Managing the risk of phlebitis arising from the use of peripheral vascular access devices

Peripheral vascular access devices (PVADs) are widely used in healthcare for short-term intravenous administration of fluids, medicines and blood products. However, the use of PVADs often leads to complications, notably an inflammation of the vein wall known as phlebitis. This article explores the causes and types of phlebitis and outlines the many risk factors for it, notably inadequate gauge size, long dwell time and potentially harmful infusate characteristics. The author reviews evidence-based strategies for preventing PVAD-related phlebitis and emphasises the need for standardised care protocols and ongoing staff training to support safer PVAD use and reduce the risk of phlebitis.