Effect of fixation with fixation apparatus of peripheral intravenous catheter placed in veins in fossa cubitalis with fixation apparatus on peripheral intravenous catheter complications in children

Effect of Fixation with Fixation Apparatus of Peripheral Intravenous Catheter Placed in Veins in Fossa Cubitalis with Fixation Apparatus on Peripheral Intravenous Catheter Complications in Children In our study, we aimed to compare the effects of fixation of peripheral venous catheter (PVK) placed in veins located in the fossa cubitalis in children with different fixation devices on the complications of PVK in a prospective and randomized controlled manner. The study was conducted in 60 patients under the age of 10, ASA (American Society of Anesthesiologists) score I-II, who would undergo urogenital system and gastrointestinal system surgery in Bursa Uludağ University Faculty of Medicine Pediatric Surgery and Pediatric Urology Clinics after approval by the Ethics Committee and written consent from patients. The patients were randomly divided into two groups as Group 1 (n = 30) using HEFB (hypoallergenic elastic fixation band) and Group 2 (n = 30) using FA (fixation apparatus). Both groups were followed up in the operating room and clinic in terms of PVC life and complications (infection, infiltration, extravasation, displacement, catheter occlusion, catheter folding) and these features were recorded. The mean and standard deviation values of the age (months), weight (kg) and height (cm) parameters of the HEFB and FA groups and gender, ASA score, preferred vein, type of surgery and the percentage of extremities used were calculated. Between both groups; no significant difference was found in terms of age, weight, height, gender, ASA score, preferred vein, type of surgery and used extremity values (p = 0.383, p = 0.823, p = 0.974, p = 0.739, p = 0.825, p = 390, p = 602). When the catheter type (diameter) was compared in terms of age, weight and height measurement values in both groups, it was found similar (p> 0.05). PVK lifespan (duration) was similar in both groups (p>0.05). PVC complications were significantly lower in the FA group (p = 0.026). In conclusion, although the complication rate in this study was significantly reduced, no significant result was obtained regarding PIVC lifespan. Complication rate can be kept low by using a fixation board, providing a strict nursing care, and frequent evaluation of the catheter insertion site. Keywords: Fossa cubitalis, peripheral venous catheter, complication