A comparison of two transparent film-type dressings in central venous therapy

Wille, Jan; Alblas, A. Blussé van Oud; Thewessen, E. A. P. M.

doi:10.1016/0195-6701(93)90015-r

Cited by 37 publications

(11 citation statements)

References 14 publications

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“…It was possible to observe that the transparent dressing edges come off the skin easily, even when following the instructions recommended by the manufacturer, which confirms data found by other studies on the theme (16) . Each person's skin characteristics can interfere in fixation quality, for diaphoretic clients, or clients who have oily skin present difficulties for dressing fixation in general, regardless of the material used.…”

Section: The Use Of Central Venous Catheters In Intensive Caresupporting

confidence: 79%

“…The permanence of the transparent dressing was of 1.9 days, a lot less than the findings of another study, 5.1 days (16) . The short permanence time found by the present study is related to the catheter removal, or to dressing problems, such as "low exudate absorption" (11%), and "low fixation" (33%).…”

Section: The Use Of Central Venous Catheters In Intensive Carecontrasting

confidence: 41%

“…Among the complications observed, "low exudate absorption", with a consequent buildup between the dressing and the client's skin (11%) and "low fixation" of the dressing to the skin (19%) (16) . The tape and gauze dressing was associated to a higher probability of local reaction development, mainly where the tape was in contact with the skin.…”

Section: The Use Of Central Venous Catheters In Intensive Carementioning

confidence: 99%

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Ensaio clínico controlado sobre o curativo de cateter venoso central

et al. 2011

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Objective: To evaluate the effectiveness of gauze and tape as compared to transparent polyurethane film for dressing central venous catheters. Methods: A randomized controlled clinical trial was conducted. Results: No significant difference was identified in catheterrelated infection (p = 1) or the stability of the dressing (p = 0.670). There was no statistically significant difference with respect to the absorption of exudate (p <0.001). The likelihood of local reaction in the control group (gauze and tape) was different from the study group (p = 0.024). Conclusion: The type of dressing does not decrease the incidence of catheter-related infection, the binding capacity is similar, and the gauze dressing has the capacity to absorb exudate. However, the gauze dressing resulted in a higher probability of developing a local reaction. Record WHO: ACTRN12609000951257. Keywords: Central venous catheter; Clinical trial; Infection; Bandages RESUMO Objetivo: Avaliar a eficácia dos curativos de gaze e fita e filme transparente de poliuretano para cobertura de cateteres venosos centrais. Métodos: Ensaio clínico controlado randomizado. Resultados: Não foi identificada uma diferença significativa com relação à infecção relacionada ao cateter (p=1) e à fixação do curativo (p=0,670). Foi identificada diferença estatisticamente significativa com relação à absorção de exsudato (p<0,001). A probabilidade de ocorrer reação local no grupo controle é diferente do grupo estudo (p=0,024). Conclusão: O tipo de curativo não diminui a incidência de infecção relacionada ao cateter, a capacidade de fixação é semelhante, o curativo de gaze e fita possui capacidade de absorção de exsudato, porém apresenta probabilidade maior de desenvolver reação local. Registro WHO: ACTRN12609000951257. Descritores: Cateterismo venoso central; Ensaio clínico; Infecção; Bandagens RESUMEN Objetivo: Evaluar la eficacia de las curaciones de gasa y cinta y película transparente de poliuretano para la cobertura de catéteres venosos centrales. Métodos: Ensayo clínico controlado randomizado. Resultados: No se identificó una diferencia significativa con relación a la infección relacionada al catéter (p=1) y a la fijación de la curación (p=0,670). Fue identificada la diferencia estadísticamente significativa con relación a la absorción del exudado (p<0,001). La probabilidad de que ocurra reacción en el lugar en el grupo control es diferente al grupo de estudio (p=0,024). Conclusión: El tipo de curación no disminuye la incidencia de infección relacionada al catéter, la capacidad de fijación es semejante, la curación de gasa y cinta posee capacidad de absorción de exudado, sin embargo presenta probabilidad mayor de desarrollar reacción local. Registro WHO: ACTRN12609000951257.

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Section: The Use Of Central Venous Catheters In Intensive Caresupporting

confidence: 79%

Section: The Use Of Central Venous Catheters In Intensive Carecontrasting

confidence: 41%

Section: The Use Of Central Venous Catheters In Intensive Carementioning

confidence: 99%

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Ensaio clínico controlado sobre o curativo de cateter venoso central

et al. 2011

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“…Confounding factors were reported in three of the studies (Conly et al. 1989, Neufeld 1991, Wille et al. 1993; see Tables 2 and 3).…”

Section: Quality Of Included Studiesmentioning

confidence: 99%

“…There was no significant difference in the incidence of catheter‐related sepsis when Opsite was compared with Opsite IV3000. All data for this analysis were from the study by Wille et al. (1993), which had a total sample number of 101.…”

Section: Opsite Vs Opsite Iv3000mentioning

confidence: 99%

Central venous catheter dressings: a systematic review

Gillies

O'Riordan²,

Carr³

et al. 2003

Journal of Advanced Nursing

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There was no evidence of any difference in the incidence of infectious complications between any of the dressing types compared in this review. Each of these comparisons was based on no more than two studies and all of these studies reported data from a small patient sample. Therefore it is unlikely that any of these comparisons would have had sufficient power to detect any differences between groups.

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Gauze and tape and transparent polyurethane dressings for central venous catheters

Gillies

Carr

Frost

et al. 2003

Cochrane Database of Systematic Reviews

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There is a high level of uncertainty regarding the risk of infection with the central venous catheter dressings identified in this review. Therefore, at this stage it appears that the choice of dressing for central venous catheters can be based on patient preference. To identify the most appropriate central venous catheter dressings, further research is necessary. It is paramount that any future studies investigating this issue must be rigorously performed randomised controlled trials.

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A comparison of two transparent film-type dressings in central venous therapy

Cited by 37 publications

References 14 publications

Ensaio clínico controlado sobre o curativo de cateter venoso central

Ensaio clínico controlado sobre o curativo de cateter venoso central

Central venous catheter dressings: a systematic review

Gauze and tape and transparent polyurethane dressings for central venous catheters

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