Innovative Solutions for Pediatric Peripheral Intravenous Catheter Securement: A Breakthrough Clinical Trial

Introduction

Peripheral intravenous catheters (PIVCs) are vital for delivering essential treatments to children in healthcare settings. However, the frequent failure of these devices can lead to complications and impact patient outcomes. A recent randomized clinical trial explored novel PIVC securement technologies aimed at reducing catheter failure in pediatric patients.

Study Overview

The study, conducted from February 5, 2020, to January 14, 2022, at two regional Australian hospitals, focused on children aged 6 months to 8 years requiring admission with a PIVC for at least 24 hours of in-hospital treatment. The research analyzed data from May 25, 2022, to February 20, 2024.

Interventions

Participants were randomly assigned to three groups: standard care, bordered polyurethane (Tegaderm [3M]), integrated securement dressing (SorbaView SHIELD [Medline]), and integrated securement dressing with tissue adhesive (Secureport IV).

Key Findings

The primary outcome measured was PIVC failure, defined as premature cessation of PIVC function before completing planned treatment. Results showed that the integrated securement dressing with tissue adhesive had the lowest PIVC failure rate (12%), significantly lower than both integrated securement dressing (21%) and standard care (34%).

Implications and Conclusion

The study's findings suggest that innovative securement technologies, particularly those with tissue adhesive, can significantly reduce PIVC failure in pediatric patients. This breakthrough could lead to improved patient outcomes and reduced healthcare costs associated with device failures. Future research should focus on implementing these strategies in inpatient units to enhance intravenous access reliability.

Read More:https://pubmed.ncbi.nlm.nih.gov/38558161/ 

Authors: Brooke Charters, Kelly Foster, Benjamin Lawton, Leonard Lee, Joshua Byrnes, Gabor Mihala, Corey Cassidy, Jessica Schults, Tricia M Kleidon, Ruth McCaffery, Kristy Van, Vanessa Funk, Amanda Ullman