Key considerations in selecting the right IV connector

2nd January 2025

When it comes to selecting the right intravenous (IV) connector, healthcare professionals face a critical decision that directly impacts the safety and effectiveness of IV therapy.

With many connectors available, such as IV extension sets, 2-way IV connectors, 3-way IV connectors, and Y connectors, it’s important for healthcare professionals to assess the specific needs of their patients and the treatments they administer. 

This article explores the essential considerations when faced with this crucial selection. Let’s begin by exploring the first key consideration. 

1. Valves 

Anti-siphon and anti-reflux valves are essential components in IV systems, working to prevent backflow of fluids. Though they share the same goal, these valves cater to different scenarios and mechanisms of backflow. 

1.1. Anti-siphon valves

These valves are designed to counteract backflow caused by siphoning, which results from pressure disparities between the IV drug delivery pump and the patient’s vein.1 They are commonly integrated into syringe drivers, reducing the risk of unintentional free flow.2 Additionally, these valves contribute to minimising air bubbles,3 thereby improving the safety of the IV system.

1.2. Anti-reflux valves

Also known as check valves or backflow prevention valves, anti-reflux valves are engineered to stop the backflow of fluids due to changes in pressure or gravity.4 They can be found in various parts of the IV system, such as the connector, infusion set, or catheter hub.

2. Anti-kink features 

Kinking or folding of the IV tubing can result in partial or complete blockages, disrupting the flow of fluids and medications.5 Anti-kink features are designed to prevent these obstructions, ensuring a consistent and continuous infusion.

2.1. Patient comfort

Kinked tubing can cause discomfort at the insertion site. Anti-kink features enhance patient comfort by preventing tubing from becoming twisted or folded.

2.2. Treatment accuracy

Effective treatments require a consistent flow of fluids and medications. Tubing kinks disrupt this flow,5 but anti-kink features maintain a steady flow rate, enhancing treatment accuracy and effectiveness.

3. Flow rate

In the context of IV therapy, flow rate refers to the volume of fluid or medication passing through a system in a set time frame, usually measured in millilitres per hour (mL/h) or drops per minute (dpm).

3.1. Speed

The flow rate is crucial for the speed of treatment administration, and it should match the patient’s clinical needs. In critical situations like septic shock, where rapid fluid infusion is essential, high-flow connectors with larger internal diameters are necessary.

3.2. Consistency

A steady flow rate is crucial. Variations can lead to under- or over-delivery of fluids or medications, potentially compromising patient safety and treatment effectiveness.

3.3. Robust material

 The connector material should be robust and capable of handling the pressures associated with flow rates required. High-quality materials ensure no leaks or disconnections, upholding patient safety.

4. Compactness

In addition to valve type, the physical attributes of IV therapy equipment, including the compactness of the IV connector, play a significant role in clinical workflow and patient experience.

4.1. Reduced risk of unwanted incidents

A compact connector significantly reduces the chances of accidental snagging or dislodgment of the IV line, which could lead to patient discomfort or harm.8 Features like J loops on IV connectors further enhance compactness and prevent snagging.

4.2. Ease of transport

Compact connectors are easier to transport ? when purchased? and store, which is vital during patient transfers or emergencies, where swift equipment movement is essential for patient safety and uninterrupted treatment. IV connectors with low profiles and designs that reduce entanglement are preferable for such scenarios.

4.3. Ease of handling

Compact connectors are typically more manageable, especially in constrained spaces or during precision-demanding procedures. Their design allows healthcare providers to efficiently establish connections, enhancing the overall treatment process.

5. User and patient friendliness

User and patient friendliness are fundamental aspects of selecting the right IV connector. A connector that promotes ease of use benefits both healthcare professionals and patients undergoing IV therapy.

5.1. Ease of use

A user-friendly IV connector streamlines the treatment process for healthcare professionals, making connections, handling, and disconnections easier.

Selecting the right IV connector

Selecting the right IV connector is a critical decision impacting patient safety and treatment effectiveness. Our guide has emphasised essential factors, from valve mechanisms to flow rates, all interconnected for optimal patient care. Prioritising user-friendliness, anti-kink features, and robust materials ensures secure, efficient IV therapy.

Staying informed and collaborating with diverse healthcare teams equips providers with the knowledge and tools to make informed choices, raising the bar for patient care. By considering these key elements, healthcare professionals can ensure IV therapy is both effective and safe, benefiting patients’ well-being.9

Mediplus IV connectors: meeting and exceeding selection criteria

Mediplus distinguishes itself in the field of IV connectors, offering products that meet key selection criteria. Mediplus IV connectors are engineered to withstand high flow rates, ensuring rapid emergency response. The inclusion of anti-siphon and anti-reflux valves in their design ensures optimal drug delivery, enhancing safety across various departments like ICU, HDU, orthopaedics, and obstetrics.

The connectors also boast features that enhance patient comfort and convenience. The removable bridge in certain connectors, such as the Coventry and Chalfont Connectors, aids in preventing dislodgment, ensuring compactness for improved patient comfort and manoeuvrability.

With options available for single, double, or triple infusions, Mediplus offers a comprehensive range that caters to diverse clinical needs. You can learn more by visiting our page on peripheral IV connectors.

References:

  1. 1.Chua J, Ratnavadivel A. Comparison of flow pressures in different 3-way infusion devices: an in-vitro study. Patient Saf Surg. 2018;12:19. doi:10.1186/s13037-018-0165-1
  2. 2.Keay S, Callander C. The safe use of infusion devices. Contin Educ Anaesth Crit Care Pain. 2004;4(3):81-85. doi:10.1093/bjaceaccp/mkh022
  3. 3.Meade K. Air-in-Line Alarms: Decreasing Alarms Through Antisiphon Valve Implementation. Number 2 April 2019. 2019;23(2):209-211. doi:10.1188/19.CJON.209-211
  4. 4.Lee P. Infusion pump development and implications for nurses. Br J Nurs. 2015;24(Sup19):S30-S37. doi:10.12968/bjon.2015.24.Sup19.S30
  5. 5.Doyle GR, McCutcheon JA. 8.3 IV Fluids, IV Tubing, and Assessment of an IV System. Published online November 23, 2015. Accessed October 10, 2023. https://opentextbc.ca/clinicalskills/chapter/8-2-types-of-iv-therapy/
  6. 6.Baskin JL, Pui CH, Reiss U, et al. Management of occlusion and thrombosis associated with long-term indwelling central venous catheters. Lancet. 2009;374(9684):159. doi:10.1016/S0140-6736(09)60220-8
  7. 7.Goossens GA. Flushing and Locking of Venous Catheters: Available Evidence and Evidence Deficit. Nurs Res Pract. 2015;2015:985686. doi:10.1155/2015/985686
  8. 8.Munoz-Mozas G. Solving the problem of IV dislodgement. Br J Nurs Mark Allen Publ. 2022;31(2):S4-S7. doi:10.12968/bjon.2022.31.2.S4
  9. 9.Maddox RR, Danello S, Williams CK, Fields M. Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes. In: Henriksen K, Battles JB, Keyes MA, Grady ML, eds. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 4: Technology and Medication Safety). Advances in Patient Safety. Agency for Healthcare Research and Quality (US); 2008. Accessed October 10, 2023. http://www.ncbi.nlm.nih.gov/books/NBK43752/