Patients With Any Condition Who Need a PICC for IV Therapy
Conditions
Keywords
Peripherally Inserted Central Catheters, Securement device
Brief summary
Peripherally inserted central catheters (PICCs ) are used for the administration of intravenous fluids and for blood sampling. PICCs may remain in place for weeks to months and are safeguarded from migration or accidental dislodgement by securement devices. Different types of these devices are available. StatLock® (C.R. Bard) is a stabilization device with an adhesive anchor pad. The catheter wings of the PICC must be placed over the posts then the system is closed with gull-wings . StatLock® has to be changed weekly. Healthcare providers have to pay attention to prevent accidental catheter dislodgement during the renewal procedure. SecurAcath® (Interrad Medical) is a new securement device to the European market. The device uses a small subcutaneous anchor to secure the PICC. One of the advantages compared to adhesive stabilization devices, is a reduction in maintenance time by simplifying dressing changes and subsequently staff time. It is described that nurses report that care is left undone due to low staffing levels. Therefore, investigation of nursing time savings with the support of technology is imperative. SecurAcath® remains in place for life of the PICC and therefore has the potential to reduce the time for dressing change as there is no need for weekly device change. The objective of this study is to measure nursing time for dressing change and explore inserting and removal issues and patient experiences.
Interventions
DEVICESecurAcath
Devices secures PICC subcutaneously and remains in place during the complete dwell time of the PICC
DEVICEStatLock
Device secures PICC however, device has to be changed weekly
Sponsors
Universitaire Ziekenhuizen KU Leuven
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Polyurethane PICC insertion * Dutch speaking patient, able to give informed consent * Intravenous treatment is administered in the University Hospitals Leuven
Exclusion criteria
* patients with known allergy to nickel or ethylene oxide
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time needed for dressing change | weekly during dressing change until catheter removal which is expected on an average after 2 weeks or up to 26 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of accidental removals | at catheter removal which is expected on an average after 2 weeks or up to 26 weeks | — |
| Number of catheters that migrated | weekly during dressing change until catheter removal which is expected on an average after 2 weeks or up to 26 weeks | external catheter part will be measured |
| Catheter-related infection | at catheter removal which is expected on an average after 2 weeks or up to 26 weeks | Labo confirmed catheter-related infection |
| Pain at catheter entry site related to device | every week with the catheter dressing change until catheter removal which is expected on an average after 2 weeks or up to 26 weeks | measured by the VAS from 0 (no pain) to 10 (worst imaginable pain) |
| Ease of use of the device | at placement (day 1) and at catheter removal which is expected on an average after 2 weeks | measured by the sumscore of the answers on 4 statements scored on a 5-item likert scale |
Countries
Belgium
Outcome results
None listed