Back to Search
Start Over
A clinical evaluation of two central venous catheter stabilization systems
- Source :
- Annals of Intensive Care, Annals of Intensive Care, SpringerOpen, 2019, 9 (1), ⟨10.1186/s13613-019-0519-6⟩, Annals of Intensive Care, Vol 9, Iss 1, Pp 1-8 (2019), Annals of Intensive Care, 2019, 9 (1), ⟨10.1186/s13613-019-0519-6⟩
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background Central venous catheters (CVCs) are commonly secured with sutures which are associated with microbial colonization and infection. We report a comparison of a suture-free system with standard sutures for securing short-term CVC in an international multicentre, prospective, randomized, non-blinded, observational feasibility study. Consented critical care patients who had a CVC inserted as part of their clinical management were randomized to receive either sutures or the suture-free system to secure their CVC. The main outcome measures were CVC migration (daily measurement of catheter movement) and unplanned catheter removals. Results The per cent of unplanned CVC removal in the two study groups was 2% (suture group 2 out of 86 patients) and 6% (suture-free group 5 out of 85 patients). Both securement methods were well tolerated in terms of skin irritation. The time and ease of application and removal of either securement systems were not rated significantly different. There was also no significant difference in CVC migration between the two securement systems in exploratory univariate and multivariate analyses. Overall, 42% (36 out of 86) of the CVC secured with sutures and 56% (48 out of 85) of the CVC secured with the suture-free securement system had CVC migration of ≥ 2 mm. Conclusions The two securement systems performed similarly in terms of CVC migration and unplanned removal of CVC; however, the feasibility study was not powered to detect statistically significant differences in these two parameters. Trial registration ISRCTN, ISRCTN13939744. Registered 9 July 2015, http://www.isrctn.com/ISRCTN13939744.
- Subjects :
- medicine.medical_specialty
Sutureless
[SDV]Life Sciences [q-bio]
medicine.medical_treatment
Critical Care and Intensive Care Medicine
03 medical and health sciences
0302 clinical medicine
Suture (anatomy)
Anesthesiology
medicine
Microbial colonization
030212 general & internal medicine
Securement
Suture
[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology
CVC
business.industry
lcsh:Medical emergencies. Critical care. Intensive care. First aid
Outcome measures
030208 emergency & critical care medicine
lcsh:RC86-88.9
[SDV.SP]Life Sciences [q-bio]/Pharmaceutical sciences
equipment and supplies
3. Good health
Surgery
[SDV] Life Sciences [q-bio]
[SDV.SP] Life Sciences [q-bio]/Pharmaceutical sciences
Catheter
Skin irritation
Catheter migration
business
Clinical evaluation
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Central venous catheter
Subjects
Details
- ISSN :
- 21105820
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- Annals of Intensive Care
- Accession number :
- edsair.doi.dedup.....7594900828b3522a5b70add9e86cd897