa periférica en atención hospitalaria. Estudio caso-control multicéntrico [Tesis Doctoral en Investigación traslacional en salud pública y enfermedades de alta prevalencia] Universitat de les Illes Balears. 2021.

Girotto C, Arpone M, Frigo AC, Micheletto M, Mazza A, Da Dalt L, Bressan S. External validation of the DIVA and DIVA3 clinical predictive rules to identify difficult intravenous access in paediatric patients. Emerg Med J 2020;37(12):762-767. https://doi.org/10.1136/emermed-2020-209658

Yen K, Riegert A, Gorelick MH. Derivation of the DIVA score: A clinical prediction rule for the identification of children with difficult intravenous access. Pediatr Emerg Care 2008;23(3):143-147. https://doi.org/10.1097/PEC.0b013e3181666f32

Riker MW, Kennedy C, Winfrey BS, Yen K, Dowd MD. Validation and Refinement of the Difficult Intravenous Access Score: A Clinical Prediction Rule for Identifying Children with Difficult Intravenous. Acad Emerg Med 2011;18(11):1129-1134. https://doi.org/10.1111/j.1553-2712.2011.01205.x

Registered Nurses´ Association of Ontario (RNAO). Vascular access. 2nd ed. Toronto (ON): RNAO; 2021. https://rnao.ca/bpg/guidelines/vascular-access-second-edition

Martins TS. Survey of the costs of peripheric intravenous device in the composition of the values of the internment in pediatrics unit - a quantitative study. OBJN 2008;7(2):419-421. https://doi.org/10.5935/1676-4285.20081499

Goff D, Larsen P, Brinkley J, Eldridge D, Newton D, Hartzog T, Rautt J. Resource Utilization and Cost of Inserting Peripheral Intravenous Catheters in Hospitalized Children. Hosp Pediatr 2013;3(3):185-191. https://doi.org/10.1542/hpeds.2012-0089

Neriz L, Cruz-Fernández D, Rodríguez-Araya D, Sawada M. Los costos basados en actividades de Unidades Médico Quirúrgica y de Cuidados Medios en un hospital público. Rev. méd. Chile 2020;148(1):17-29. https://doi.org/10.4067/S0034-98872020000100017

Witting M, Moayedi S, Brown L, Ismail A. Predictors and Delays Associated with the Need for Advanced Techniques for Intravenous Access. J Emerg Med 2017;53(2):172-177. https://doi.org/10.1016/j.jemermed.2017.04.002

Egan G, Healy D, O’Neill H, Clarke-Moloney M, Grace P, Walsh S. Ultrasound guidance for difficult peripheral venous access: systematic review and meta-analysis. Emerg Med J 2013;30(7):521-526. https://doi.org/10.1136/emermed-2012-201652

Fields J, Piela N, Au A, Ku B. Risk factors associated with difficult venous access in adult ED patients. Am J Emerg Med 2014;32(10):1179-1182. https://doi.org/10.1016/j.ajem.2014.07.008

Rodríguez M. Definiendo la vía venosa periférica de difícil canalización y los factores de riesgo asociados. Medicina Balear 2019;34(1):11-19. https://doi.org/10.3306/MEDICINABALEAR.34.01.11

Perret C, Pérez C, Poblete MJ. Manual de pediatría. Chile; 2018. https://medicina.uc.cl/wp-content/uploads/2018/09/Manual-de-Pediatria.pdf

OMS. Obesidad y sobrepeso. 9 de junio de 2021. https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight

Ministerio de Salud de Chile. Patrones de crecimiento para la evaluación nutricional de niños, niñas y adolescentes, desde el nacimiento hasta los 19 años de edad (con líneas de corte). Santiago; 2018. 92p. http://www.bibliotecaminsal.cl/wp/wp-content/uploads/2018/07/2018.06.14-PAC_Interior-con-lineas-de-corte-14-juliov3.pdf

Sebbane M, Claret PG, Lefebvre S, Mercier G, Rubenovitch J, Jreige R, et al. Predicting Peripheral Venous Access Difficulty in the Emergency Department Using Body Mass Index and a Clinical Evaluation of Venous Accessibility. J Emerg Med 2012;44(22):299-305. https://doi.org/10.1016/j.jemermed.2012.07.051

Gallieni M, Pittiruti M, Biffi R. Vascular access in oncology patients. CA Cancer J Clin 2008;58(6):323-346. https://doi.org/10.3322/CA.2008.0015

Vargas PL. Cáncer en pediatría: Aspectos generales. Rev. chil. pediatr 2000;71(4):283-295. https://doi.org/10.4067/S0370-41062000000400002

Piredda M, Biagioli V, Barrella B, Carpisassi I, Ghinelli R, Giannarelli D, et al. Factors affecting difficult peripheral intravenous cannulation in adults: a prospective observational study. J Clin Nurs 2016;26(7-8):1074-1084. https://doi.org/10.1111/jocn.13444

Ministerio de Salud de Chile. Guía clínica AUGE Diabetes Mellitus tipo 1. Santiago; 2013. 67p. http://www.bibliotecaminsal.cl/wp/wp-content/uploads/2016/04/Diabetes-Mellitus-tipo-1.pdf

