Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016

Abstract Background Peripheral Intravenous cannula (IV) is the most common vascular access device used to administer medications with the exception of medication or fluid with high or low PH or hyperosmolarity which may cause severe damage to small veins. The insertion of a peripheral intravenous ca...

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Main Authors: Eskedar Birhane, Kalayou Kidanu, Mekuria Kassa, Dawit Gerezgiher, Lidia Tsegay, Brhanu Weldu, Genet Kidane, Hadgu Gerensea
Format: Article
Language:English
Published: BMC 2017-06-01
Series:BMC Nursing
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12912-017-0227-1
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author Eskedar Birhane
Kalayou Kidanu
Mekuria Kassa
Dawit Gerezgiher
Lidia Tsegay
Brhanu Weldu
Genet Kidane
Hadgu Gerensea
author_facet Eskedar Birhane
Kalayou Kidanu
Mekuria Kassa
Dawit Gerezgiher
Lidia Tsegay
Brhanu Weldu
Genet Kidane
Hadgu Gerensea
author_sort Eskedar Birhane
collection DOAJ
description Abstract Background Peripheral Intravenous cannula (IV) is the most common vascular access device used to administer medications with the exception of medication or fluid with high or low PH or hyperosmolarity which may cause severe damage to small veins. The insertion of a peripheral intravenous cannula in newborn infants can be difficult. Appropriate veins with sufficient capacity to insert a cannula become less available throughout the hospital stay. Once a peripheral intravenous cannula is inserted, it is desirable that its patency can be maintained as long as possible. This study was aimed to assess the lifespan and associated factors of peripheral intravenous cannula among infants admitted in public hospitals of Mekelle city, Tigray, Ethiopia, 2016. Methods The method used was a prospective cohort study. 178 study subjects were recruited using systematic random sampling technique. The data was collected by structured questionairre and observational checklist. Results More than half of infants (94) had a short cannula lifespan (below 30 h). Multivariable logistic regression analysis showed that Pediatric intensive care unit (PICU) [AOR = 6.93; 95% CI (1.56,30.71)], clinical experience (3-5 years) [AOR = 0.168; 95% CI (0.060-0.469)], insertion site (arm) [AOR = 0.126;95% CI (0.046-0.349)], reason for removal (dislodgement and complication) [AOR = 8.15; 95% CI (2.49,26.63) [AOR = 10.48;95% CI (3.08,35.65)], medication [AOR = 0.17;95% CI (0.37,0.784)], corticosteroids [0.164; 95% CI (0.034,0.793)] and blood transfusion [AOR = 0.12; 95% CI (0.028-0.509)] were the statistically significant variables associated with the lifespan of a peripheral intravenous cannula. Conclusions Untimely removal of peripheral intravenous cannulas was higher in infants and demographic. Cannulation and health care factors had significant effects on the lifespan of a peripheral intravenous cannula.
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spelling doaj.art-b96b3b94465a469e9178802fe43dd9c02022-12-21T19:04:08ZengBMCBMC Nursing1472-69552017-06-011611810.1186/s12912-017-0227-1Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016Eskedar Birhane0Kalayou Kidanu1Mekuria Kassa2Dawit Gerezgiher3Lidia Tsegay4Brhanu Weldu5Genet Kidane6Hadgu Gerensea7School of Nursing, College of Health Sciences and Referral Hospital, Axum UniversityDepartment of Nursing, College of Health Sciences, Mekelle UniversityDepartment of Nursing, College of Health Sciences, Mekelle UniversitySchool of Nursing, College of Health Sciences and Referral Hospital, Axum UniversitySchool of Nursing, College of Health Sciences and Referral Hospital, Axum UniversitySchool of Medicine, College of Health Sciences and Referral Hospital, Axum UniversityDepartment of Public Health, College of Health Sciences, Mekelle UniversitySchool of Nursing, College of Health Sciences and Referral Hospital, Axum UniversityAbstract Background Peripheral Intravenous cannula (IV) is the most common vascular access device used to administer medications with the exception of medication or fluid with high or low PH or hyperosmolarity which may cause severe damage to small veins. The insertion of a peripheral intravenous cannula in newborn infants can be difficult. Appropriate veins with sufficient capacity to insert a cannula become less available throughout the hospital stay. Once a peripheral intravenous cannula is inserted, it is desirable that its patency can be maintained as long as possible. This study was aimed to assess the lifespan and associated factors of peripheral intravenous cannula among infants admitted in public hospitals of Mekelle city, Tigray, Ethiopia, 2016. Methods The method used was a prospective cohort study. 178 study subjects were recruited using systematic random sampling technique. The data was collected by structured questionairre and observational checklist. Results More than half of infants (94) had a short cannula lifespan (below 30 h). Multivariable logistic regression analysis showed that Pediatric intensive care unit (PICU) [AOR = 6.93; 95% CI (1.56,30.71)], clinical experience (3-5 years) [AOR = 0.168; 95% CI (0.060-0.469)], insertion site (arm) [AOR = 0.126;95% CI (0.046-0.349)], reason for removal (dislodgement and complication) [AOR = 8.15; 95% CI (2.49,26.63) [AOR = 10.48;95% CI (3.08,35.65)], medication [AOR = 0.17;95% CI (0.37,0.784)], corticosteroids [0.164; 95% CI (0.034,0.793)] and blood transfusion [AOR = 0.12; 95% CI (0.028-0.509)] were the statistically significant variables associated with the lifespan of a peripheral intravenous cannula. Conclusions Untimely removal of peripheral intravenous cannulas was higher in infants and demographic. Cannulation and health care factors had significant effects on the lifespan of a peripheral intravenous cannula.http://link.springer.com/article/10.1186/s12912-017-0227-1LifespanAssociated factorPeripheral intravenous cannulaInfant
spellingShingle Eskedar Birhane
Kalayou Kidanu
Mekuria Kassa
Dawit Gerezgiher
Lidia Tsegay
Brhanu Weldu
Genet Kidane
Hadgu Gerensea
Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016
BMC Nursing
Lifespan
Associated factor
Peripheral intravenous cannula
Infant
title Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016
title_full Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016
title_fullStr Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016
title_full_unstemmed Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016
title_short Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016
title_sort lifespan and associated factors of peripheral intravenous cannula among infants admitted in public hospitals of mekelle city tigray ethiopia 2016
topic Lifespan
Associated factor
Peripheral intravenous cannula
Infant
url http://link.springer.com/article/10.1186/s12912-017-0227-1
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