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Comparative study on fixation of central venous catheter by suture versus adhesive device.
Enferm Intensiva 2018 Jul - Sep; 29(3):103-112EI

Abstract

OBJECTIVES

To assess the efficacy of a central venous catheter adhesive fixation device (CVC) to prevent associated complications. To establish the need for dressing changes, number of days' catheterization and reasons for catheter removal in both study groups. To assess the degree of satisfaction of personnel with the adhesive system.

METHOD

A, randomized, prospective and open pilot study, of parallel groups, with comparative evaluation between CVC fixation with suture and with an adhesive safety system. The study was performed in the Coronary Unit of the Universitari de Bellvitge Hospital, between April and November 2016. The population studied were patients with a CVC. The results were analyzed using SPSS Statistics software. The study was approved by the Clinical Research Ethics Committee.

RESULTS

100 patients (47 adhesive system and 53 suture) were analyzed. Both groups were homogeneous in terms of demographic variables, anticoagulation and days of catheterization. The frequency of complications in the adhesive system group was 21.3%, while in the suture group it was 47.2% (P=.01). The suture group had a higher frequency of local signs of infection (p=.006), catheter displacement (p=.005), and catheter-associated bacteraemia (P=.05). The use of adhesive fixation was associated with a lower requirement for dressing changes due to bleeding (P=.006). Ninety-six point seven percent of the staff recommended using the adhesive safety system.

CONCLUSIONS

The catheters fixed with adhesive systems had fewer infectious complications and less displacement.

Authors+Show Affiliations

Unidad de Cuidados Intensivos Cardiológicos y Unidad de Electrofisiología y Arritmias, Hospital Universitari de Bellvitge. GRIN, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, España; Sistema de Emergencias Médicas de Cataluña, España. Electronic address: csantos@bellvitgehospital.cat.Unidad de Cuidados Intensivos Cardiológicos, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.Unidad de Cuidados Intensivos Cardiológicos, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.Área de Enfermedades del Corazón, Hospital Universitari de Bellvitge. GRIN, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, España.Unidad de Soporte Enfermero a los Sistemas de Información y Soporte a la Investigación, Hospital Universitario de Bellvitge. GRIN, Instituto de Investigación Biomédica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, España; Facultad de Medicina y Ciencias de la Salud, Departamento de Enfermería, Universidad de Barcelona, L'Hospitalet de Llobregat, Barcelona, España.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng spa

PubMed ID

29602709

Citation

Molina-Mazón, C S., et al. "Comparative Study On Fixation of Central Venous Catheter By Suture Versus Adhesive Device." Enfermeria Intensiva, vol. 29, no. 3, 2018, pp. 103-112.
Molina-Mazón CS, Martín-Cerezo X, Domene-Nieves de la Vega G, et al. Comparative study on fixation of central venous catheter by suture versus adhesive device. Enferm Intensiva. 2018;29(3):103-112.
Molina-Mazón, C. S., Martín-Cerezo, X., Domene-Nieves de la Vega, G., Asensio-Flores, S., & Adamuz-Tomás, J. (2018). Comparative study on fixation of central venous catheter by suture versus adhesive device. Enfermeria Intensiva, 29(3), pp. 103-112. doi:10.1016/j.enfi.2017.10.004.
Molina-Mazón CS, et al. Comparative Study On Fixation of Central Venous Catheter By Suture Versus Adhesive Device. Enferm Intensiva. 2018;29(3):103-112. PubMed PMID: 29602709.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative study on fixation of central venous catheter by suture versus adhesive device. AU - Molina-Mazón,C S, AU - Martín-Cerezo,X, AU - Domene-Nieves de la Vega,G, AU - Asensio-Flores,S, AU - Adamuz-Tomás,J, Y1 - 2018/03/27/ PY - 2017/07/07/received PY - 2017/10/19/revised PY - 2017/10/23/accepted PY - 2018/4/1/pubmed PY - 2019/4/26/medline PY - 2018/4/1/entrez KW - Adhesive device KW - Bacteraemia KW - Bacteriemia KW - Catéter venoso central KW - Central venous catheter KW - Dispositivo adhesivo KW - Dispositivo de seguridad KW - Safety device KW - Sutura KW - Suture SP - 103 EP - 112 JF - Enfermeria intensiva JO - Enferm Intensiva VL - 29 IS - 3 N2 - OBJECTIVES: To assess the efficacy of a central venous catheter adhesive fixation device (CVC) to prevent associated complications. To establish the need for dressing changes, number of days' catheterization and reasons for catheter removal in both study groups. To assess the degree of satisfaction of personnel with the adhesive system. METHOD: A, randomized, prospective and open pilot study, of parallel groups, with comparative evaluation between CVC fixation with suture and with an adhesive safety system. The study was performed in the Coronary Unit of the Universitari de Bellvitge Hospital, between April and November 2016. The population studied were patients with a CVC. The results were analyzed using SPSS Statistics software. The study was approved by the Clinical Research Ethics Committee. RESULTS: 100 patients (47 adhesive system and 53 suture) were analyzed. Both groups were homogeneous in terms of demographic variables, anticoagulation and days of catheterization. The frequency of complications in the adhesive system group was 21.3%, while in the suture group it was 47.2% (P=.01). The suture group had a higher frequency of local signs of infection (p=.006), catheter displacement (p=.005), and catheter-associated bacteraemia (P=.05). The use of adhesive fixation was associated with a lower requirement for dressing changes due to bleeding (P=.006). Ninety-six point seven percent of the staff recommended using the adhesive safety system. CONCLUSIONS: The catheters fixed with adhesive systems had fewer infectious complications and less displacement. SN - 1578-1291 UR - https://www.unboundmedicine.com/medline/citation/29602709/Comparative_study_on_fixation_of_central_venous_catheter_by_suture_versus_adhesive_device L2 - http://www.elsevier.es/en/linksolver/ft/pii/S1130-2399(18)30025-7 DB - PRIME DP - Unbound Medicine ER -