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

Detalhes bibliográficos
Autor(a) principal: Marques Leal, Mario Lucio
Data de Publicação: 2017
Outros Autores: Alkmim Teixeira Loyola, Ana Beatriz, Hueb, Alexandre Ciappina, da Silva Neto, Jose Dias, Mesquita Filho, Marcos, de Paiva, Luiz Francisley, Jorge Guerrieri, Mauricio Landulfo, Nunes Fernandes, Joao Paulo, Barros, Artur Costa, Ferreira, Lydia Masako [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/001300000gmbx
DOI: 10.1590/s0102-865020170080000010
Texto Completo: http://dx.doi.org/10.1590/s0102-865020170080000010
http://repositorio.unifesp.br/handle/11600/51426
Resumo: Purpose: 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 = 4
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spelling Fixation of the short-term central venous catheter. A comparison of two techniquesCathetersVascular Access DevicesSuture TechniquesMicrobiotaBlood CirculationPurpose: 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 = 4p = 0.04), kinking (n = 0 versus n = 8p = 0.001), and fixation failure (n = 2 versus n = 8p = 0.018). No significant difference was found in bacterial growth (n = 20 versus n = 14p = 0.267) between groups. Conclusion: The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.Univ Vale Sapucai UNIVAS, Profess Masters Program Appl Hlth Sci, Pouso Alegre, MG, BrazilUniv Vale Sapucai, Profess Masters Program Appl Hlth Sci, Pouso Alegre, MG, BrazilUniv Vale Sapucai, Hosp Clin Samuel Libanio, Dept Cardiac Surg, Pouso Alegre, MG, BrazilUniv Vale Sapucai, Dept Biostat, Pouso Alegre, MG, BrazilUniv Vale Sapucai, Res Lab, Pouso Alegre, MG, BrazilUniv Vale Sapucai, Hosp Clin Samuel Libanio, Pouso Alegre, MG, BrazilUniv Vale Sapucai, Hosp Clin Samuel Libanio, Intens Care Dept, Pouso Alegre, MG, BrazilUniv Vale Sapucai, Pouso Alegre, MG, BrazilUniv Fed São Paulo UNIFESP, Div Plast Surg, São Paulo, BrazilUniv Fed São Paulo UNIFESP, Div Plast Surg, Dept Surg, São Paulo, BrazilUniv Fed São Paulo UNIFESP, Div Plast Surg, São Paulo, BrazilUniv Fed São Paulo UNIFESP, Div Plast Surg, Dept Surg, São Paulo, BrazilWeb of ScienceActa Cirurgica Brasileira2019-08-19T11:49:53Z2019-08-19T11:49:53Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion680-690application/pdfhttp://dx.doi.org/10.1590/s0102-865020170080000010Acta Cirurgica Brasileira. Sao Paulo, v. 32, n. 8, p. 680-690, 2017.10.1590/s0102-865020170080000010WOS000410613900010.pdf0102-8650S0102-86502017000800680http://repositorio.unifesp.br/handle/11600/51426WOS:000410613900010ark:/48912/001300000gmbxenginfo:eu-repo/semantics/openAccessMarques Leal, Mario LucioAlkmim Teixeira Loyola, Ana BeatrizHueb, Alexandre Ciappinada Silva Neto, Jose DiasMesquita Filho, Marcosde Paiva, Luiz FrancisleyJorge Guerrieri, Mauricio LandulfoNunes Fernandes, Joao PauloBarros, Artur CostaFerreira, Lydia Masako [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-10T23:42:52Zoai:repositorio.unifesp.br/:11600/51426Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:17:26.482833Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Fixation of the short-term central venous catheter. A comparison of two techniques
title Fixation of the short-term central venous catheter. A comparison of two techniques
spellingShingle Fixation of the short-term central venous catheter. A comparison of two techniques
Fixation of the short-term central venous catheter. A comparison of two techniques
Marques Leal, Mario Lucio
