Maintaining Short Peripheral Catheter Patency: A Comparison of Saline Lock Versus Continuous Infusion in the Acute Care Setting

J Infus Nurs. 2018 May/Jun;41(3):165-169. doi: 10.1097/NAN.0000000000000276.

Abstract

Sparse evidence exists about how short peripheral catheter (SPC) duration is affected by the presence of a saline lock versus continually infusing fluids. Often the choice to lock an SPC with saline is based on provider preference, rather than available evidence or patient-centered factors. This study compared the duration of 85 SPCs: locked with saline versus continuously running fluids. A secondary analysis considered the influence of a number of intermittent medications and flushes. Although the saline-locked group had a slightly longer duration time, it was not statistically significant. Factors such as desire to ambulate or nighttime saline flushes merit consideration in SPC care decisions and standardized nurse-driven protocols.

MeSH terms

  • Catheterization, Peripheral / instrumentation*
  • Catheters, Indwelling*
  • Humans
  • Infusions, Intravenous / methods
  • Sodium Chloride / administration & dosage*
  • Therapeutic Irrigation / methods*
  • Time Factors
  • Vascular Access Devices

Substances

  • Sodium Chloride