The Impact of Three-Way Extension Sets on Intravenous Cannula Duration and Complication Rates: A Quasi-Experimental Study in a Tertiary Care Hospital swat.

Authors

  • Nisar Khan Nursing Officer – Saidu Teaching Hospital Swat, Pakistan Author
  • Anwar Ali Nursing Officer – Saidu Teaching Hospital Swat, Pakistan Author
  • Asaf Shah Assistant Professor- Nursing Department Pak Swiss Nursing College Swat Author
  • Atta Ullah Assistant Professor at Janbar College of Nursing and Allied Health Sciences, Swat Author
  • Arif Ullah Qualitive Control Nurse – Quality Improvement & Patient Safety Department at LRH Peshawar, Pakistan Author
  • Dr. Shah Hussain Assistant Professor at Zalan College of Nursing and Allied Health Sciences, Swat Author
  • Kainat Nursing Instructor-Al-Harmain Institute of Health Sciences Pakistan Author

DOI:

https://doi.org/10.63163/jpehss.v3i1.202

Keywords:

Three-way extension set, intravenous cannula, IV cannula duration, catheter-related bloodstream infections

Abstract

Background:

The medical practice of Intravenous (IV) cannulation allows healthcare providers to deliver fluids and

medicine through veins. However, the duration of IV cannulas remains limited due to recurring line

changes and complications that include phlebitis, infection, and occlusion. Researchers introduced three

way extension sets to prolong the lifespan of cannulas and decrease the occurrence of medical

complications. This investigation analyzes whether three-way extension sets improve IV cannula duration

alongside their ability to decrease catheter-associated complications.

Aim:

Compared to standard IV cannulas, the research evaluated how three-way extension sets impacted IV

cannula duration and complication rates for phlebitis, infiltration, occlusion, and infection.

Methods:

The research took place in a tertiary care hospital through a quasi-experimental design that included sixty

subjects distributed across two treatment groups. The experimental group inserted three-way extension

sets into patients, but the control group received standard IV cannulas. Research teams obtained

measurements regarding cannula duration and complications. The statistical analysis utilized SPSS

version 27, where results with p < 0.05 became significant.

Results:

A significant analysis showed the experimental group lasted their peripheral intravenous lines for 96.3

hours, which was longer than the control group's 72.5 hours (p < 0.001). The experimental group reported

fewer complications, including phlebitis infiltration occlusion and infection, than the control group

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Published

2025-03-31