Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction

Article


Charters, Charters, Foster, Kelly, Lawton, Benjamin, Lee, Leonard, Byrnes, Joshua, Mihala, Gabor, Cassidy, Corey, Schults, Jessica, Kleidon, Tricia M., Mccaffery, Ruth, Van, Kristy, Funk, Vanessa and Ullman, Amanda. 2024. "Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction." JAMA Pediatrics. 178 (5), pp. 437-445. https://doi.org/10.1001/jamapediatrics.2024.0167
Article Title

Novel Peripheral Intravenous Catheter Securement for Children and Catheter Failure Reduction

ERA Journal ID15726
Article CategoryArticle
AuthorsCharters, Charters, Foster, Kelly, Lawton, Benjamin, Lee, Leonard, Byrnes, Joshua, Mihala, Gabor, Cassidy, Corey, Schults, Jessica, Kleidon, Tricia M., Mccaffery, Ruth, Van, Kristy, Funk, Vanessa and Ullman, Amanda
Journal TitleJAMA Pediatrics
Journal Citation178 (5), pp. 437-445
Number of Pages9
Year2024
PublisherAmerican Medical Association (AMA)
Place of PublicationUnited States
ISSN1072-4710
1538-3628
2168-6203
2168-6211
Digital Object Identifier (DOI)https://doi.org/10.1001/jamapediatrics.2024.0167
Web Address (URL)https://jamanetwork.com/journals/jamapediatrics/article-abstract/2817131
Abstract

Importance Peripheral intravenous catheters (PIVCs) facilitate essential treatment. Failure of these essential devices is frequent and new securement strategies may reduce failure and improve patient outcomes.

Objective To evaluate clinical effectiveness of novel PIVC securement technologies for children to reduce catheter failure.

Design, Setting, and Participants A 3-arm, parallel group, superiority randomized clinical trial was conducted at 2 regional Australian hospitals from February 5, 2020, to January 14, 2022. Children aged 6 months to 8 years who were anticipated to require admission with a PIVC for at least 24 hours of in hospital treatment were eligible. Data were analyzed from May 25, 2022, to February 20, 2024.

Interventions Participants were randomly allocated in a 1:1:1 ratio to standard care, bordered polyurethane (Tegaderm [3M]), integrated securement dressing (SorbaView SHIELD [Medline]), and integrated securement dressing with tissue adhesive (Secureport IV). One catheter was studied per patient.

Main Outcomes and Measures Primary outcome was PIVC failure, defined as premature cessation of PIVC function for any reason prior to completion of planned treatment. Secondary outcomes were PIVC complications (any time dislodgement, occlusion, infiltration, partial dislodgement, extravasation, device leaking, phlebitis, pain), PIVC longevity, intervention acceptability (clinicians, participants, caregivers; 0-10 scale), and pain on removal (participants and caregivers; 0-10 scale relevant to age), adverse events, and health care costs.

Results A total of 383 patients (51% female; median age 36 [25th-75th percentiles, 22-72] months) were randomized 134 to standard care, 118 to integrated securement dressing, and 131 to integrated securement dressing with tissue adhesive. PIVC failure was lowest in integrated securement dressing with tissue adhesive (15 [12%]; adjusted hazard ratio [aHR], 0.47; 95% CI, 0.26-0.84) compared with integrated securement dressing (24 [21%]; aHR, 0.78; 95% CI, 0.47-1.28) and standard care (43 [34%]). Direct costs were significantly lower for integrated securement dressing with tissue adhesive (median, Australian dollars [A$], 312 [A$1 is equal to $0.65 US dollars]; IQR, A$302-A$380) and integrated securement dressing (median, A$303; IQR, A$294-A$465) compared with standard care (median, A$341; IQR, A$297-A$592; P ≤ .002) when considering the economic burden related to failure of devices. PIVC longevity and intervention acceptability were similar across all groups.

