Professional paper

CENTRAL VENOUS CATHETER CARE USING SUTURE-FREE FIXATION SYSTEM – SINGLE CENTRE EXPERIENCE

BOSILJKA DEVČIĆ orcid.org/0000-0001-9011-9483 ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia
IVAN BUBIĆ ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia
BOŽIDAR VUJIČIĆ ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia
LIDIJA ORLIĆ ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia
DANIEL VICTOR ŠIMAC ; Rijeka University Hospital Centre,Department of Internal Medicine, Division of Hematology, Rheumatology and Clinical Immunology, Rijeka, Croatia
HRVOJKA LIJEVIĆ ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia
ŽELJKA VIDIĆ ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia
EDITA VOJNOVIĆ ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia
SANJIN RAČKI ; Rijeka University Hospital Centre, Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka, Croatia

Abstract

Clinical guideline for central venous catheter (CVC) maintenance stresses regular care of the insertion site and safety checks. The study aimed to assess the advantage of using suture-free fi xation system to secure catheter position and prevention of infection. A total of 40 patients with CVC vascular access for hemodialysis were followed from 01/10 through six months at Division of Nephrology, Dialysis and Kidney Transplantation, Rijeka University Hospital Centre. Patients were divided into two groups of 20 patients. In group 1, suture-free fi xation system was used as an additional measure of securing CVC position, while group 2 served as a control group where ordinary measures were used. Protocol saw changing of dressings and suture-free fi xation system once a week. In group 1, 11 patients with temporary and 9 patients with permanent catheters were followed. Five complications were observed during the study period and one patient required additional sutures. In the control group, 12 temporary and 8 permanent catheters were followed. Additional sutures were required in four patients and eight complications were observed. Blood stream infection was observed in only one patient. The use of suture-free fi xation system reduced the number of complications to 25%, compared to 40% in the control group. Satisfaction was rated at 9.6/10 by patients, 9.4/10 by nurses, and 9.8/10 by nephrologists. Allergic reactions were not observed. In conclusion, for such a large area of use, it is necessary to follow patients for a longer period; still this research confi rmed the advantage of using suture-free fi xation system.

Keywords

central venous catheter; suture-free fixation system; maintenance

Hrčak ID:

230094

URI

https://hrcak.srce.hr/230094

Publication date:

5.12.2019.

Article data in other languages: croatian

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