Procedural and Therapy Peripheral Intravenous Catheters: A Framework for Safety, Quality and Patient-Centred Care.
Bertrand Drugeon, Claire M Rickard, Nathan Peters and 2 others
PMID 41178821WHAT IT FOUND
A proposed bedside question sorts peripheral IV catheters into short procedural or overnight therapy use, with matching choices for site, device, disinfection, dressing, monitoring, documentation and removal.
Key findings
01The review retained 75 articles and reported initial-attempt failure rates of 30% to 50%.
02The proposed framework splits PIVCs into procedural catheters removed within 24 hours and therapy catheters requiring at least one overnight stay, with different risks and management priorities.
03The authors state this framework is not clinical practice guidelines and needs further empirical validation before formal implementation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Narrative review, so it may miss relevant publications and does not provide the comprehensiveness or critical appraisal of a systematic review. No formal quality appraisal of included studies was performed. Screening and extraction were done by a single author, so errors may not have been checked independently. The synthesis was interpretative rather than quantitative. Some framework statements are reasoned reflections not directly supported by studies and are hypothesis-generating. The procedural and therapy framework has not been empirically validated.
Declared interests
O.M. and B.D. received funding from B.D. and 3M/Solventum. C.M.R.'s institution received unrestricted investigator-initiated funding from B.D., 3M/Solventum and Cardinal Health, and C.M.R. received lecture or expert opinion payments from 3M, BBraun and ITL. V.C. and N.P. declared no conflicts.
The easy way to misread this
Do not read the procedural and therapy split as proven to reduce complications or improve care. The paper says this framework is exploratory and needs empirical validation before formal implementation.