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dc.contributor.authorBugden, Simon
dc.contributor.authorShean, Karla
dc.contributor.authorScott, Mark
dc.contributor.authorMihala, Gabor
dc.contributor.authorClark, Sean
dc.contributor.authorJohnstone, Christopher
dc.contributor.authorFraser, John F
dc.contributor.authorRickard, Claire M
dc.date.accessioned2018-01-22T02:59:40Z
dc.date.available2018-01-22T02:59:40Z
dc.date.issued2016
dc.identifier.issn0196-0644
dc.identifier.doi10.1016/j.annemergmed.2015.11.026
dc.identifier.urihttp://hdl.handle.net/10072/123982
dc.description.abstractStudy objective Peripheral intravenous catheters are the most common invasive device in health care yet have very high failure rates. We investigate whether the failure rate could be reduced by the addition of skin glue to standard peripheral intravenous catheter care. Methods We conducted a single-site, 2-arm, nonblinded, randomized, controlled trial of 380 peripheral intravenous catheters inserted into 360 adult patients. The standard care group received standard securement. The skin glue group received standard securement plus cyanoacrylate skin glue applied to the skin insertion site. The primary outcome was peripheral intravenous catheter failure at 48 hours, regardless of cause. Secondary outcomes were the individual modes of peripheral intravenous catheter failure: infection, phlebitis, occlusion, or dislodgement. Results Peripheral intravenous catheter failure was 10% lower (95% confidence interval –18% to –2%; P=.02) with skin glue (17%) than standard care (27%), and dislodgement was 7% lower (95% confidence interval –13% to 0%; P=.04). Phlebitis and occlusion were less with skin glue but were not statistically significant. There were no infections. Conclusion This study supports the use of skin glue in addition to standard care to reduce peripheral intravenous catheter failure rates for adult emergency department patients admitted to the hospital.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom196
dc.relation.ispartofpageto201
dc.relation.ispartofissue2
dc.relation.ispartofjournalAnnals of Emergency Medicine
dc.relation.ispartofvolume68
dc.subject.fieldofresearchEmergency Medicine
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode110305
dc.subject.fieldofresearchcode1103
dc.titleSkin Glue Reduces the Failure Rate of Emergency Department-Inserted Peripheral Intravenous Catheters: A Randomized Controlled Trial
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorRickard, Claire
gro.griffith.authorMihala, Gabor
gro.griffith.authorFraser, John F.


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