Catheter Securement Systems for Peripherally Inserted and Nontunneled Central Vascular Access Devices

Abstract

Sutureless catheter securement systems are intended to eliminate risks associated with sutures. The clinical acceptability of a novel system was investigated compared with the current method of securement for peripherally inserted central catheters (19 facilities using StatLock or sutures) or nontunneled central vascular access devices (3 facilities using StatLock or sutures or HubGuard + Sorbaview Shield). More than 94% of respondents rated the novel system as same, better, or much better than their current product. More than 82% of respondents were willing to replace their current system with the new one.

Guidelines of the Italian Association of Pediatric Hematology and Oncology for the management of the central venous access devices in pediatric patients with onco-hematological disease

“…Also, it must ensure visibility of the insertion site and the administration of therapies; it must be comfortable and non-irritating for the patient, easy to use and with a favorable cost-benefit ratio. 3,110,111 Recommendations about the use of Securement Devices 1) Stabilization is essential to prevent complications, especially CVAD dislodgment, (AI r) and can be obtained by different devices such as: (a) securement system integrated in the dressing, (b) sutureless systems with skin adhesion, (c) subcutaneously anchored securement (SAS). 3,65,105,[107][108][109][110][111][112][113][114][115][116][117] There is currently no strong evidence to indicate the superiority of one securement i device over another.…”

“…3,110,111 Recommendations about the use of Securement Devices 1) Stabilization is essential to prevent complications, especially CVAD dislodgment, (AI r) and can be obtained by different devices such as: (a) securement system integrated in the dressing, (b) sutureless systems with skin adhesion, (c) subcutaneously anchored securement (SAS). 3,65,105,[107][108][109][110][111][112][113][114][115][116][117] There is currently no strong evidence to indicate the superiority of one securement i device over another. [116][117][118][119][120][121][122] 2) The application of CVAD securement requires asepsis.…”

“…(B II) 3) The use of sutures for CVAD stabilization is contraindicated as it is associated with a greater risk of infectious and accidental puncture. 3,67,110,111,123 (AII)…”

Prevention of Central Line–Associated Bloodstream Infections

“…Sutureless securement devices (SSDs) are systems that can achieve this goal without violating the skin. SSDs secure catheters to the skin using a strong adhesive and often use the catheter hub suture wings as a key contact area [36]. Examples include the Bard StatLock CV Plus Stabilization Device (http://www.bardaccess.com/products/stabilization/other-universal-plus) and the 3M PICC/CVC Needleless Securement Device (http://www.3m.com/3M/en_US/company-us/all-3m-products/~/All-3M-Products/Health-Care/Medical/Securement-Immobilization-Dressing-Securement/Securement-Devices/?N=5002385+8707795+8707798+8710892+8711017+8711097+3294857497&rt=r3).…”

Effectiveness, safety and comfort of StatLock securement for peripherally‐inserted central catheters: A systematic review and meta‐analysis

“…In addition to sutureless devices and suture, transparent adhesive dressings are also commonly used for the securement of PICC, which have been demonstrated to reduce PICC‐related complications (Krenik, Smith, & Bernatchez, ). However, there is no study comparing the effectiveness and safety between sutureless devices and transparent adhesive dressings.…”