Prosedur Flushing Untuk Mempertahankan Kepatenan Akses Peripheral Intravenous Lock Pada Anak - Tinjauan Literatur

Authors

  • Gusgus Ghraha Ramdhanie Fakultas Keperawatan Univeritas Padjadjaran, Indonesia
  • Ema Arum Rukmasari Fakultas Keperawatan Univeritas Padjadjaran, Indonesia
  • Bambang Aditya Nugraha Fakultas Keperawatan Univeritas Padjadjaran, Indonesia

DOI:

https://doi.org/10.36465/jkbth.v21i2.764

Keywords:

anak, flushing, intravena, PIV lock.

Abstract

Akses intravena perifer merupakan salah satu prosedur infasif yang dilakukan pada anak untuk pemberian obat selama anak dirawat di rumah sakit. Akses intravena perifer pada anak dapat dilakukan dengan cara peripheral intravenous lock (PIV Lock). Berbagai komplikasi dapat terjadi pada PIV lock yang menyebabkan hilangnya kepatenan akses intravena perifer yang pada akhirnya anak dapat mengalami trauma fisik maupun psikologis. Salah satu intervensi yang dapat dilakukan adalah prosedur flushing/pembilasan. Tujuan dari penulisan tinjauan literatur ini yaitu untuk mengidentifikasi efektifitas flushing PIV lock dalam mempertahan kepatenan akses intravena. Metode yang digunakan dalam penulisan tinjauan literatur adalah penelusuran internet dari database Google Scholar, PubMed, Proquest, Medscape, dan EBSCO dengan menggunakan kata kunci intravena perifer, intravenous flushing, peripheral intravenous lock. Kriteria inklusi yaitu tahun publikasi antara 2009-2019 dalam bahasa Indonesia dan bahasa Inggris, desain penelitian RCTs, quasi experiment dan qualitative prospective study. Didapatkan sebanyak 10 artikel dan yang terpilih sebanyak 6 artikel yang sesuai kriteria inklusi. Prosedur flushing PIV lock dapat menggunakan Nacl 0,9% dan heparin salin. Pemberian flushing pada PIV lock efektif mempertahankan kepatenan akses intravena. Dengan demikian flushing PIV lock dapat mengurangi trauma fisik maupun psikologis dan meningkat kualitas asuhan keperawatan pada anak.

References

Arnts, I. J. J., Heijnen, J. A., Wilbers, H. T. M., van der Wilt, G. J.,Groenewoud, J. M. M., & Liem, K. D. (2011). Effectiveness of heparin solution versus normal saline in maintaining patency of intravenous locks in neonates: A double blind randomized controlled study. Journal of Advanced Nursing, 67(12), 2677–2685. https://doi.org/10.1111/j.1365-2648.2011.05718.x

Anurag-Bhai, P., Mamta, C., Bindu, K., & Ana, M. (2014). Comparative efficacy of heparin saline and normal saline flush for maintaining patency of peripheral intravenous lines: a randomized control trial. IJHSR, 4(3), 159-166.

Bertolino, G., Pitassi, A., Tinelli, C., Staniscia, A., Guglielmana, B., Scudeller, L., & Luigi Balduini, C. (2012). Intermittent Flushing with Heparin Versus Saline for Maintenance of Peripheral Intravenous Catheters in a Medical Department: A Pragmatic ClusterRandomized Controlled Study. Worldviews on Evidence-Based Nursing, 9(4), 221–226. https://doi.org/10.1111/j.1741 - 6787.2012.00244.x

Depkes RI. (1978). Formularium Nasional. Edisi 2. Depatemen Kesehatan RI

Fujita, T., Namiki, T., Suzuki, T., & Yamamoto, E. (2006). Normal saline flushing for maintenance of peripheral intravenous sites. J Clin Nurs, 15(1),103-4.

Handayani, W. & Haribowo, A.S. (2008). Buku ajar asuhan keperawatan dengan gangguan sistem hematologi. Jakarta: Salemba Medika.

Hockenberry, M. J., & Wilson, D. (2013). Wong's essentials of pediatric nursing. St. Louis: Mosby.

Kennedy, R. M., Luhmann, J., & Zempsky, W. T. (2008). Clinical implications of unmanaged needleinsertion pain and distress in children. Pediatrics, 122(Supplement 3), S130- S133.

Kumar, M., Vandermeer, B., Bassler, D., & Mansoor, N. (2013). Low-dose heparin use and the patency of peripheral IV catheters in children: A systematic review. Pediatrics, 131(3). https://doi.org/10.1542/peds.2012-2403

Mahesh Babu, B.V., Kameswara Rao, A.S., Rajesh, K., Harinath Babu ,V. (2014). Heparin or 0,9% sodium chloride to maintain central venous cateter patency : a randomized trial. Journal of Evolution of Medical and Dental Sciences, 01(3), 40-50.

Mok, E., Kwong, T. K., & Chan, M. F. (2007). A randomized controlled trial for maintaining peripheral intravenous lock in children. Int J Nurs Pract, 13(1), 33-45.

Potter, P.A. & Perry, A.G. (2005). Fundamentals of nursing. concepts, process and practice. (4th edition). Renata Komalasari, dkk, penerjemah. Jakarta: EGC.

Schallom, M. E., Prentice, D., Sona, C., Micek, S. T., & Skrupky, L. P. (2012). Heparin or 0.9% sodium chloride to maintain central venous catheter patency: a randomized trial. Crit Care Med, 40(6),1820-6. doi: 10.1097/CCM.0b013e31824e11b4.

Roszell, S. S., Rabinovich, H. B., & Smith-Miller, C. A. (2018). Maintaining short peripheral catheter patency: A comparison of saline lock versus continuous infusion in the acute care setting. Journal of Infusion Nursing, 41(3), 165–169. https://doi.org/10.1097/NAN.0000000000000276

Thamlikitkul, V., & Indranoi, A. (2006). Switching from heparinized saline flush to normal saline flush for maintaining peripheral venous catheter patency. Int J Qual Health Care, 18(3), 183-5.

Tripathi, S., Kaushik, V., & Singh, V. (2008). Peripheral IVs: factors affecting complications and patency-- a randomized controlled trial. J Infus Nurs, 31(3), 182-8. doi: 10.1097/01.NAN.0000317704.03415.b9.

Wang, R., Luo, O., He, L., Li, J. X., & Zhang, M. G. (2012). Preservativefree 0.9% sodium chloride for flushing and locking peripheral intravenous access device: A prospective controlled trial. Journal of Evidence-Based Medicine, 5(4), 205–208. https://doi.org/10.1111/jebm.12004

Xu, L., Hu, Y., Huang, X., Fu, J., & Zhang, J. (201 7). Heparinized saline versus normal saline for maintaining peripheral venous catheter patency in China: An open-label, randomized controlled study. Journal of International Medical Research, 45(2), 471–480. https://doi.org/10.1177/03000605166

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Published

2021-11-03

How to Cite

Ramdhanie, G. G., Rukmasari, E. A., & Nugraha, B. A. (2021). Prosedur Flushing Untuk Mempertahankan Kepatenan Akses Peripheral Intravenous Lock Pada Anak - Tinjauan Literatur. Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-Ilmu Keperawatan, Analis Kesehatan Dan Farmasi, 21(2), 333–343. https://doi.org/10.36465/jkbth.v21i2.764

Issue

Vol. 21 No. 2 (2021)

Section

article

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