Sutureless Securement Device Reduces Complications of Peripherally Inserted Central Venous Catheters
Section snippets
Study Design
Approval to conduct this prospective, randomized trial was granted by the institutional review board. Each study subject gave verbal informed consent before enrollment. The randomization was performed with concealed envelopes that designated patients to receive the standard securement with interrupted 2–0 Prolene (Ethicon, Somerville, NJ) or StatLock.
Catheter Insertion
An educational program reviewed the current suture method and introduced StatLock to staff members of the interventional radiology section. Single
Insertion Data
Twenty-five different operators used the suture technique and 28 operators used the StatLock. Average securement time was 4.7 minutes in the suture group and 2.7 minutes in the sutureless group (P < .001). The average securement ease/satisfaction scores were 7.2/7.3 for suture and 7.0/7.1 for StatLock (P = NS in both cases), respectively. Two patients could not be enrolled into the study. Excessive bleeding prevented adhesion of the StatLock in the first patient and the PICC catheter wing
DISCUSSION
A prospective, randomized study was conducted in two well-balanced patient groups comparing suture technique to a sutureless anchor pad for PICC securement. The anchor pad significantly reduced the length of time required to secure catheter to skin. Operators who used StatLock expressed equivalent ease and satisfaction with the device compared to suture technique. Follow-up demonstrated that StatLock secured catheters as well or better than suture, it significantly reduced line infections, and
CONCLUSION
The availability of StatLock as an alternative to tape and suture for securement of PICCs poses several clinical implications. It significantly reduces line infections. StatLock performs as well or better than suture in preventing catheter-related complications, particularly dislodgment and migration. In addition, it avoids the additional hazards associated with operator needle-stick injury and complies with recent federal guidelines. Future investigation must focus on how StatLock reduces
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Cited by (0)
From the 2001 SCVIR Annual Meeting.
This study was supported by an educational grant from Venetec International, San Diego, CA.