Comparative study on fixation of central venous catheter by suture versus adhesive device

Molina-Mazón, C.S.; Martín-Cerezo, X.; Vega, Gema; Asensio-Flores, S.; Adamuz-Tomás, Jordi

doi:10.1016/j.enfie.2017.10.008

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Chest radiographs were obtained during the course of treatment in 279 cases: 110 (69.6%) in the CG group and 169 (66.8%) in the control group; selected because it is less likely to cause catheter infection and is superior in terms of safety and patient quality of life. [20][21][22] Regarding catheter management, sutureless fixation is used to prevent catheter infection 23 ; however, inadequate fixation can lead to migration of the catheter tip. Our findings indicate that the use of CG reduced the risk of catheter tip migration and catheter removal for suspected catheter infection.…”

Section: Catheter Tip Migration and Venous Thrombosismentioning

confidence: 99%

Peripherally inserted central catheter securement with cyanoacrylate glue and bloodstream infection: A retrospective cohort study

Kurata,

Ohira,

Hayano

et al. 2024

J Parenter Enteral Nutr

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BackgroundTreatment via a peripherally inserted central venous catheter is important for anticancer treatment, perioperative management, and nutritional management. In this study, we aimed to investigate the usefulness of cyanoacrylate glue (CG) in managing peripherally inserted central venous catheters in adults.MethodsThis retrospective cohort study enrolled 411 adults requiring a central venous catheter for treatment in the Chiba University Esophageal‐Gastro‐Intestinal Surgery department between January 2021 and October 2022. The preventive effect of CG in reducing adverse events, including infection, tip migration, and thrombus formation, was evaluated by reviewing electronic medical records, chest radiographs, and contrast‐enhanced computed tomography scans.ResultsCG and other dressings were used in 158 (CG group) and 253 (control group) patients, respectively. The incidence of catheter infection based on the clinical course was lower in the CG group (3.2%) than in the control group (9.1%; p=0.03). However, cases of infection confirmed by blood or catheter culture did not differ between the CG (1.3%) and control (1.9%) groups (p=1.0). Chest radiographs revealed that catheter tip migration was lesser in the CG group (8.2±6.7 mm) than in the control group (15.0±15.8 mm; p<0.01). There were two cases of venous thrombus formation in the control group.ConclusionIn a population dominated by esophago‐gastroenterological malignancy, peripherally inserted central catheter securement via CG was associated with decreased catheter removal due to suspected catheter infection. Further research on larger cohorts is needed to determine if other adverse events decrease following peripherally inserted central catheter securement via CG.This article is protected by copyright. All rights reserved.

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Section: Catheter Tip Migration and Venous Thrombosismentioning

confidence: 99%

Peripherally inserted central catheter securement with cyanoacrylate glue and bloodstream infection: A retrospective cohort study

Kurata,

Ohira,

Hayano

et al. 2024

J Parenter Enteral Nutr

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“…Securing RACs with sutures is frequently associated with bleeding and ongoing need for repeated dressing changes, increased risk of infection, loss of access and needlestick injuries, and should be avoided whenever possible. 39,40 Cyanoacrylate tissue adhesives, widely used for skin wounds closure, provides effective securement for RAC and, in addition, an antimicrobial and hemostatic effect at the insertion site. 5,41 The combination of an engineered adhesive securement device (EASD), or sutureless, and transparent polyurethane dressing significantly prevents accidental catheter removal and dislodgement.…”

Section: Stabilization and Securementmentioning

confidence: 99%

10 best practice tips with radial arterial catheterization

Imbrìaco

Spencer²,

Bardin-Spencer

2022

J Vasc Access

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Radial arterial catheters (RAC) are used extensively across critical care settings (Anesthesia, Intensive Care, Emergency Medicine) for continuous hemodynamic monitoring, allowing for immediate adjustments in vasopressor therapies and blood collection. Radial catheter failures are an ongoing significant issue for critical care clinicians with reported incidences at almost 25%. Common complications include loss of function, lack of blood return, poor quality waveforms and dislodgement, posing potential patient risks, and sudden loss of intra-arterial monitoring frequently requires prompt replacement. Contemporary research and technological improvements have highlighted several concepts to enhance the approach of RAC insertion and management while reducing immediate and late complications. The authors have prioritized the following 10 “best practice” aspects that may improve overall device function and reliability.

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Systematic Review of the Safety and Efficacy of Central Vascular Access Device Securement

Bell¹,

Hawes

Diloreto

et al. 2022

Journal of the Association for Vascular Access

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Highlights Abstract Background: Central vascular access devices (CVADs) are essential for patient care in modern medicine. Providing access to the central circulation, CVADs allow fluids and medications to be infused rapidly and hemodiluted. The placement of a CVAD requires knowledge of vascular access devices, optimal site selection, infection prevention protocols, and expert techniques to limit potential adverse outcomes. Research has been focused on how to safely and effectively place CVADs, but little effort has been made to investigate the securement of the catheter once it is in place. Methods: This systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and registered through PROSPERO. Two systematic searches of the literature were conducted, the first in January 2021 and the second in January 2022, by using multiple medical databases. Of the 1127 titles that met initial inclusion criteria 117 were selected for evaluation and then 39 for study. Results: Search results yielded various outcomes, making a direct comparison between studies challenging. However, it was clear that safety and efficacy were not applied to suture-based securement and have not been well researched despite its general use. Conclusions: Randomized controlled studies are needed to measure the relative safety and efficacy of different securement modalities, their impact on CVAD complications, and ultimately patient outcomes.

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Comparative study on fixation of central venous catheter by suture versus adhesive device

Cited by 4 publications

References 17 publications

Peripherally inserted central catheter securement with cyanoacrylate glue and bloodstream infection: A retrospective cohort study

Peripherally inserted central catheter securement with cyanoacrylate glue and bloodstream infection: A retrospective cohort study

10 best practice tips with radial arterial catheterization

Systematic Review of the Safety and Efficacy of Central Vascular Access Device Securement

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