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World J Crit Care Med. Jun 9, 2026; 15(2): 118811
Published online Jun 9, 2026. doi: 10.5492/wjccm.v15.i2.118811
Table 2 Practical considerations for peripheral intravenous catheter placement
Sites to avoid
Reason/comment
Dominant upper extremityMovement may lead to patient discomfort and increase risk of dislodgement
Sites over jointsIncreased risk of catheter kinking or dislodgement
Lower extremitiesIncreased risk of thrombophlebitis and deep venous thrombosis due to static blood flow
Extremities with arteriovenous fistulaInserting a catheter may disturb the venous blood flow or damage the fistula
Burns or infected tissueIncreased risk of systemic infection
Evidence of sclerosis or phlebitisThis may be indicative of disrupted venous integrity and a higher risk of extravasation
Sites where catheter was recently placed or attempted (especially in the presence of hematoma)This may be indicative of disrupted venous integrity and a higher risk of extravasation


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