Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children.
Luciano Marques Dos Santos, Katharinne de Jesus Nunes, Cleonara Sousa Gomes E Silva and 3 others
PMID 34190937WHAT IT FOUND
A pediatric IV infiltration and extravasation algorithm for non-chemotherapy drugs and solutions was judged acceptable in content and appearance by expert nurses.
It standardizes stopping infusion, assessing edema, compresses and antidotes. No child outcomes are reported.
Key findings
01The algorithm reached content validity after three evaluations, with a Global CVI of 0.99.
02The validation panel was 14 nurses, and 13 completed the third evaluation.
03No randomized controlled studies on compresses for this complication were found; only observational studies and case reports were available.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The validation was subjective, and practical applicability still needs testing. The panel was small and selected by researchers' own criteria, with no sample calculation. No randomized trials on compresses were found, so some treatment choices rest on lower-quality evidence. The paper reports expert agreement, not patient outcomes.
The easy way to misread this
Do not read this as proof that the algorithm improves pediatric IV outcomes. The paper reports expert agreement, not patient outcomes.