Catheter Complications
Conditions
Keywords
intravenous, intraarterial, catheter, fixation, withdrawal, dislocation
Brief summary
Insertion of intravenous or intra-arterial catheter is one of the most common procedures in anesthesiology and intensive care medicine. After successful insertion, proper catheter fixation is required to maintain the catheter correct position with the aim to preserve catheter patency, prevent excessive movements of catheter or even iatrogenic catheter extraction/dislocation. Beside the historically preferred surgical fixation to the skin of the patient (invasive method, repeated percutaneous punction), atraumatic fixation by special dressing is currently available in clinical practice. In pediatric patients, due to limited cooperation, higher risk of dislocation exists.
Detailed description
Pediatric patients with intravenous and/or intraarterial catheters with estimated length of insertion over 72 hours will be included into the trial.Type of catheter fixation (surgical versus atraumatic) will be evaluated. Demographic data, local and systemic complication between the group of surgical fixation and atraumatic fixation will be evaluated.
Interventions
PROCEDURESurgical fixation
Pediatric patients with intravenous and/or intraarterial catheter in situ secured with surgical fixation
PROCEDUREAtraumatic fixation
Pediatric patients with intravenous and/or intraarterial catheter in situ secured with atraumatic fixation
Sponsors
Masaryk University
Brno University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 19 Years
Inclusion criteria
* pediatric patients with intravenous/intraarterial catheter secured at Departement of pediatric anesthesiology and intensive care medicine * estimated length of catheter left in place longer than 72 hours
Exclusion criteria
* estimated length of catheter left in place shorter than 72 hours * impossible patient´s evaluation after catheter insertion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of catheter extraction/dislocation | In 30 days after catheter insertion | The incidence of catheter extraction/dislocation will be evaluated between the group of surgical and atraumatic catheter fixation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of local infectious complications | In 30 days after catheter insertion | The incidence of local infectious complications will be evaluated between the group of surgical and atraumatic catheter fixation |
| Incidence of systemic infectious complications | In 30 days after catheter insertion | The incidence of systemic infectious complications will be evaluated between the group of surgical and atraumatic catheter fixation |
| Incidence of thrombotic complications | In 30 days after catheter insertion | The incidence of thrombotic complications will be evaluated between the group of surgical and atraumatic catheter fixation |
Countries
Czechia
Contacts
Primary ContactJozef UO Klučka, assoc.prof.MD., Ph.D.
Backup ContactMarketa Říhová, Mgr., MBA
Outcome results
None listed