Securement for vascular access devices: looking to the future

Ullman, Amanda; Marsh, Nicole; Rickard, Claire M

doi:10.12968/bjon.2017.26.8.s24

Cited by 6 publications

(1 citation statement)

References 23 publications

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“…20 Intravascular device failure from accidental dislodgement and migration is a large cause for concern, 21 recent studies have shown that the use of an appropriate securement device is instrumental in preventing unwarranted catheter related complications. 22,23 A European study by Zerla and colleagues suggested that subcutaneous securement is a highly efficient and cost-effective device for securing medium to long-term PICCs. 24 No cases of dislodgment, infection, or thrombotic episodes were reported.…”

Section: Purpose Of Studymentioning

confidence: 99%

Catheter securement impact on PICC-related CLABSI: A university hospital perspective

Rowe

Arnold²,

Spencer³

2020

American Journal of Infection Control

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The use of a subcutaneous engineered securement device (SESD) for peripherally inserted central catheters (PICC) in an acute care setting was found to have a direct impact on central line associated bloodstream infection (CLABSI) rates compared to traditional adhesive engineered securement devices (AESD). Objective: While the literature suggests the use of SESDs has had successful results for device securement, it is unknown to what extent they may impact CLABSI rates. Securement and stabilization performance among devices may be a direct risk factor for CLABSIs. Methods: A retrospective quality review of 7,776 cases was conducted at a large academic medical center. The primary researcher implemented a quantitative design which was analyzed with demographics statistics and relative risk ratio. Results: There was a 288% (n = 47) increase in relative risk of CLABSI found in the AESD group compared to the SESD group. The results imply the use of SESDs may improve nursing practice and patient outcomes lowering CLABSI rates in patients with PICCs by a reduction of risks associated with securement design differences.

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Section: Purpose Of Studymentioning

confidence: 99%

Catheter securement impact on PICC-related CLABSI: A university hospital perspective

Rowe

Arnold²,

Spencer³

2020

American Journal of Infection Control

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The Future of Emergent Vascular Access

Paxton

Corsi

Szydlowski

2021

Emergent Vascular Access

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Full title: peripheral venous catheter complications in children: predisposing factors in a multicenter prospective cohort study

et al. 2017

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BackgroundPeripheral venous catheterization (PVC) is frequently used in children. This procedure is not free from potential complications. Our purpose was to identify the types and incidences of PVC complications in children and their predisposing factors in a developing country.MethodsWe conducted a prospective observational multicenter study in five pediatric and pediatric surgery departments over a period of 2 months. Two hundred fifteen PVC procedures were conducted in 98 children. The times of insertion and removal and the reasons for termination were noted, and the lifespan was calculated. Descriptive data were expressed as percentages, means, standard deviations, medians and interquartile ranges. The Chi2 test or the Fisher test, with hazard ratios and 95% confidence intervals (CI95%), as well as Student’s t test or the Mann-Whitney U test were used to compare categorical and quantitative variables, respectively, in groups with and without complications. The Spearman test was used to determine correlations between the lifespan and the quantitative variables. The Kruskal Wallis test was used to test for differences in the median lifespan within 3 or more subgroups of a variable. Linear regression and logistic binary regression were used for multivariate analysis. A p-value <0.05 was considered significant.ResultsThe mean lifespan was 68.82 ± 35.71 h. A local complication occurred in 111 PIVC (51.9%) cases. The risk factors identified were a small catheter gauge (24-gauge) (p = 0.023), the use of a volume-controlled burette (p = 0.036), a longer duration of intravenous therapy (p < 0.001), a medical diagnosis of respiratory or infectious disease (p = 0.047), the use of antibiotics (p = 0.005), including cefotaxime (p = 0.024) and vancomycin (p = 0.031), and the use of proton pump inhibitors (p = 0.004).The lifespan of the catheters was reduced with the occurrence of a complication (p < 0.001), including the use of 24-gauge catheters (p = 0.001), the use of an electronic pump or syringe(p = 0.036) and a higher rank of the intravenous device in each patient (p = 0.010).ConclusionsPVC complications were frequent in our pediatric departments and are often associated with misuse of the device. These results could engender awareness among both doctors and nurses regarding the need for rationalization of the use of PVC and better adherence to the recommendations for the use of each drug and each administration method.

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Securement for vascular access devices: looking to the future

Cited by 6 publications

References 23 publications

Catheter securement impact on PICC-related CLABSI: A university hospital perspective

Catheter securement impact on PICC-related CLABSI: A university hospital perspective

The Future of Emergent Vascular Access

Full title: peripheral venous catheter complications in children: predisposing factors in a multicenter prospective cohort study

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