2015
DOI: 10.1136/bmjopen-2015-008689
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Securing All intraVenous devices Effectively in hospitalised patients—the SAVE trial: study protocol for a multicentre randomised controlled trial

Abstract: IntroductionOver 70% of all hospital admissions have a peripheral intravenous device (PIV) inserted; however, the failure rate of PIVs is unacceptably high, with up to 69% of these devices failing before treatment is complete. Failure can be due to dislodgement, phlebitis, occlusion/infiltration and/or infection. This results in interrupted medical therapy; painful phlebitis and reinsertions; increased hospital length of stay, morbidity and mortality from infections; and wasted medical/nursing time. Appropriat… Show more

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Cited by 33 publications
(23 citation statements)
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“…The bottom-up, micro-costing approach including detailed costing for staff time associated with study products is also a strength. Although the protocol specified a cost-effectiveness analysis to estimate incremental cost per PIVC failure avoided [15] , we considered this of little value since no group had superior primary outcomes. Instead, our economic analysis is 20 pragmatic and incorporates costs of the interventions and those of managing complications and adverse events.…”
Section: Discussionmentioning
confidence: 99%
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“…The bottom-up, micro-costing approach including detailed costing for staff time associated with study products is also a strength. Although the protocol specified a cost-effectiveness analysis to estimate incremental cost per PIVC failure avoided [15] , we considered this of little value since no group had superior primary outcomes. Instead, our economic analysis is 20 pragmatic and incorporates costs of the interventions and those of managing complications and adverse events.…”
Section: Discussionmentioning
confidence: 99%
“…Human research ethics committee approval was obtained from the health services (HREC/11/QRCH/152) and Griffith University (NRS/46/11/HREC) and the protocol was published. [15] We recruited adults from medical-surgical departments who had a PIVC of expected use >24 hours. Intensive care units (ICUs) were not included as PIVCs are rarely used in Australian ICUs.…”
mentioning
confidence: 99%
“…1 Currently, topical tissue adhesives, or "super glues" [e.g., octyl cyanoacrylate (Dermabond®), and n-butyl cyanoacrylate (Histoacryl®)] are widely used in the surgical eld. 2,3 There is a long-chain cyanoacrylic glue that can form a permanent thin lm coating that binds to the keratin in the epidermis, remaining intact for 5-10 days, after which it naturally sloughs off with the epithelia. 4 The advantages of these glues are not only that they can tightly close a surgical wound (as an alternative to sutures or staples), but they also prevent leakage and control bleeding.…”
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confidence: 99%
“…Skin damage (epidermal stripping, pressure injury) and mechanical phlebitis are related to securement or excessive movement of the catheter in the blood vessel (Marsh et al, 2015). There is broad agreement that secure fixation can decrease the risk of complications, preserve veins, and reduce patient exposure to repeated venepuncture attempts (Rickard et al, 2015).…”
mentioning
confidence: 99%
“…The interpretation of these findings should be cautious given the small sample size and the considerable age range of participants. Other research teams (Rickard et al, 2015) studies; while this is welcome, given the study population (adults) it might not produce answers for children's practitioners. In practice, IV splints (limb boards) can limit excessive catheter movement when veins in joint areas are cannulated; anecdotally, some nurses suggest that, for active children, they protect the device and act as a reminder to take care.…”
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confidence: 99%