Many hospitals have policies that routinely discontinue and replace peripheral IVs at 72-96 hours of use. This large multi center randomized controlled trial found the rate of phlebitis was exactly the same in the group of routine replacement, and the group of replacement when clinically indicated. There is no evidence to necessitate routine changing of peripheral IVs in hospitalized patients (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.