Intensive Care
Conditions
Brief summary
This study is a pilot study of the safety, tolerability and efficacy of an investigational central venous catheter device used in conjunction with a standard central venous catheter. The hypothesis is that utilization of a catheter device incorporating cyanoacrylate will reduce catheter colonization by bacteria, and may decrease the rate of catheter-related bloodstream infections.
Interventions
silicone device using Dermabond
Sponsors
Study design
Eligibility
Inclusion criteria
* Admission in the ICU at time of catheter insertion * Indication for central venous catheter placement * De novo catheter insertion in the subclavian or internal jugular veins
Exclusion criteria
* Anticipated catheter duration \< 72 hours * Planned guidewire exchange * Documented bacteremia within 48 hours prior to catheter placement * Extensive skin breakdown near the site of potential catheter placement * Emergent line placement * Screening labs with ANC \< 500 or platelets \< 50K * Hypersensitivity to cyanoacrylates or formaldehyde * Prior enrollment in study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Catheter site inspection | Baseline, Daily |