Hamilton H, Knudsen G, Vaina C, Smith M, Paul S. Children and young people with diabetes: recognition and management. Br J Nurs 2017;26(6):340-347. https://doi.org/10.12968/bjon.2017.26.6.340

Pomero F, Di Minno MND, Fenoglio L, Gianni M, Ageno W, Dentali F. Is diabetes a hypercoagulable state? A critical appraisal. Acta Diabetol 2015;52(6):1007–1016. https://doi.org/10.1007/s00592-015-0746-8

Comité Educativo de ASODI, Asociación de Dializados y Trasplantados de Chile. Manual educativo ASODI para el paciente en diálisis y trasplantado. Chile: ASODI; 2017. 91 p. https://asodi.cl/wp-content/uploads/2018/04/Manual-Educativo.pdf

Gajardo M, Cano F. ABC de la diálisis peritoneal en pediatría. Rev Chil Pediatr 2020;91(2):265-274. https://dx.doi.org/10.32641/rchped.v91i2.1242

Cobo G, Lindholm B, Stenvinkel P. Chronic inflammation in end-stage renal disease and dialysis. NDT 2018;33(3):35-40. https://doi.org/10.1093/ndt/gfy175

Aarstad HH, Guðbrandsdottir G, Hjelle KM, Bostad L, Bruserud Ø, Tvedt THA, et al. The Biological Context of C-Reactive Protein as a Prognostic Marker in Renal Cell Carcinoma: Studies on the Acute Phase Cytokine Profile Cancers. Norwegian Cancer Society 2020;12(7):1961. https://doi.org/10.3390/cancers12071961

Gameiro J, Ibeas J. Factors affecting arteriovenous fistula dysfunction: A narrative review. J Vasc Access 2020;21(2):134-147. https://doi.org/10.1177/1129729819845562

Hartman EMJ, De Nisco G, Gijsen FJH,Korteland SA, van der Steen AFW, Daemen J, et al. The definition of low wall shear stress and its effect on plaque progression estimation in human coronary arteries. Sci Rep 2021;11(1):22086. https://doi.org/10.1038/s41598-021-01232-3

Murdeshwar HN, Anjum F. Hemodialysis. Treasure Island (FL): StatPearls Publishing; 2023 https://www.ncbi.nlm.nih.gov/books/NBK563296/

Descriptores en Ciencias de la Salud: DeCS [Internet]. ed. 2017. Sao Paulo (SP): BIREME/OPS/OMS; 2017. Anemia de Células Falciformes. https://decs2020.bvsalud.org/cgi-bin/wxis1660.exe/decsserver/

Quintero M, Jiménez A. Anemia de células falciformes. Revista Gastrohnup 2012;14(2)Sup1:27-35.

Boechat TdeO, do Nascimento EM, Lobo CL, Ballas SK. Deep venous thrombosis in children with sickle cell disease. Pediatr Blood Cancer 2015;62(5):838–841. https://doi.org/10.1002/pbc.25431

Lim MY, Ataga KI, Key NS. Hemostatic abnormalities in sickle cell disease. Hemostasis and thrombosis. Curr Opin Hematol 2013;20(5):472-477. https://doi.org/10.1097/MOH.0b013e328363442f

Ministerio de Salud de Chile. Orientaciones técnicas para la atención psicosocial de los niños y niñas hospitalizados en servicios de neonatología y pediatría. Chile;2011. 116p. https://www.crececontigo.gob.cl/wp-content/uploads/2015/11/Atencion_Psicosocial_RN.pdf

Rodríguez E. Comités de evaluación ética y científica para la investigación en seres humanos y las pautas CIOMS 2002. Acta Bioeth 2004;10(1):37-47. https://doi.org/10.4067/S1726-569X2004000100005

Burrows R. Obesidad en niños y adolescentes: sus efectos más allá de la salud física. Santiago de Chile: INTA;2021. https://inta.cl/obesidad-en-ninos-y-adolescentes-sus-efectos-mas-alla-de-la-salud-fisica/

Ministerio de Educación de Chile. Mapa Nutricional 2020. Chile: JUNAEB; 2020. https://www.junaeb.cl/wp-content/uploads/2021/03/MapaNutricional2020_.pdf

Zúñiga P, Martínez C, González L, Rendón D, Rojas N, Barriga F, et al. Enfermedad de células falciformes: Un diagnóstico para tener presente. Rev. chil. pediatr 2018;89(4):525-529. https://doi.org/10.4067/S0370-41062018005000604

Downloads

Altmetrics
How to Cite
Pizarro Canales, F., Cabello Barrera, J., Feres Maulén, A., Oehrens Baquedano, S., Palma García, J., & De la Fuente, F. (2023). Prevalence of factors associated with difficult peripheral venous access in a paediatric population in a Chilean hospital. Revista Chilena De Enfermería, 5(1), 23–33. https://doi.org/10.5354/2452-5839.2023.69176
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Endnote/Zotero/Mendeley (RIS) BibTeX
 
Revista Chilena de Enfermería
Facultad de Medicina
Universidad de Chile
DATOS DE INVESTIGACIÓN
Dirección de Servicios de Información y Bibliotecas (SISIB)