Infiltration of Peripheral Venous Catheters
The use of peripheral venous lines for infusion of fluids and medications are a consistent requirement in pediatric practice. Knowing the factors associated with increased incidence of infiltration will allow for the most judicious use and placement of peripheral venous lines, thus decreasing the need for repeat placements. The use of specially trained personnel and proper preparation and care of the skin can reduce the risk of complication.
Steel needles and Teflon catheters are both associated with minimal infection and cannula colonization. Although Teflon catheters have a higher risk of phlebitis, they provide a significant advantage over steel needles, especially in low birth weight infants, because they remain in place longer.