Fixation of the short-term central venous catheter. A comparison of two techniques

Fixation of the short-term central venous catheter. A comparison of two techniques

Author Marques Leal, Mario Lucio Google Scholar
Alkmim Teixeira Loyola, Ana Beatriz Google Scholar
Hueb, Alexandre Ciappina Google Scholar
da Silva Neto, Jose Dias Google Scholar
Mesquita Filho, Marcos Google Scholar
de Paiva, Luiz Francisley Google Scholar
Jorge Guerrieri, Mauricio Landulfo Google Scholar
Nunes Fernandes, Joao Paulo Google Scholar
Barros, Artur Costa Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
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.
Keywords Catheters
Vascular Access Devices
Suture Techniques
Blood Circulation
Language English
Date 2017
Published in Acta Cirurgica Brasileira. Sao Paulo, v. 32, n. 8, p. 680-690, 2017.
ISSN 0102-8650 (Sherpa/Romeo, impact factor)
Publisher Acta Cirurgica Brasileira
Extent 680-690
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000410613900010
SciELO ID S0102-86502017000800680 (statistics in SciELO)

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