Thomas et al reported a classification for postinfusion thrombophlebitis.
Patient selection: status post intravenous cannula
Parameters:
(1) appearance of vein used for infusion
(2) patient status
Appearance of Vein
|
Patient Status
|
Type
|
normal or painless hematoma
|
no change
|
I
|
bruised, tender or swollen
|
minor pain
|
II
|
thrombus, sharply defined and does not extend beyond the end of the venous cannula
|
slightly tender
|
III
|
changes extend beyond the end of the venous cannula, with a red streak and slight edema along the course of the vein
|
severe pain
|
IV
|
changes extend beyond the end of the venous cannula, with a red streak and slight edema along the course of the vein
|
pain plus one or more of: fever, malaise, or leukocytosis
|
V
|