Conclusions and Relevance In this study, PIVCs secured with integrated securement dressings and tissue adhesive, in comparison with standard care, bordered polyurethane dressings, were associated with significantly reduced PIVC failure, for children admitted to hospital via the emergency department. Further research should focus on implementation in inpatient units where prolonged dwell and reliable intravenous access is most needed.

Keywordsrandomized controlled trial
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420501. Acute care
Public Notes

Files associated with this item cannot be displayed due to copyright restrictions.

Byline AffiliationsMetro South Hospital and Health Service, Queensland
Gold Coast Hospital and Health Service, Australia
School of Nursing and Midwifery
University of Queensland
Children’s Health Queensland Hospital and Health Service, Queensland
Griffith University
Ipswich Hospital, Australia
North West Regional Hospital, Tasmania
Metro North Hospital and Health Service, Queensland
Central West Hospital and Health Service, Queensland
Permalink -

https://research.usq.edu.au/item/z8643/novel-peripheral-intravenous-catheter-securement-for-children-and-catheter-failure-reduction

  • 14
    total views
  • 0
    total downloads
  • 3
    views this month
  • 0
    downloads this month

Export as

Related outputs

Controlling peripheral intravenous catheter failure by needleless connector design: A pilot randomised controlled trial
Marsh, Nicole, Larsen, Emily, O'Brien, Catherine, Peach, Hannah, Keogh, Samantha, Davies, Karen, Mihala, Gabor, Hewer, Barbara, Booker, Catriona, McCarthy, Alexandra L., Flynn, Julie and Rickard, Claire M.. 2023. "Controlling peripheral intravenous catheter failure by needleless connector design: A pilot randomised controlled trial." Journal of Clinical Nursing. 32 (21-22), pp. 7909-7919. https://doi.org/10.1111/jocn.16852
Safety and efficacy of midline catheters versus peripheral intravenous catheters: A pilot randomized controlled trial
Marsh, Nicole, Larsen, Emily N., O'Brien, Catherine, Ware, Robert S., Kleidon, Tricia M., Groom, Peter, Hewer, Barbara, Alexandrou, Evan, Flynn, Julie, Woollett, Kaylene and Rickard, Claire M.. 2022. "Safety and efficacy of midline catheters versus peripheral intravenous catheters: A pilot randomized controlled trial." International Journal of Nursing Practice. 29 (2), pp. 1-11. https://doi.org/10.1111/ijn.13110
Evaluating methods for the use and decontamination of needleless connectors: A qualitative inquiry
Larsen, Emily N., August, Deanne, Keogh, Samantha, Flynn, Julie, Ullman, Amanda J., Marsh, Nicole, Cooke, Marie, McCarthy, Alexandra L. and Rickard, Claire M.. 2022. "Evaluating methods for the use and decontamination of needleless connectors: A qualitative inquiry." Infection, Disease and Health. 27 (4), pp. 175-183. https://doi.org/10.1016/j.idh.2022.04.002
Bolus Versus Continuous Nasogastric Feeds for Infants With Bronchiolitis: A Randomized Trial
Courtney, Alyssa, Bernard, Anne, Burgess, Scott, Davies, Katie, Foster, Kelly, Kapoor, Vishal, Levitt, David and Sly, Peter. 2022. "Bolus Versus Continuous Nasogastric Feeds for Infants With Bronchiolitis: A Randomized Trial." Hospital Pediatrics. 12 (1), pp. 1-8. https://doi.org/10.1542/hpeds.2020-005702
On a quest to prevent harm and safeguard paediatric venous catheters – A randomized control trial protocol
