Effectiveness of Air Elimination in Intravenous Fluid Tube by Using Closed System - ประสิทธิผลของการกำจัดอากาศ ในชุดให้สารน้ำทางหลอดเลือดดำโดยใช้ระบบปิด

Abstract

Air embolism is a dangerous complication that can occur while patients receiving intravenous
fluid (IV). Nurses are required to have skills to take care of this matter. This quasi-experimental study
was conducted in nursing laboratory to investigate time spent, satisfaction, and possibility to practice on
the removal of air from the IV tube using a closed system. The participating samples consisted of 30
registered nurses who practiced in pediatric units at Saraburi Hospital. The experiment began with all
participants watching the video that demonstrate of eliminating air from IV tube using the closed
system, backward demonstration, and practice of eliminating air from IV tube while research assistant
recorded the time spent. Each participant was asked to complete the satisfaction and possibility to
practice questionnaires for the removal of air from IV tube using closed system. Data was analyzed
using descriptive statistic including frequency, percentage, mean, and standard deviation. The results
showed that the samples spent average of 1.49 minutes (SD=0.30 min) in eliminating air from IV tube
with moderate level of overall satisfaction (Mean=29.43, SD=1.74) and high satisfaction towards
effectiveness (Mean=8.70, SD=0.79). The feasibility of using this practice guideline was expressed as
high and very high levels, 56.0% and 32.7% respectively. The authors concluded that eliminating air
from IV tube should be performed by using the closed system in order to ensure aseptic technique and
reduce the cost.
Key words: intravenous therapy, air embolism, nursing, air elimination