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Evidence · Research paper

Clinical practice guideline on the prevention and management of neonatal extravasation injury: a before-and-after study design.

Research paperBMC Pediatrics2020Over 5 years oldFull text
  • Care and rehabilitation
  • Education and simulation
  • Line and device care
  • Medical
  • Nursing
  • Professional practice

This paper is from 2020, more than five years ago. Newer evidence may have been published since.

Summary

A controlled before-and-after study in a neonatal unit evaluating an evidence-based clinical practice guideline plus multifaceted nurse education for preventing and managing extravasation injury from peripheral and central venous catheters. Outcomes included rates of peripheral intravenous and central line extravasation, alongside nurses' knowledge and adherence at six months. Extravasation rates fell after implementation, and nurse knowledge and adherence improved, though the authors note periodic re-education is needed to sustain gains. Relevant to PICU nursing teams managing vascular access devices and implementing practice change.

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Guidelines are shown for education. Follow your unit's own guidance and senior advice.

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