Charters, Brooke, Foster, Paed Acute, Lawton, Benjamin, Cassidy, Corey, Byrnes, Joshua, Mihala, Gabor, Schults, Jessica, Kleidon, Tricia, Mccaffery, Ruth, Van, Kristy and Ullman, Amanda. 2022. "On a quest to prevent harm and safeguard paediatric venous catheters – A randomized control trial protocol." Vascular Access. 16 (3), pp. 18-26.
Response to the Letter to the Editor regarding “Methods for microbial needleless connector decontamination: A systematic review and meta-analysis”
Flynn, Julie M., Larsen, Emily N., Keogh, Samantha, Ullman, Amanda J. and Rickard, Claire M.. 2019. "Response to the Letter to the Editor regarding “Methods for microbial needleless connector decontamination: A systematic review and meta-analysis”." American Journal of Infection Control. 47 (12), pp. 1521-1522. https://doi.org/10.1016/j.ajic.2019.07.002
Securement methods for peripheral venous catheters to prevent failure: a randomised controlled pilot trial
Marsh, Nicole, Webster, Joan, Flynn, Julie, Mihala, Gabor, Hewer, Barbara, Fraser, John and Rickard, Claire. 2015. "Securement methods for peripheral venous catheters to prevent failure: a randomised controlled pilot trial." The Journal of Vascular Access. 16 (3), pp. 237-244. https://doi.org/10.5301/jva.5000348
The MIDLINE trial – managing intravenous devices among patients with limited vascular access or prolonged therapy: a pilot randomised control trial protocol
Marsh, Nicole, Larsen, Emily, Flynn, Julie, O’Brien, Catherine, Kleidon, Tricia, Groom, Peter, Hewer, Barbara and Rickard, Claire M.. 2020. "The MIDLINE trial – managing intravenous devices among patients with limited vascular access or prolonged therapy: a pilot randomised control trial protocol." Vascular Access. 6 (1), pp. 20-24. https://doi.org/10.33235/va.6.1.20-24
Methods for microbial needleless connector decontamination: A systematic review and meta-analysis
Flynn, Julie M., Larsen, Emily N., Keogh, Samantha, Ullman, Amanda J. and Rickard, Claire M.. 2019. "Methods for microbial needleless connector decontamination: A systematic review and meta-analysis." American Journal of Infection Control. 47 (8), pp. 956-962. https://doi.org/10.1016/j.ajic.2019.01.002
Varied flushing frequency and volume to prevent peripheral intravenous catheter failure: a pilot, factorial randomised controlled trial in adult medical-surgical hospital patients
Keogh, Samantha, Flynn, Julie, Marsh, Nicole, Mihala, Gabor, Davies, Karen and Rickard, Claire. 2016. "Varied flushing frequency and volume to prevent peripheral intravenous catheter failure: a pilot, factorial randomised controlled trial in adult medical-surgical hospital patients." Trials. 17 (1), pp. 1-10. https://doi.org/10.1186/s13063-016-1470-6
Central venous Access device SeCurement And Dressing Effectiveness for peripherally inserted central catheters in adult acute hospital patients (CASCADE): a pilot randomised controlled trial
Chan, Raymond J., Northfield, Sarah, Larsen, Emily, Mihala, Gabor, Ullman, Amanda, Hancock, Peter, Marsh, Nicole, Gavin, Nicole, Wyld, David, Allworth, Anthony, Russell, Emily, Choudhury, Md Abu, Flynn, Julie and Rickard, Claire M.. 2017. "Central venous Access device SeCurement And Dressing Effectiveness for peripherally inserted central catheters in adult acute hospital patients (CASCADE): a pilot randomised controlled trial." Trials. 18 (1), pp. 1-13. https://doi.org/10.1186/s13063-017-2207-x
Flushing of peripheral intravenous catheters: A pilot, factorial, randomised controlled trial of high versus low frequency and volume in paediatrics
