Academic Journal
Selection of central versus peripheral vascular access in patients receiving chemotherapy: A survey among Italian nurses promoted by the Italian Lymphoma Foundation.
| Τίτλος: | Selection of central versus peripheral vascular access in patients receiving chemotherapy: A survey among Italian nurses promoted by the Italian Lymphoma Foundation. |
|---|---|
| Συγγραφείς: | Saracino L; Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Togni S; Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Cieri M; Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Bianco R; Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy., Olivazzi F; ASST Spedali Civili di Brescia, Brescia, Italy., Manzo D; Ospedale Civile Spirito Santo, Pescara, Italy., Nepoti G; IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola-Malpighi, Bologna, Italy. |
| Πηγή: | The journal of vascular access [J Vasc Access] 2026 Jul; Vol. 27 (4), pp. 1520-1525. Date of Electronic Publication: 2025 Dec 09. |
| Τύπος έκδοσης: | Journal Article; Comparative Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Publications Country of Publication: United States NLM ID: 100940729 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6032 (Electronic) Linking ISSN: 11297298 NLM ISO Abbreviation: J Vasc Access Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2018- : Thousand Oaks, CA : Sage Publications Original Publication: Milano ; Birmingham : Wichtig, c2000- |
| Ιατρικοί όροι (MeSH): | Catheterization, Central Venous*/adverse effects , Catheterization, Central Venous*/nursing , Catheterization, Central Venous*/trends , Catheterization, Central Venous*/instrumentation , Catheterization, Peripheral*/adverse effects , Catheterization, Peripheral*/nursing , Catheterization, Peripheral*/trends , Catheterization, Peripheral*/instrumentation , Antineoplastic Agents*/administration & dosage , Antineoplastic Agents*/adverse effects , Oncology Nursing*/trends , Practice Patterns, Nurses'*/trends , Neoplasms*/drug therapy , Central Venous Catheters*, Humans ; Italy ; Health Care Surveys ; Health Knowledge, Attitudes, Practice ; Catheters, Indwelling ; Infusions, Intravenous ; Surveys and Questionnaires ; Attitude of Health Personnel ; Female ; Patient Education as Topic ; Clinical Competence ; Adult ; Male |
| Περίληψη: | Background and Objectives: Central venous catheters are recommended for chemotherapy administration, but peripheral intravenous catheters are frequently used. This study examined venous access practices (central vs peripheral) for administering antineoplastic agents to patients with solid or hematologic malignancies and assessed the associated educational aspects. Design, Setting, and Participants: A questionnaire developed according to the Enhancing the Quality and Transparency of Health Research Guidelines was distributed to Italian hematology/oncology nurses who performed intravenous chemotherapy administration and peripheral vein cannulation. Of 171 questionnaires returned, 141 were completed. Results: Statistics showed that 33% of respondents used peripheral veins for at least 25% of patients within 30-day period. Peripheral veins were chosen because of organizational challenges, urgency, and central catheter issues or malfunctions. Irritant and vesicant drugs were administered by 60% and 49.3% of respondents. The study found 81.7% of nurses received additional education on chemotherapy administration. While 95.8% of nurses informed patients about chemotherapy side effects and extravasation signs, 77.5% did not document this in patients' charts. Informed consent forms often lacked specifications for peripheral vein administration (63.9%), essential for safe antineoplastic agent administration. Conclusions: The survey highlighted the need for standardized guidelines for intravenous chemotherapy, as peripheral veins serve multiple purposes. |
| Competing Interests: | Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| References: | Breast Cancer Res Treat. 2018 Oct;171(3):607-620. (PMID: 29974358) J Infus Nurs. 2024 Jan-Feb 01;47(1S Suppl 1):S1-S285. (PMID: 38211609) Clin Transl Oncol. 2020 Nov;22(11):2049-2060. (PMID: 32356275) Asian Pac J Cancer Prev. 2023 Oct 01;24(10):3537-3542. (PMID: 37898860) Jpn J Nurs Sci. 2022 Oct;19(4):e12484. (PMID: 35474606) J Vasc Access. 2023 Jan;24(1):165-182. (PMID: 34088239) Clin J Oncol Nurs. 2023 May 18;27(3):305-309. (PMID: 37267497) Eur J Oncol Nurs. 2018 Jun;34:35-41. (PMID: 29784136) J Educ Eval Health Prof. 2020;17:21. (PMID: 32668826) J Infus Nurs. 2024 Sep-Oct 01;47(5):290-323. (PMID: 39250767) J Gen Intern Med. 2021 Oct;36(10):3179-3187. (PMID: 33886027) Clin J Oncol Nurs. 2017 Aug 1;21(4):438-445. (PMID: 28738039) Br J Anaesth. 2019 Jun;122(6):734-741. (PMID: 31005243) Anesth Analg. 2020 Oct;131(4):1060-1065. (PMID: 32925324) Healthcare (Basel). 2024 Jul 22;12(14):. (PMID: 39057599) Curr Oncol. 2018 Aug;25(4):e298-e304. (PMID: 30111975) Ann Pharmacother. 2020 Aug;54(8):804-814. (PMID: 32054312) J Oncol Pharm Pract. 2023 Oct;29(7):1789-1792. (PMID: 37401244) Br J Radiol. 2023 Nov;96(1151):20220894. (PMID: 37191031) J Vasc Access. 2017 Mar 21;18(2):89-96. (PMID: 28127726) J Vasc Access. 2025 Nov;26(6):2097-2102. (PMID: 39953644) Rev Bras Enferm. 2020 Jun 17;73(4):e20190008. (PMID: 32578734) J Vasc Access. 2025 Sep;26(5):1645-1650. (PMID: 39402733) |
| Contributed Indexing: | Keywords: Central venous catheters; antineoplastic agents; extravasation; intravenous infusions; patient education; peripheral intravenous catheters; supportive care; surveys; vascular access devices |
| Substance Nomenclature: | 0 (Antineoplastic Agents) |
| Entry Date(s): | Date Created: 20251209 Date Completed: 20260720 Latest Revision: 20260813 |
| Update Code: | 20260813 |
| PubMed Central ID: | PMC13380657 |
| DOI: | 10.1177/11297298251398418 |
| PMID: | 41363047 |
| Βάση Δεδομένων: | MEDLINE |
καταχωρήστε σχόλιο πρώτοι!