Universität zu Köln

Dunda, S. E., Demir, E., Mefful, O. J., Grieb, G., Bozkurt, A. and Pallua, N. (2015). Management, clinical outcomes, and complications of acute cannula-related peripheral vein phlebitis of the upper extremity: A retrospective study. Phlebology, 30 (6). S. 381 - 389. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 1758-1125

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Abstract

Objective Acute phlebitis due to peripheral vein catheter use is frequently observed in clinical practice, and requires surgical therapy in severe cases. In this retrospective study, we aimed to increase awareness, evaluate current treatment options, and develop recommendations to optimize treatment outcomes. Methods A total of 240 hospitalized patients with a diagnosis of upper extremity phlebitis from 2006 to 2011 were evaluated in terms of initial clinical features, parameters, co-morbidities and treatment regimes. Severity of phlebitis was graded according to the Baxter scale by assessing clinical symptoms such as pain, erythema, induration, swelling, or palpable venous cord (grade 0-5). Patients were divided in two subgroups: conservative (n = 132) and operative (n = 108) treatment. Results Surgical intervention rates and severity were higher for cannula insertion in the cubital fossa region than for cannula insertion in the forearm and hand region (p < 0.05). Baxter scale grades were higher in the surgical treatment group than in the conservative treatment group (4.47 vs. 2.67, respectively). Conclusions The cubital fossa region is vulnerable to severe phlebitis and is not recommended as the first site of choice for cannulation. Phlebitis of Baxter scale grade 4 or 5 should be considered for early surgical intervention.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dunda, S. E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Demir, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mefful, O. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Grieb, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bozkurt, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pallua, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-399686
DOI:	10.1177/0268355514537254
Journal or Publication Title:	Phlebology
Volume:	30
Number:	6
Page Range:	S. 381 - 389
Date:	2015
Publisher:	SAGE PUBLICATIONS INC
Place of Publication:	THOUSAND OAKS
ISSN:	1758-1125
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INFUSION THROMBOPHLEBITIS; INTRAVENOUS CATHETER; EPIDEMIOLOGY; INFECTIONS Multiple languages Surgery; Peripheral Vascular Disease Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39968