Kleidon, Tricia M., Keogh, Samantha, Flynn, Julie, Schults, Jessica, Mihala, Gabor and Rickard, Claire M.. 2020. "Flushing of peripheral intravenous catheters: A pilot, factorial, randomised controlled trial of high versus low frequency and volume in paediatrics." Journal of Paediatrics and Child Health. 56 (1), pp. 22-29. https://doi.org/10.1111/jpc.14482
Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: a stepped wedge cluster randomised trial
Keogh, Samantha, Shelverton, Caroline, Flynn, Julie, Mihala, Gabor, Mathew, Saira, Davies, Karen M., Marsh, Nicole and Rickard, Claire M.. 2020. "Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: a stepped wedge cluster randomised trial." BMC Medical. 18 (1), pp. 1-11. https://doi.org/10.1186/s12916-020-01728-1
Needleless connector decontamination for prevention of central venous access device infection: A pilot randomized controlled trial
Rickard, Claire M., Flynn, Julie, Larsen, Emily, Mihala, Gabor, Playford, E Geoffrey, Shaw, Joanie, Keogh, Samantha, Ullman, Amanda, Zhang, Li, Gavin, Nicole, Kleidon, Tricia, Chopra, Vineet, McCarthy, Alexandra L., Rocha, Patricia Kuerten and Marsh, Nicole. 2021. "Needleless connector decontamination for prevention of central venous access device infection: A pilot randomized controlled trial." American Journal of Infection Control. 49 (2), pp. 269-273. https://doi.org/10.1016/j.ajic.2020.07.026
Bolus versus continuous nasogastric feeding for infants hospitalised with bronchiolitis: a randomised clinical trial
Courtney, Alyssa, Bernard, Anne, Burgess, Scott, Davies, Katie, Foster, Kelly, Kapoor, Vishal, Levitt, David and Sly, Peter D.. 2021. "Bolus versus continuous nasogastric feeding for infants hospitalised with bronchiolitis: a randomised clinical trial." Journal of Paediatrics and Child Health. 57 (Suppl. 1). https://doi.org/10.1111/jpc.15477
Variation in CT use for paediatric head injuries across different types of emergency departments in Australia and New Zealand
Wilson, Catherine L., Tavender, Emma J., Phillips, Natalie T., Hearps, Stephen J. C., Foster, Kelly, O’Brien, Sharon L., Borland, Meredith L., Watkins, Gina O., McLeod, Lorna, Putland, Mark, Priestley, Stephen, Brabyn, Christine, Ballard, Dustin W., Craig, Simon, Dalziel, Stuart R., Oakley, Ed and Babl, Franz E.. 2020. "Variation in CT use for paediatric head injuries across different types of emergency departments in Australia and New Zealand." Emergency Medicine Journal. 37 (11), pp. 686-689. https://doi.org/10.1136/emermed-2020-209719
Response to Letter to the Editor: Addressing concerns from a recent randomised controlled trial protocol of two acute burn dressings
Holbert, Maleea D., Griffin, Bronwyn R., Ware, Robert S., Foster, Kelly and Kimble, Roy M.. 2020. "Response to Letter to the Editor: Addressing concerns from a recent randomised controlled trial protocol of two acute burn dressings." Burns. 46 (1), pp. 234-235. https://doi.org/10.1016/j.burns.2019.10.029
Prevention of Occlusion of cEnTral lInes for Children with cancer: An implementation study
Ullman, Amanda J., Condon, Paula, Edwards, Rachel, Gibson, Victoria, Takashima, Mari, Schults, Jessica, Dean, Anna, Cattanach, Paula, Nicholls, Wayne, Osborne, Sonya, Rickard, Claire M., Cooke, Marie and Kleidon, Tricia. 2020. "Prevention of Occlusion of cEnTral lInes for Children with cancer: An implementation study." Journal of Paediatrics and Child Health. 56 (12), pp. 1875-1884. https://doi.org/10.1111/jpc.15067
Transnasal Humidified Rapid Insufflation Ventilatory Exchange in children requiring emergent intubation (Kids THRIVE): a protocol for a randomised controlled trial
