The effectiveness of a non-tourniquet procedure on peripheral intravenous catheterization in older patients: A pilot study

Contemp Nurse. Oct-Dec 2020;56(5-6):405-416. doi: 10.1080/10376178.2020.1801351. Epub 2020 Aug 18.


Background: In an older population, insertion of peripheral intravenous catheterizations (PIVCs) are more difficult because of specific problems.Aim: This study aimed to determine the initial efficacy of non-tourniquet procedure during insertion of PIVC in older patients.Design/Methods: This quasi-experimental study was conducted in 78 older patients. The initial efficacy of non-tourniquet procedure was tested during insertion of PIVC.Results: This study showed that similar pain intensity scores immediately after inserting the PIVC (p>0.05). The first-attempt success and dwell time in non-tourniquet procedure older patients were be higher/longer and phlebitis scores were lower than the control group (p<0.05).Conclusions: To increase the success of PIVC first-attempt, a longer dwell time, and lower phlebitis scores in older patients, nurses should insert PIVCs at an almost flat degree and stabilize the vein without a tourniquet.Impact statement: The non-tourniquet procedure will lead to the long dwell time and using safely of PIVC in older patients.

Keywords: aging; catheterization; pain; peripheral; phlebitis; tourniquets.

MeSH terms

  • Administration, Intravenous
  • Aged
  • Catheterization, Peripheral*
  • Humans
  • Phlebitis*
  • Pilot Projects