Fixation of the short-term central venous catheter. A comparison of two techniques
Acta cir. bras
;
32(8): 680-690, Aug. 2017. tab, graf
Article
in English
| LILACS
| ID: biblio-886228
ABSTRACT
Abstract Purpose:
To compare the fixation of the central venous catheter (CVC) using two suture techniques.Methods:
A clinical, analytical, interventional, longitudinal, prospective, controlled, single-blind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross-tied sutures around the device). Displacement, kinking, fixation failure, hyperemia at the insertion site, purulent secretion, loss of the device, psychomotor agitation, mental confusion, and bacterial growth at the insertion site were evaluated.Results:
Compared with the Wing group, the Shoelace group had a lower occurrence of catheter displacement (n=0 versus n =4; p = 0.04), kinking (n=0 versus n=8; p=0.001), and fixation failure (n=2 versus n=8; p=0.018). No significant difference was found in bacterial growth (n=20 versus n=14; p=0.267) between groups.Conclusion:
The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Sutures
/
Catheterization, Central Venous
/
Suture Techniques
/
Central Venous Catheters
Type of study:
Controlled clinical trial
/
Etiology study
/
Observational study
/
Risk factors
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
English
Journal:
Acta cir. bras
Journal subject:
General Surgery
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2017
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade do Vale do Sapucaí/BR
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