Complications of venous cannular needle retainment and related factors in children treated at Hanoi Heart Hospital in 2025

Objectives: The aim of this study was to determine the incidence and and risk factors of catheter-related complications caused by peripheral intravenous catheter (PIVC) in children with heart disease at Pediatric Department – Ha Noi Heart Hospital. Study design: A retrospective study of 267 PIVCs in 147 children from 01/01/2025 to 02/06/2025 at Pediatric Department – Ha Noi Heart Hospital. We evaluated our data regarding catheter life, caution during insertion, the base heart disease of all patients, and all kind of complications related PIVC until removal. Results: A boy-to-girl ratio is approximately 56% to 44%. The cardiac disease groups in the study included: completely repaired congenital heart disease (56.2%), non-repaired congenital heart disease (24%), partial or palliative repaired congenital heart disease (13.9%) and acquired heart disease (6%). The rate of transmission line with complications accounted for 32.2%, of which peripheral venous infiltration/ extravasation accounted for the highest proportion with 15,7% (maily grade 1 with 32.2% cases). The second highest relared- PIVC complication is phlebitis(which accounted for 12,4% - mainly grade 1(32,6%) – grade 2 (4,7%) -grade 3(1,2%). The third highest relared- PIVC complications was pressure ulcer (which accounted for 2,6%- all grade 1), and some minor complications accounted for 1,5% (included bleeding or fluid-leaking at the needle insertion point post PIVC). Conclusion: Multivariate regression analysis revealed some risk factors for PIVC-related complications in children included, catheter retention time, the primary purpose of PIVC, and the nutrition status of the patients at the time of PIVCs performed.