Biomaterial Database

Maintaining Short Peripheral Catheter Patency: A Comparison of Saline Lock Versus Continuous Infusion in the Acute Care Setting. 2018

Sheila Serr Roszell, and Holly Barlowe Rabinovich, and Cheryl A Smith-Miller

University of North Carolina Healthcare System, Chapel Hill, North Carolina (Drs Roszell and Smith-Miller, and Ms Rabinovich). Sheila Serr Roszell, PhD, MSN, RN-BC, is the owner of Improvement Thinking Metrics, LLC, and is a quality data analyst for the University of North Carolina Healthcare System. She holds a BSN from the University of Missouri and an MSN and PhD in nursing, health care systems from the University of North Carolina at Chapel Hill. Holly Barlowe Rabinovich, BSN, RN, is a clinical nurse on an orthopedic trauma surgical unit at the University of North Carolina Healthcare System. She earned a BSN from the University of North Carolina at Chapel Hill. This project is her first foray into research. Cheryl A. Smith-Miller, PhD, RN-BC, is a nurse researcher at the University of North Carolina Healthcare System. She is currently serving as a nurse scientist, facilitating clinical nurses' engagement in research. Her research interests include nurses' work, culture, diabetes, and health disparities.

Sparse evidence exists about how short peripheral catheter (SPC) duration is affected by the presence of a saline lock versus continually infusing fluids. Often the choice to lock an SPC with saline is based on provider preference, rather than available evidence or patient-centered factors. This study compared the duration of 85 SPCs: locked with saline versus continuously running fluids. A secondary analysis considered the influence of a number of intermittent medications and flushes. Although the saline-locked group had a slightly longer duration time, it was not statistically significant. Factors such as desire to ambulate or nighttime saline flushes merit consideration in SPC care decisions and standardized nurse-driven protocols.

UI	MeSH Term	Description	Entries
D007262	Infusions, Intravenous	The long-term (minutes to hours) administration of a fluid into the vein through venipuncture, either by letting the fluid flow by gravity or by pumping it.	Drip Infusions,Intravenous Drip,Intravenous Infusions,Drip Infusion,Drip, Intravenous,Infusion, Drip,Infusion, Intravenous,Infusions, Drip,Intravenous Infusion
D007507	Therapeutic Irrigation	The washing of a body cavity or surface by flowing water or solution for therapy or diagnosis.	Douching,Lavage,Douchings,Irrigation, Therapeutic,Irrigations, Therapeutic,Lavages,Therapeutic Irrigations
D002406	Catheterization, Peripheral	Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.	Arterial Catheterization, Peripheral,Catheterization, Bronchial,Catheterization, Peripheral Arterial,Catheterization, Peripheral Venous,Peripheral Catheterization,Venous Catheterization, Peripheral,Bronchial Catheterization,PICC Line Catheterization,PICC Line Placement,PICC Placement,Peripheral Arterial Catheterization,Peripheral Venous Catheterization,Peripherally Inserted Central Catheter Line Insertion,Arterial Catheterizations, Peripheral,Bronchial Catheterizations,Catheterization, PICC Line,Catheterizations, Bronchial,Catheterizations, PICC Line,Catheterizations, Peripheral,Catheterizations, Peripheral Arterial,Catheterizations, Peripheral Venous,PICC Line Catheterizations,PICC Line Placements,PICC Placements,Peripheral Arterial Catheterizations,Peripheral Catheterizations,Peripheral Venous Catheterizations,Placement, PICC,Placement, PICC Line,Placements, PICC,Placements, PICC Line,Venous Catheterizations, Peripheral
D002408	Catheters, Indwelling	Catheters designed to be left within an organ or passage for an extended period of time.	Implantable Catheters,In-Dwelling Catheters,Catheter, In-Dwelling,Catheter, Indwelling,Catheters, In-Dwelling,In Dwelling Catheters,In-Dwelling Catheter,Indwelling Catheter,Indwelling Catheters
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012965	Sodium Chloride	A ubiquitous sodium salt that is commonly used to season food.	Sodium Chloride, (22)Na,Sodium Chloride, (24)NaCl
D013997	Time Factors	Elements of limited time intervals, contributing to particular results or situations.	Time Series,Factor, Time,Time Factor
D062666	Vascular Access Devices	Devices to be inserted into veins or arteries for the purpose of carrying fluids into or from a peripheral or central vascular location. They may include component parts such as catheters, ports, reservoirs, and valves. They may be left in place temporarily for therapeutic or diagnostic purposes.	Arterial Lines,Intra-Arterial Lines,Vascular Access Ports,Venous Reservoirs,Port Catheters,Port-A-Cath,Vascular Catheters,Arterial Line,Catheter, Port,Catheter, Vascular,Catheters, Port,Catheters, Vascular,Device, Vascular Access,Devices, Vascular Access,Intra Arterial Lines,Intra-Arterial Line,Line, Arterial,Line, Intra-Arterial,Lines, Arterial,Lines, Intra-Arterial,Port A Cath,Port Catheter,Port, Vascular Access,PortACath,Ports, Vascular Access,Reservoir, Venous,Reservoirs, Venous,Vascular Access Device,Vascular Access Port,Vascular Catheter,Venous Reservoir