Placement Management And Complications Associated With Peripheral Intravenous Catheter Use In UK Small Animal Practice

Scudder, Christopher; Haskey, Eleanor; Maund, V; Allerton, F; Browse, B; Heard, C; O'Donnell, C; Davison, K; Hertel, C; Booth, E; Lawrence, S; Dever, E; Taylor, H; Hall, K; Junior, M; Fennell, C; Stevenson, N; Sterritt, A; Penn, E; Nowell, L; Collins, A; Jones, E

Abstract

Objectives: To describe the techniques for preparation and placement of peripheral intravenous catheters (PIVCs), to describe the complications associated with PIVCs, and to identify factors associated with PIVC complications in small animal practice in the United Kingdom.
Methods: Prospective multicentre observational study undertaken between January 2022 to January 2023. Data collected included patient information, information regarding the placement and maintenance of PIVCs, and PIVC complications, from privately-owned cats and dogs presenting to veterinary institutes in the United Kingdom. Patients required a PIVC to be placed as part of their care and the PIVC was anticipated to be in situ for >24 hours to be eligible for PIVC complication analysis.
Results: A total of 19 institutes recorded data regarding 382 PIVCs, with 325 (85.1%) placed in dogs and 57 (14.9%) in cats. The most common reasons for placement were to administer intravenous fluid therapy (74.3%) and intravenous medications (71.7%). There were 102/382 (26.7%) PIVCs associated with a complication, with limb swelling / suspected phlebitis in 44/382 (11.5%) and PIVC dislodgement / patient interference in 30/382 (7.9%) of PIVCs. Factors associated with increased risk of complication were >1 attempt to place the PIVC (P = 0.005), a second or subsequent PIVC being placed during hospitalisation (P = 0.007), flush frequency (P = 0.02) and flush solution (P = 0.019).
Clinical Significance: Veterinary professionals must be vigilant when monitoring a patient with a PIVC in situ, particularly if a PIVC is associated with one of the aforementioned factors of increased likelihood of complication.

Citation

Scudder, C., Haskey, E., Maund, V., Allerton, F., Browse, B., Heard, C., O'Donnell, C., Davison, K., Hertel, C., Booth, E., Lawrence, S., Dever, E., Taylor, H., Hall, K., Junior, M., Fennell, C., Stevenson, N., Sterritt, A., Penn, E., Nowell, L., …Jones, E. (in press). Placement Management And Complications Associated With Peripheral Intravenous Catheter Use In UK Small Animal Practice. Journal of Small Animal Practice, https://doi.org/10.1111/jsap.13782

• Journal Article Type: Article
• Acceptance Date: Aug 8, 2024
• Online Publication Date: Sep 5, 2024
• Deposit Date: Sep 19, 2024
• Publicly Available Date: Sep 19, 2024
• Print ISSN: 0022-4510
• Electronic ISSN: 1748-5827
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1111/jsap.13782