Fixation of the short-term central venous catheter. A comparison of two techniques

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dc.contributor.authorMarques Leal, Mario Lucio
dc.contributor.authorAlkmim Teixeira Loyola, Ana Beatriz
dc.contributor.authorHueb, Alexandre Ciappina
dc.contributor.authorda Silva Neto, Jose Dias
dc.contributor.authorMesquita Filho, Marcos
dc.contributor.authorde Paiva, Luiz Francisley
dc.contributor.authorJorge Guerrieri, Mauricio Landulfo
dc.contributor.authorNunes Fernandes, Joao Paulo
dc.contributor.authorBarros, Artur Costa
dc.contributor.authorFerreira, Lydia Masako [UNIFESP]
dc.date.accessioned2019-08-19T11:49:53Z
dc.date.available2019-08-19T11:49:53Z
dc.date.issued2017
dc.description.abstractPurpose: To compare the fixation of the central venous catheter (CVC) using two suture techniques. Methods: A clinical, analytical, interventional, longitudinal, prospective, controlled, single-blind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross- tied sutures around the device). Displacement, kinking, fixation failure, hyperemia at the insertion site, purulent secretion, loss of the device, psychomotor agitation, mental confusion, and bacterial growth at the insertion site were evaluated. Results: Compared with the Wing group, the Shoelace group had a lower occurrence of catheter displacement (n = 0 versus n = 4en
dc.description.abstractp = 0.04), kinking (n = 0 versus n = 8en
dc.description.abstractp = 0.001), and fixation failure (n = 2 versus n = 8en
dc.description.abstractp = 0.018). No significant difference was found in bacterial growth (n = 20 versus n = 14en
dc.description.abstractp = 0.267) between groups. Conclusion: The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.en
dc.description.affiliationUniv Vale Sapucai UNIVAS, Profess Masters Program Appl Hlth Sci, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Profess Masters Program Appl Hlth Sci, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Hosp Clin Samuel Libanio, Dept Cardiac Surg, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Dept Biostat, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Res Lab, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Hosp Clin Samuel Libanio, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Hosp Clin Samuel Libanio, Intens Care Dept, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Vale Sapucai, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv Fed São Paulo UNIFESP, Div Plast Surg, São Paulo, Brazil
dc.description.affiliationUniv Fed São Paulo UNIFESP, Div Plast Surg, Dept Surg, São Paulo, Brazil
dc.description.affiliationUnifespUniv Fed São Paulo UNIFESP, Div Plast Surg, São Paulo, Brazil
dc.description.affiliationUnifespUniv Fed São Paulo UNIFESP, Div Plast Surg, Dept Surg, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent680-690
dc.identifierhttp://dx.doi.org/10.1590/s0102-865020170080000010
dc.identifier.citationActa Cirurgica Brasileira. Sao Paulo, v. 32, n. 8, p. 680-690, 2017.
dc.identifier.doi10.1590/s0102-865020170080000010
dc.identifier.fileWOS000410613900010.pdf
dc.identifier.issn0102-8650
dc.identifier.scieloS0102-86502017000800680
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/51426
dc.identifier.wosWOS:000410613900010
dc.language.isoeng
dc.publisherActa Cirurgica Brasileira
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCathetersen
dc.subjectVascular Access Devicesen
dc.subjectSuture Techniquesen
dc.subjectMicrobiotaen
dc.subjectBlood Circulationen
dc.titleFixation of the short-term central venous catheter. A comparison of two techniquesen
dc.typeinfo:eu-repo/semantics/article
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