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Smile - Secure my intravenous line effectively: A pilot randomised controlled trial of peripheral intravenous catheter securement in paediatrics by Kleidon, Tricia M.; Rickard, Claire M.; Gibson, Victoria; Mihala, Gabor; Schults, Jessica A.; Xu, Hui (Grace); Bauer, Michelle J.; Marsh, Nicole; Larsen, Emily N.; Cattanach, Paula; Ullman, Amanda J. is a Medicine article available to read on EtoBox.

What is Smile - Secure my intravenous line effectively: A pilot randomised controlled trial of peripheral intravenous catheter securement in paediatrics about?

Evaluate the feasibility of an efficacy randomised control trial (RCT) of paediatric peripheral intravenous catheter (PIVC) securement to prevent failure without resultant skin damage. Methods: A 3-arm, pilot RCT in an Australian paediatric hospital. Random assignment of 330 children to receive (i) bordered polyurethane dressing (BPU) + non-sterile foam (NSF), (ii) integrated securement dressing (ISD) + sterile foam (SF), or (iii) tissue adhesive (TA)+ NSF. Primary outcomes were feasibility and PIVC failure. Secondary outcomes included: skin/bloodstream infection; occlusion; infiltration; dislodgement; phlebitis; dwell; serious adverse events; acceptability and microbial colonisation of catheter tips, wound site, and foam. Results: Most feasibility outcomes were confirmed; 98% of eligible patients consented, 96% received their allocated dressing and no patients were lost to follow up. Eligilbility feasibility (58%) was not met. 11 randomised patients did not require a PIVC. Of 319 patients receiving a PIVC (20,716 PIVC-hours), a significant reduction in PIVC failure was demonstrated with ISD, 31/107 (29%, p = 0.017) compared to BPU, 47/105 (45%). Although not statistically signific

Who reads Smile - Secure my intravenous line effectively: A pilot randomised controlled trial of peripheral intravenous catheter securement in paediatrics?

Author

Kleidon, Tricia M.; Rickard, Claire M.; Gibson, Victoria; Mihala, Gabor; Schults, Jessica A.; Xu, Hui (Grace); Bauer, Michelle J.; Marsh, Nicole; Larsen, Emily N.; Cattanach, Paula; Ullman, Amanda J.

Publisher

Elsevier ; Tissue Viability Society; Elsevier BV (ISSN 0268-0009)

Published

2020

Language

EN

Field

Medicine (Health Sciences)