Penggantian Kateter Intravena Perifer sesuai Indikasi Klinis terhadap Kejadian Komplikasi pada Anak

  • Khusnul Khotimah Universitas Indonesia
  • Nani Nurhaeni Universitas Indonesia
  • Imami Nur Rachmawati Universitas Indonesia


This study aims to determine the effect of peripheral intravenous catheter replacement on clinical indications of complications in children. The method used is a review of eight articles on the impact of intravenous catheter replacement on clinical presentations on the incidence of complications in children using the ScienceDirect, ProQuest, Ebscohost, and Scopus databases. The inclusion criteria for the articles reviewed were research articles published in 2002-2022, accessible in full text and English. The exclusion criteria were articles not accessible in full text and check reports. The study's results obtained eight pieces that followed the study's objectives. The results of a systematic review of complications, 4 of 8 research articles showed that intravenous catheter replacement according to clinical indications did not significantly increase the risk of intravenous catheter complications; three research articles showed no significant difference to intravenous catheter complications.Regarding the survival time of intravenous catheters, of the eight articles reviewed, three reports stated that those replaced based on clinical indications had a longer survival time than those replaced routinely. Meanwhile, from cost efficiency, three articles said that routine catheter replacement increased hospital expenses. In conclusion, replacing intravenous catheters according to clinical indications has a more positive effect on pediatric patients. If surveillance for signs and symptoms of intravenous catheter complications is carried out regularly, signs of intravenous catheter complications can be detected early.


Keywords: Extravasation, Phlebitis, Infection, Infiltration, Peripheral Intravenous Catheter, Intravenous Catheter Replacement


Acar, M. D., Guner, U. C., & Yilmaz, G. (2021). Evaluation of the Duration of Peripheral Venous Catheter in Vein in Hospitalized Children. Journal of Contemporary Medicine, 11(5), 610–616.

Casman, & Nurhaeni, N. (2020). Best Effect of Progressive Muscle Relaxation (PMR) on Children: A Systematic Review. Proceedings of the 1st International Conference of Indonesian National Nurses Association-ICINNA 12–17.

Chin, L. Y., Walsh, T. A., Haltren, K. Van, Hayden, L., Tuck, M. D., & Malhotra, A. (2018). Elective Replacement of Intravenous Cannula in Neonates—A Randomised Trial. European Journal of Pediatrics, 177(11), 1719–1726.

Garcia, M., Dutton, H., Samuel, K., & Marusich, J. (2021). Purposeful Hourly Rounding to Decrease Peripheral Intravenous Infiltrations and Extravasations in Pediatrics - 1-s2.0-S0882596321000798-main.pdf. Journal of Pediatric Nursing, 61, 59–66.

Georgeades, C., Rothstein, A. E., Plunk, M. R., & Arendonk, K. V. (2021). Iatrogenic Vascular Trauma and Complications of Vascular Access in Children. Seminars in Pediatric Surgery, 30(6), 151122.

Heng, S. Y., Yap, R. T. J., & McGrouther, D. A. (2020). Innovative Solutions and Insights to Phlebitis Prevention. American Journal of Medicine, 133(3), 261–264.

Indarwati, F., Mathew, S., Munday, J., & Keogh, S. (2020). Incidence of Peripheral Intravenous Catheter Failure and Complications in Paediatric Patients: Systematic Review and Meta Analysis. International Journal of Nursing Studies, 102, 103488.

Kusumawati, B., Maulidia, R., & Mumpuni, R. Y. (2022). Hubungan Kepatuhan Perawat dalam Pelaksanaan Standar Prosedur Operasional (SPO) Pemasangan Infus dengan Tanda-Tanda Phlebitis. JI-KES (Jurnal Ilmu Kesehatan), 6(1), 9–15.

Liew, D. D., Zhou, L., Chin, L. Y., Davies-Tuck, M., & Malhotra, A. (2021). Elective Replacement of Peripheral Intravenous Cannulas in Neonates. Journal of Vascular Access, 22(1), 121–128.

Lin, S. W., Chen, S. C., Huang, F. Y., Lee, M. Y., & Chang, C. C. (2021). Effects of A Clinically Indicated Peripheral Intravenous Replacement on Indwelling Time and Complications of Peripheral Intravenous Catheters in Pediatric Patients: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 18(7), 3795.

Olivier, R. C., Wickman, M., Skinner, C., & Ablir, L. (2021). The Impact of Replacing Peripheral Intravenous Catheters When Clinically Indicated on Infection Rate, Nnurse Satisfaction, and Costs in CCU, Step Down, and Oncology Units. American Journal of Infection Control, 49(3), 327–332.

Santos, L. M. D, Conceição, T. B., Silva, C. S. G. E., Tavares, S. S., Rocha, P. K., & Avelar, A. F. M. (2021). Care Related to Peripheral Intravenous Catheterism in Pediatrics Performed by Nursing Technicians. Revista Brasileira de Enfermagem, 75(2), e20200611.

Setiawan, C. H., Mediawati, A. S., & Yudianto, K. (2023). Peningkatan Kepuasan Pasien dengan Nursing Rounds. Jurnal Keperawatan Silampari, 4(1), 88–100.

Sharfina, D., Yunita, S., Idris, S., Adawiyah, Y., & Melinda, M. (2023). Terapi Murottal Qur’an Surah Al-Fatihah terhadap Tingkat Nyeri Anak Usia Sekolah pada Saat Pemasangan Infus. JINTAN (Jurnal Ilmu Keperawatan), 3(1), 72–78.

Shimandle, R. B., Johnson, D., Baker, M., Stotland, N., Karrison, T., & Arnow, P. M. (2015). Safety of Peripheral Intravenous Catheters in Children. Infection Control & Hospital Epidemiology, 20(11), 736–740.

Takashima, M., Cooke, M., Devries, M., Kleidon, T. M., Alexandro, E., Chopra, V., & Richard, C. M. (2021). An Implementation Frame Work for The Clinically Indicated Removal Policy for Peripheral Intravenous Catheters. Journal of Nursing Care Quality, 36(2), 117–124.

Tumakaka, G. Y. S., Nurhaeni, N., & Wanda, D. (2020). Squeezing a Squishy Object Effectively Controls Pain in Children During Intravenous Catheter Insertion. Pediatric Reports, 12(1), 86-92.

Ullman, A. J., Takashima, M., Kleidon, T., Ray-Barruel, G., Alexandrou, E., & Rickard, C. M. (2020). Global Pediatric Peripheral Intravenous Catheter Practice and Performance: A Secondary Analysis of 4206 Catheters. Journal of Pediatric Nursing, 50, e18–e25.

Vendramim, P., Avelar, A. F. M., Rickard, C. M., & Pedreira, M. da L. G. (2020). Replacement of Peripheral Intravenous Catheters According to Clinical Reasons or Every 96 H: A Randomized Controlled Non-Inferiority Trial. International Journal of Nursing Studies, 107(2020), 103504.
How to Cite
Khotimah, K., Nurhaeni, N., & Rachmawati, I. N. (2023). Penggantian Kateter Intravena Perifer sesuai Indikasi Klinis terhadap Kejadian Komplikasi pada Anak. Journal of Telenursing (JOTING), 5(1), 688-699.
Abstract viewed = 14 times
pdf downloaded = 17 times