{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:24:42Z","timestamp":1791811482686,"version":"4.3.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T00:00:00Z","timestamp":1688342400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Intravenous (IV) therapy using short peripheral IV catheters (PIVC) is commonplace with neonatal patients. However, this therapy is associated with high complication rates including the leakage of infused fluids from the vasculature into the surrounding tissues; a condition referred to as, peripheral IV infiltration\/extravasation (PIVIE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The quality improvement project aimed to identify the prevalence of known risk factors for PIVIE in the neonatal intensive care unit (NICU) and explore the feasibility of using novel optical sensor technology to aid in earlier detection of PIVIE events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The plan, do, study, act (PDSA) model of quality improvement (QI) was used to provide a systematic framework to identify PIVIE risks and evaluate the potential utility of continuous PIVC monitoring using the ivWatch model 400\n                      <jats:sup>\u00ae<\/jats:sup>\n                      system. The site was provided with eight monitoring systems and consumables. Hospital staff were supported with theoretical education and bedside training about the system operations and best use practices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total 113 PIVIE\u2019s (graded II\u2013IV) were recorded from 3476 PIVCs, representing an incidence of 3.25%. Lower birth weight and gestational age were statistically significant factors for increased risk of PIVIE ( p\u2009=\u20090.004); all other known risk factors did not reach statistical significance. Piloting the ivWatch with 21 PIVCs using high-risk vesicant solutions over a total of 523.9\u2009h (21.83\u2009days) detected 11 PIVIEs (graded I\u2013II). System sensitivity reached 100%; 11 out of 11 PIVIEs were detected by the ivWatch before clinician confirmation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Prevailing risk factors for PIVIE in the unit were comparable to those published. Continuous infusion site monitoring using the ivWatch suggests this technology offers the potential to detect PIVIE events earlier than relying on intermittent observation alone (i.e. the current standard of care). However, large-scale study with neonatal populations is required to ensure the technology is optimally configured to meet their needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298231185536","type":"journal-article","created":{"date-parts":[[2023,7,3]],"date-time":"2023-07-03T06:28:16Z","timestamp":1688365696000},"page":"1801-1807","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Peripheral intravenous therapy infiltration\/extravasation (PIVIE) risks and the potential for earlier notification of events using a novel sensor technology in a neonatal population"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9595-0265","authenticated-orcid":false,"given":"Matheus FPT","family":"van Rens","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, Women\u2019s Wellness and Research Center, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Vijlbrief","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Wilhelmina Children\u2019s Hospital, UMC Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Braun","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Wilhelmina Children\u2019s Hospital, UMC Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Hugill","sequence":"additional","affiliation":[{"name":"Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3854-6976","authenticated-orcid":false,"given":"Fredericus HJ","family":"van Loon","sequence":"additional","affiliation":[{"name":"Department of Perioperative Care and Technology, Fontys University of Applied Sciences, Eindhoven, The Netherlands"},{"name":"Department of Anesthesiology, Intensive Care and Pain Medicine, Catharina Hospital, Eindhoven, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"van de Hoogen","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Wilhelmina Children\u2019s Hospital, UMC Utrecht, Utrecht, The Netherlands"},{"name":"Clinical Health Science at Utrecht University (UU), Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,7,3]]},"reference":[{"key":"bibr1-11297298231185536","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000558"},{"key":"bibr2-11297298231185536","doi-asserted-by":"publisher","DOI":"10.23736\/S0026-4946.16.04348-6"},{"key":"bibr3-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000100"},{"key":"bibr4-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12963"},{"key":"bibr5-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1590\/s1980-220x2017040103360"},{"key":"bibr6-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047788"},{"key":"bibr7-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000515"},{"key":"bibr8-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.028241"},{"key":"bibr9-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221080071."},{"key":"bibr10-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1590\/S0080-623420160000100003"},{"key":"bibr11-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14104"},{"key":"bibr12-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1097\/00152193-198803000-00020"},{"key":"bibr13-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0b013e31825af323"},{"key":"bibr14-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0b013e31821da1b3"},{"key":"bibr15-11297298231185536","unstructured":"Cincinnati Children\u2019s. Cincinnati pediatric intravenous extravasation assessment system, http:\/\/cincinnatichildrens.org\/service\/v\/vascular-access\/hcp (2017, accessed 22 February 2023)."},{"key":"bibr16-11297298231185536","volume-title":"Quality by design a clinical microsystems approach","author":"Nelson EC","year":"2007"},{"key":"bibr17-11297298231185536","unstructured":"National Health Service (NHS) England. Quality, service improvement and redesign tools: plan, do, study, act (PDSA) cycles and the model for improvement, https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2022\/01\/qsir-pdsa-cycles-model-for-improvement.pdf (2022, accessed 22 February 2023)."},{"key":"bibr18-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000396"},{"issue":"33","key":"bibr19-11297298231185536","first-page":"547","volume":"118","author":"Hackenberg RK","year":"2021","journal-title":"Dtsch Arztebl Int"},{"key":"bibr20-11297298231185536","unstructured":"ivWatch. ivWatch\n                      \u00ae\n                      breakthrough in IV safety, whitepaper, ivWatch-Model-400-Whitepaper.pdf(accessed 22 February 2023). https:\/\/www.ivwatch.com\/wp-content\/uploads\/2022\/09\/DM-0000011-Rev05.pdf"},{"key":"bibr21-11297298231185536","unstructured":"ivWatch. ivWatch\n                      \u00ae\n                      always there, smarttouch, whitepaper:a smarter way to monitor peripheral IV sites. WhitepaperSmarttouch - ivWatch(accessed 22 February 2023). https:\/\/www.ivwatch.com\/wp-content\/uploads\/2022\/04\/ivWatch_SmartTouch-White-Paper.pdf"},{"key":"bibr22-11297298231185536","doi-asserted-by":"publisher","DOI":"10.2309\/j.java.2019.002.003"},{"issue":"2","key":"bibr23-11297298231185536","first-page":"38","volume":"5","author":"van Rens M","year":"2019","journal-title":"Vasc Open"},{"key":"bibr24-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1111\/jspn.12035"},{"key":"bibr25-11297298231185536","doi-asserted-by":"publisher","DOI":"10.2309\/JAVA-D-21-00010"},{"key":"bibr26-11297298231185536","volume-title":"Peripherally inserted central catheters: guideline for practice","author":"Mason-Wyckoff M","year":"2015","edition":"3"},{"key":"bibr27-11297298231185536","unstructured":"Naramore WJ, Brown S, Schears GJ, et al. ivWatch SmartTouch Sensor: the effect of PIV depth and site, ivWatch-SmartTouch-Sensor_-The-Effect-of-PIV-Depth-and-Site.pdf (accessed 22 February 2023). https:\/\/www.ivwatch.com\/wp-content\/uploads\/2020\/06\/ivWatch-SmartTouch-Sensor_-The-Effect-of-PIV-Depth-and-Site.pdf"},{"key":"bibr28-11297298231185536","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4482-6"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231185536","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298231185536","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231185536","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:23:01Z","timestamp":1777692181000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298231185536"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,3]]},"references-count":28,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/11297298231185536"],"URL":"https:\/\/doi.org\/10.1177\/11297298231185536","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,3]]}}}