Document Detail


Securing central venous catheters: a comparison of sutures with staples.
MedLine Citation:
PMID:  15333537     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Central venous access permits rapid drug delivery to the central circulation during cardiopulmonary resuscitation. Central venous catheters must be secured in place to prevent accidental removal and sutures are often used for this purpose. Staples may offer advantages over sutures by reducing the time needed to secure the central venous catheter and reducing exposure to contaminated sharps. The purpose of this study was to assess a staple anchoring device (Arrow, Reading, USA) and compare it with sutures for securing central venous catheters. METHODS: Prospective, randomised trial of 20 patients requiring insertion of a central venous catheter during elective surgery. RESULTS: Mean (SD) times were significantly shorter in the staples group than in the sutures group (staples 10.1 (3.5) seconds; sutures 50.5 (9.6) seconds; p<0.0001). However, 3 of 10 central venous catheters in the staples group were accidentally pulled out within the first three days. CONCLUSIONS: The use of staples significantly reduces the time to secure a central venous catheter. However, staples failed to secure the central venous catheters adequately and therefore cannot be recommended instead of sutures.
Authors:
A Vinjirayer; P Jefferson; D R Ball
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  21     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-30     Completed Date:  2005-03-01     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  582-3     Citation Subset:  IM    
Affiliation:
Department of Anaesthetics and Intensive Care, Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, UK.
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous / methods*
Humans
Jugular Veins
Needlestick Injuries / etiology,  prevention & control
Prospective Studies
Surgical Stapling* / adverse effects
Sutures* / adverse effects
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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