George, Shane, Humphreys, Susan, Williams, Tara, Gelbart, Ben, Chavan, Arjun, Rasmussen, Katie, Ganeshalingham, Anusha, Erickson, Simon, Ganu, Subodh Suhas, Singhal, Nitesh, Foster, Kelly, Gannon, Brenda, Gibbons, Kristen, Schlapbach, Luregn, Festa, Marino, Dalziel, Stuart and Schibler, Andreas. 2019. "Transnasal Humidified Rapid Insufflation Ventilatory Exchange in children requiring emergent intubation (Kids THRIVE): a protocol for a randomised controlled trial." BMJ Open. 9 (2), pp. 1-8. https://doi.org/10.1136/bmjopen-2018-025997
A Queensland research support network in emergency healthcare: collaborating to build the research capacity of more clinicians in more locations
Sweeny, Amy, van den Berg, Lisa, Hocking, Julia, Renaud, Julia, Young, Sharleen, Henshaw, Richard, Foster, Kelly and Howell, Tegwen. 2019. "A Queensland research support network in emergency healthcare: collaborating to build the research capacity of more clinicians in more locations." Journal of Health, Organization and Management. 33 (1), pp. 93-109. https://doi.org/10.1108/JHOM-02-2018-0068
Effectiveness of a hydrogel dressing as an analgesic adjunct to first aid for the treatment of acute paediatric thermal burn injuries: study protocol for a randomised controlled trial
Holbert, Maleea D., Griffin, Bronwyn R., McPhail, Steven M., Ware, Robert S., Foster, Kelly, Bertoni, Demi C. and Kimble, Roy M.. 2019. "Effectiveness of a hydrogel dressing as an analgesic adjunct to first aid for the treatment of acute paediatric thermal burn injuries: study protocol for a randomised controlled trial." Trials. 20 (1), pp. 1-13. https://doi.org/10.1186/s13063-018-3057-x
'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy
Wall, Laurelie R., Cartmill, Bena, Ward, Elizabeth C., Hill, Anne J., Isenring, Elizabeth, Byrnes, Joshua, Chambers, Suzanne, Dunn, Jeff, Nixon, Jodie, Whelan, Jane and Porceddu, Sandro V.. 2016. "'ScreenIT': computerised screening of swallowing nutrition and distress in head and neck cancer patients during (chemo)radiotherapy." Oral Oncology. 54, pp. 47-53. https://doi.org/10.1016/j.oraloncology.2016.01.004
Population pharmacokinetics of phenytoin in critically ill children
Hennig, Stefanie, Norris, Ross, Tu, Quyen, van Breda, Karin, Riney, Kate, Foster, Kelly, Lister, Bruce and Charles, Bruce. 2014. "Population pharmacokinetics of phenytoin in critically ill children." The Journal of Clinical Pharmacology. 55 (3), pp. 355-364. https://doi.org/10.1002/jcph.417
Comparing the cost of alcohol-related traffic crashes in rural and urban environments
Czech, Suzanne, Shakeshaft, Anthony P., Byrnes, Joshua M. and Doran, Christopher M.. 2010. "Comparing the cost of alcohol-related traffic crashes in rural and urban environments." Accident Analysis and Prevention. 42 (4), pp. 1195-1198. https://doi.org/10.1016/j.aap.2010.01.010
Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery
Schibler, A., Pham, T., Dunster, K.R., Foster, K., Barlow, A., Gibbons, K. and Hough, J.L.. 2011. "Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery." Intensive Care Medicine. 37, pp. 847-852. https://doi.org/10.1007/s00134-011-2177-5
Controversies of prophylactic hypothermia and the emerging use of brain tissue oxygen tension monitoring and decompressive craniectomy in traumatic brain-injured children
Foster, Kelly, Stocker, C. and Schibler, A.. 2010. "Controversies of prophylactic hypothermia and the emerging use of brain tissue oxygen tension monitoring and decompressive craniectomy in traumatic brain-injured children." Australian Critical Care. 23 (1), pp. 4-11. https://doi.org/10.1016/j.aucc.2009.11.001