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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
105
Devices secures PICC subcutaneously and remains in place during the complete dwell time of the PICC
Device secures PICC however, device has to be changed weekly
University Hospitals Leuven
Leuven, Belgium
Time needed for dressing change
Time frame: weekly during dressing change until catheter removal which is expected on an average after 2 weeks or up to 26 weeks
Number of accidental removals
Time frame: at catheter removal which is expected on an average after 2 weeks or up to 26 weeks
Number of catheters that migrated
external catheter part will be measured
Time frame: weekly during dressing change until catheter removal which is expected on an average after 2 weeks or up to 26 weeks
Catheter-related infection
Labo confirmed catheter-related infection
Time frame: at catheter removal which is expected on an average after 2 weeks or up to 26 weeks
Pain at catheter entry site related to device
measured by the VAS from 0 (no pain) to 10 (worst imaginable pain)
Time frame: every week with the catheter dressing change until catheter removal which is expected on an average after 2 weeks or up to 26 weeks
Ease of use of the device
measured by the sumscore of the answers on 4 statements scored on a 5-item likert scale
Time frame: at placement (day 1) and at catheter removal which is expected on an average after 2 weeks
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