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Intravenous fluid therapy: a randomized controlled trial to investigate the effectiveness of the IV(2) flow medical device.

Abstract：

OBJECTIVES:To investigate the hypothetical benefits of the IV(2) flow medical device. BACKGROUND:Intravenous fluid administration is a standard hospital procedure with assumed inadequacies. The IV-Event Study [Fraser N, Nel G, Snyman J & Wessels F (2004) IV-EVENT Study: Intravenous Infusion Therapy--Management and Adverse Events. Data on File: Varori International (Pty) Ltd., Centurion, South Africa] quantified these inadequacies; The 'Stargait' intervention trial investigated the effectiveness and possible cost-benefit of the IV(2) flow. The IV(2) flow is intended for routine use with gravitational intravenous infusion sets. The IV(2) flow should reduce the incidence rate of adverse events and maintain a set flow rate. METHOD:Nursing staff assisted by study assessors captured relevant data. Consented patients were enrolled for the period of their prescribed infusions. Intervention. The Stargait Trial compared the treatment group (standard gravitational sets with the IV(2) flow) with the control group (standard gravitational infusion sets without IV(2) flow). The difference in observed events and the cost benefit derived from this were measured. RESULTS:A total of 2387 drip hours were observed in 52 patients. The adverse event rates were: Control group (without IV(2) flow) 33.8%. The treatment group (IV(2) flow) 15.4%. This 55% reduction is statistically significant (p = 0.0069). Adverse event related monetary wastage (labour and consumables) is reduced by 76% for infusion bags in the intervention group (with IV(2) flow). There was a significant difference between the treatment group and control group as far as deviation in flow rate was concerned (p = 0.00818). The mean deviation of the IV(2) flow group was just more than 5 ml per hour. The standard line group had a mean deviation of more than 30 ml per hour. CONCLUSION:Gravitational intravenous therapy compromises quality of patient care. The Stargait Trial has proven the care-effectiveness and cost-effectiveness of the IV(2) flow. RELEVANCE TO CLINICAL PRACTICE:The IV(2) flow improves quality of patient care and reduces associated wastage.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Fraser N,Snyman JR,Wessels F,Nel G

doi

10.1111/j.1365-2702.2006.01714.x

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

1593-601

issue

eissn

0962-1067

issn

1365-2702

pii

JCN1714

journal_volume

pub_type

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Intravenous fluid therapy: a randomized controlled trial to investigate the effectiveness of the IV(2) flow medical device.