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dc.contributor.authorEdwards, Melannie
dc.contributor.authorRickard, Claire M
dc.contributor.authorRapchuk, Ivan
dc.contributor.authorCorley, Amanda
dc.contributor.authorMarsh, Nicole
dc.contributor.authorSpooner, Amy J
dc.contributor.authorMihala, Gabor
dc.contributor.authorFraser, John F
dc.date.accessioned2017-05-03T15:51:18Z
dc.date.available2017-05-03T15:51:18Z
dc.date.issued2014
dc.identifier.issn1441-2772
dc.identifier.urihttp://hdl.handle.net/10072/65313
dc.description.abstractObjectives: To improve arterial catheter (AC) securement and reduce AC failure; to assess feasibility of a large randomised controlled trial. Design, setting and participants: A four-arm, parallel, randomised, controlled, non-blinded pilot trial with 195 intensive care patients taking part, in a tertiary referral hospital in Brisbane, Australia from May to November 2012. Interventions: Standard polyurethane (SPU) dressing (controls); bordered polyurethane (BPU) + SPU dressing; tissue adhesive (TA) + SPU dressing; and sutureless securement device (SSD) + SPU dressing (no sutures used). Main outcome measures: AC failure, ie, complete dislodgement, occlusion (monitor failure, inability to infuse or fluid leaking), pain or infection (local or blood). Results: Median AC dwell time was 26.2 hours and was comparable between groups. AC failure occurred in 26/195 patients (13%). AC failure was significantly worse with SPU dressings (10/47 [21%]) than with BPU + SPU dressings (2/ 43 [5%]; P = 0.03), but not significantly different to TA + SPU (6/56 [11%]; P = 0.18) or SSD + SPU (8/49 [16%]; P = 0.61). The dressing applied at AC insertion lasted until AC removal in 68% of controls; 56% of BPU + SPU dressings; 73% of TA + SPU dressings; and 80% of SSD + SPU dressings (all P > 0.05). There were no infections or serious adverse events. Patient and staff satisfaction with all products was high. Median costs (labour and materials) for securement per patient were significantly higher in all groups compared with the control group (SPU, $3.48 [IQR, $3.48-$9.79]; BPU + SPU, $5.07 [IQR, $5.07-$12.99]; SSD + SPU, $10.90 [IQR, $10.90-$10.90]; TA + SPU, $17.70 [IQR, $17.70-$38.36]; all P < 0.01). Conclusion: AC failure occurred significantly less often with BPU + SPU dressings than with SPU dressings. TA + SPU and SSD + SPU dressings should be further investigated and compared with BPU + SPU dressings as controls. The novel approach of TA + SPU dressings appeared safe and feasible.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent148903 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.publisherAustralasian Medical Publishing Company
dc.publisher.placeAustralia
dc.publisher.urihttp://www.cicm.org.au/journal.php
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom175
dc.relation.ispartofpageto183
dc.relation.ispartofissue3
dc.relation.ispartofjournalCritical Care and Resuscitation
dc.relation.ispartofvolume16
dc.rights.retentionY
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchcode111003
dc.subject.fieldofresearchcode1103
dc.titleA pilot trial of bordered polyurethane dressings, tissue adhesive and sutureless devices compared with standard polyurethane dressings for securing short-term arterial catheters
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2014 JFICM. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
gro.hasfulltextFull Text
gro.griffith.authorRickard, Claire
gro.griffith.authorMarsh, Nicole M.
gro.griffith.authorCorley, Amanda
gro.griffith.authorMihala, Gabor
gro.griffith.authorFraser, John F.
gro.griffith.authorSpooner, Amy
gro.griffith.authorEdwards, Melannie


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