Clinical experience of a subcutaneously anchored sutureless system for securing central venous catheters

Pittiruti, Mauro; Scoppettuolo, Giancarlo; Dolcetti, Laura; Celentano, Davide; Emoli, Alessandro; Marche, Bruno; Musarò, Andrea

doi:10.12968/bjon.2019.28.2.s4

Cited by 21 publications

(35 citation statements)

References 9 publications

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“…As reported by these three cases, we are currently testing an innovative approach to chest tube securement, using a new subcutaneously anchored sutureless device (SAS) (SecurAcath, Interrad) initially marketed for the securement of central venous catheters. Its safety, efficacy, and cost effectiveness are well acknowledged in the world of vascular access [2][3][4][5]. SAS has also been used for other purposes: for instance, as securement of cerebral-spinal catheters [6], biliary tube drainage, and nephrostomy tubes [7].…”

Section: Discussionmentioning

confidence: 99%

“…Also, we noticed that insertion of SAS by anchoring it in the subcutaneous tissue was extremely easy. As suggested by our previous experience with SAS for securement of central venous catheters in neonates, we placed a small piece of sterile gauze under the base of the device so to avoid the risk of an excessive pressure of the device over the delicate skin [2].…”

Section: Discussionmentioning

confidence: 99%

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Subcutaneously Anchored Sutureless Device for Securement of Chest Tubes in Neonates with Pleural Effusion: Three Case Reports

Perez

Romitti

Pezzotti

et al. 2020

Case Reports in Pediatrics

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We report the clinical cases of three neonates, all of them premature, requiring the placement of a chest tube for drainage of a massive pleural effusion. In all three patients, the chest tube was secured using a new subcutaneously anchored sutureless system. This new securement device was easy to insert and to remove, and highly effective in preventing dislodgment. Also, it was not associated to any undesired effect: no sign of pain and/or discomfort and no skin inflammation. The securement device proved to be comfortable and harmless even in fragile patients as neonates, including the frailest ones, the premature. To our best knowledge, this is the first report describing the use of such a device for this purpose.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Subcutaneously Anchored Sutureless Device for Securement of Chest Tubes in Neonates with Pleural Effusion: Three Case Reports

Perez

Romitti

Pezzotti

et al. 2020

Case Reports in Pediatrics

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“…This review demonstrated savings in clinician time, material costs, and the benefits of reduced MARSI-associated tissue injury, highlighting benefits with the use of this securement device. 17 Finally, the most recently published study by Pittiruti et al 18 reported outcomes of three prospective, non-controlled clinical studies evaluating SESD over several years evaluating various venous access devices -PICCs, centrally inserted central catheters (CICCs) and femorally inserted central catheters (FICC). These combined studies reported improved outcomes in several adult high-risk groups, as well as infants and children.…”

Section: Discussionmentioning

confidence: 99%

“…This study confirmed the efficacy, safety and costeffectiveness of SESD when adopted for securement of CVCs, either tunnelled or non-tunnelled, in specific populations of patients: neonates, children, non-compliant older patients, patients with skin abnormalities that may reduce the effectiveness of a skin adhesive sutureless securement, patients who are candidates for maintaining a PICC for more than 8 weeks, and any category of patients with a high risk of catheter dislodgement. 18…”

Section: Discussionmentioning

confidence: 99%

Intravascular catheter migration: A cross-sectional and health-economic comparison of adhesive and subcutaneous engineered stabilisation devices for intravascular device securement

et al. 2019

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The Infusional Services Team at a large cancer centre in Belfast, Northern Ireland, performed a cross-sectional analysis of two catheter securement technologies to address an area of frequent, but underestimated concern – peripherally inserted central catheter migration and dislodgement. Healthcare practitioner and patient feedback, along with economic impact, were assessed. The costs associated with catheter replacement during the adhesive device group study period were calculated using an average cost per insertion, based on material costs required for the procedure. Other factors were the replacement cost of the adhesive engineered securement device with each dressing change. In the subcutaneous securement group, the material costs were adjusted for use of the subcutaneous device as it remained in situ for the duration of the catheters’ dwell time. This review found that subcutaneous securement offers both patient and facilities a safe, effective and economical alternative for device securement with patients who are unable to tolerate or have successful securement with adhesive securement devices. The use of subcutaneous devices provided for reduced risks for peripherally inserted central catheters in terms of dislodgement, migration or malposition, alleviating the potential risks to develop catheter-related thrombosis and device-related infection.

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“…The correct tip location was verified during the procedure, by IC-ECG and/or TTE. The catheter was secured by a subcutaneously anchored sutureless device, 11 and the exit site was covered with a semipermeable transparent dressing.…”

Section: Group Bmentioning

confidence: 99%

Comparison between sedation room and operating room in central venous catheter positioning in children

et al. 2020

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Background: Placement of central venous access devices is a clinical procedure associated with some risk of adverse events and with a relevant cost. Careful choice of the device, appropriate insertion technique, and proper management of the device are well-known strategies commonly adopted to achieve an optimal clinical result. However, the environment where the procedure takes place may have an impact on the overall outcome in terms of safety and cost-effectiveness. Methods: We carried out a retrospective analysis on pediatric patients scheduled for a major neurosurgical operation, who required a central venous access device in the perioperative period. We divided the patients in two groups: in group A the central venous access device was inserted in the operating room, while in group B the central venous access device was inserted in the sedation room of our Pediatric Intensive Care Unit. We compared the two groups in terms of safety and cost-effectiveness. Results: We analyzed 47 central venous access devices in 42 children. There were no insertion-related complications. Only one catheter-related bloodstream infection was recorded, in group A. However, the costs related to central venous access device insertion were quite different: €330–€540 in group A versus €105–€135 in group B. Conclusion: In the pediatric patient candidate to a major neurosurgical operation, preoperative insertion of the central venous access device in the sedation room rather than in the operating room is less expensive and equally safe.

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Clinical experience of a subcutaneously anchored sutureless system for securing central venous catheters

Cited by 21 publications

References 9 publications

Subcutaneously Anchored Sutureless Device for Securement of Chest Tubes in Neonates with Pleural Effusion: Three Case Reports

Subcutaneously Anchored Sutureless Device for Securement of Chest Tubes in Neonates with Pleural Effusion: Three Case Reports

Intravascular catheter migration: A cross-sectional and health-economic comparison of adhesive and subcutaneous engineered stabilisation devices for intravascular device securement

Comparison between sedation room and operating room in central venous catheter positioning in children

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