What is a peripheral catheter called?
A peripheral catheter is known by several names, which can sometimes be confusing. The formal medical term is peripheral intravenous catheter, often shortened to PIVC. In clinical practice, it's frequently referred to simply as an IV. Other common terms include IV line, cannula (especially in some countries), the brand name Venflon used generically, and drip, referring to the fluid delivery.
Why is a peripheral catheter needed?
Peripheral catheters are essential for providing temporary access to a patient's bloodstream for various medical treatments. They are primarily used for:
- Administering Fluids: Rehydrating patients.
- Delivering Medications: Giving drugs directly into the bloodstream for faster absorption.
- Blood Transfusions: Providing blood and blood products.
- Nutritional Support: Supplying liquid nutrition.
- Diagnostic Imaging: Injecting contrast dyes for tests like CT scans.
- Blood Sampling: Drawing blood without repeated needle sticks.
How a peripheral catheter is inserted
Inserting a peripheral catheter is a routine procedure performed by trained medical staff. The steps involve:
- Choosing a Site: Selecting a visible vein, usually in the arm or hand, or scalp/foot for infants.
- Cleaning: Preparing the skin with antiseptic to prevent infection.
- Insertion: Inserting a needle with a catheter into the vein, confirmed by a blood flash.
- Advancement: Sliding the catheter into the vein and removing the needle.
- Securing: Taping the catheter to the skin with a sterile dressing.
- Connecting: Attaching the IV tubing to begin fluid or medication delivery.
Types of peripheral catheters
Peripheral catheters vary based on length and how far they extend into the vein. The main categories are short PIVCs and longer types, which are sometimes seen as bridging devices to central lines.
Comparison of Peripheral Catheter Types
Feature | Short Peripheral Catheter (PIVC/Cannula) | Long Peripheral Catheter (LPC/Mini-Midline) | Midline Catheter (MC) |
---|---|---|---|
Length | < 3 inches (7.62 cm) | 6-15 cm | 15-25 cm |
Insertion Site | Usually hand or forearm | Forearm or upper arm | Peripheral veins of upper arm (basilic, cephalic, brachial) |
Catheter Tip Location | Superficial peripheral vein, before the axilla | Mid-upper arm, before the axilla | Axillary vein, at or below the axilla |
Dwell Time | Typically a few days (e.g., 3-5 days) | Up to 4 weeks | Weeks to months |
Uses | Short-term therapy, hydration, blood draw | Multi-day IV therapy, poor venous access | Longer courses of IV fluids, antibiotics, etc. |
Insertion Method | Over-the-needle technique | Over-the-needle or Seldinger technique | Modified Seldinger technique |
Risks and complications
Peripheral catheters are generally safe, but complications can occur, primarily at the insertion site. Common issues include:
- Phlebitis: Inflammation of the vein, causing pain, redness, and swelling.
- Infiltration/Extravasation: Fluid leaking into surrounding tissue, causing swelling and discomfort.
- Occlusion: Blockage preventing fluid flow.
- Dislodgement: Accidental removal of the catheter.
- Infection: Potential for infection at the site or in the bloodstream.
- Hematoma: Bruising from blood leakage during insertion.
Conclusion
A peripheral catheter, known commonly as a peripheral IV, cannula, or IV line, is a vital medical device for providing bloodstream access for various treatments. The specific terminology can vary, but its role in patient care is fundamental. The choice of catheter type depends on the patient's needs and treatment duration. While complications like phlebitis or infiltration can occur, they are generally safe and crucial for administering fluids and medications. Proper insertion, maintenance, and monitoring are key to their safe and effective use. For more information on patient safety regarding peripheral IVs, resources like the Agency for Healthcare Research and Quality (AHRQ) are available.