Catheters
Vascular Access Devices
Suture Techniques
Microbiota
Blood Circulation
Marques Leal, Mario Lucio
Catheters
Vascular Access Devices
Suture Techniques
Microbiota
Blood Circulation
title_short Fixation of the short-term central venous catheter. A comparison of two techniques
title_full Fixation of the short-term central venous catheter. A comparison of two techniques
title_fullStr Fixation of the short-term central venous catheter. A comparison of two techniques
Fixation of the short-term central venous catheter. A comparison of two techniques
title_full_unstemmed Fixation of the short-term central venous catheter. A comparison of two techniques
Fixation of the short-term central venous catheter. A comparison of two techniques
title_sort Fixation of the short-term central venous catheter. A comparison of two techniques
author Marques Leal, Mario Lucio
author_facet Marques Leal, Mario Lucio
Marques Leal, Mario Lucio
Alkmim Teixeira Loyola, Ana Beatriz
Hueb, Alexandre Ciappina
da Silva Neto, Jose Dias
Mesquita Filho, Marcos
de Paiva, Luiz Francisley
Jorge Guerrieri, Mauricio Landulfo
Nunes Fernandes, Joao Paulo
Barros, Artur Costa
Ferreira, Lydia Masako [UNIFESP]
Alkmim Teixeira Loyola, Ana Beatriz
Hueb, Alexandre Ciappina
da Silva Neto, Jose Dias
Mesquita Filho, Marcos
de Paiva, Luiz Francisley
Jorge Guerrieri, Mauricio Landulfo
Nunes Fernandes, Joao Paulo
Barros, Artur Costa
Ferreira, Lydia Masako [UNIFESP]
author_role author
author2 Alkmim Teixeira Loyola, Ana Beatriz
Hueb, Alexandre Ciappina
da Silva Neto, Jose Dias
Mesquita Filho, Marcos
de Paiva, Luiz Francisley
Jorge Guerrieri, Mauricio Landulfo
Nunes Fernandes, Joao Paulo
Barros, Artur Costa
Ferreira, Lydia Masako [UNIFESP]
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Marques Leal, Mario Lucio
Alkmim Teixeira Loyola, Ana Beatriz
Hueb, Alexandre Ciappina
da Silva Neto, Jose Dias
Mesquita Filho, Marcos
de Paiva, Luiz Francisley
Jorge Guerrieri, Mauricio Landulfo
Nunes Fernandes, Joao Paulo
Barros, Artur Costa
Ferreira, Lydia Masako [UNIFESP]
dc.subject.por.fl_str_mv Catheters
Vascular Access Devices
Suture Techniques
Microbiota
Blood Circulation
topic Catheters
Vascular Access Devices
Suture Techniques
Microbiota
Blood Circulation
description Purpose: 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 = 4
publishDate 2017
dc.date.none.fl_str_mv 2017
2019-08-19T11:49:53Z
2019-08-19T11:49:53Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/s0102-865020170080000010
Acta Cirurgica Brasileira. Sao Paulo, v. 32, n. 8, p. 680-690, 2017.
10.1590/s0102-865020170080000010
WOS000410613900010.pdf
0102-8650
S0102-86502017000800680
http://repositorio.unifesp.br/handle/11600/51426
WOS:000410613900010
dc.identifier.dark.fl_str_mv ark:/48912/001300000gmbx
url http://dx.doi.org/10.1590/s0102-865020170080000010
http://repositorio.unifesp.br/handle/11600/51426
identifier_str_mv Acta Cirurgica Brasileira. Sao Paulo, v. 32, n. 8, p. 680-690, 2017.
10.1590/s0102-865020170080000010
WOS000410613900010.pdf
0102-8650
S0102-86502017000800680
WOS:000410613900010
ark:/48912/001300000gmbx
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 680-690
application/pdf
dc.publisher.none.fl_str_mv Acta Cirurgica Brasileira
publisher.none.fl_str_mv Acta Cirurgica Brasileira
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1822219216522051584
dc.identifier.doi.none.fl_str_mv 10.1590/s0102-865020170080000010

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