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1.
Acta Cir Bras ; 32(8): 680-690, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28902944

RESUMO

Purpose:: To compare the fixation of the central venous catheter (CVC) using two suture techniques. Methods:: A clinical, analytical, interventional, longitudinal, prospective, controlled, single-blind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross-tied sutures around the device). Displacement, kinking, fixation failure, hyperemia at the insertion site, purulent secretion, loss of the device, psychomotor agitation, mental confusion, and bacterial growth at the insertion site were evaluated. Results: : Compared with the Wing group, the Shoelace group had a lower occurrence of catheter displacement (n=0 versus n =4; p = 0.04), kinking (n=0 versus n=8; p=0.001), and fixation failure (n=2 versus n=8; p=0.018). No significant difference was found in bacterial growth (n=20 versus n=14; p=0.267) between groups. Conclusion: : The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.


Assuntos
Cateterismo Venoso Central/métodos , Cateteres Venosos Centrais , Técnicas de Sutura/instrumentação , Suturas , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/instrumentação , Feminino , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Reprodutibilidade dos Testes , Fatores de Risco , Índice de Gravidade de Doença , Distribuição por Sexo , Método Simples-Cego , Estatísticas não Paramétricas , Técnicas de Sutura/efeitos adversos , Suturas/microbiologia , Fatores de Tempo
2.
Acta cir. bras ; 32(8): 680-690, Aug. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-886228

RESUMO

Abstract Purpose: To compare the fixation of the central venous catheter (CVC) using two suture techniques. Methods: A clinical, analytical, interventional, longitudinal, prospective, controlled, single-blind and randomized study in adult, intensive care unit (ICU) patients. After admission and indication of CVC use, the patients were allocated to the Wing group (n = 35, catheter fixation with clamping wings and retainers) or Shoelace group (n = 35, catheter fixation using shoelace cross-tied sutures around the device). Displacement, kinking, fixation failure, hyperemia at the insertion site, purulent secretion, loss of the device, psychomotor agitation, mental confusion, and bacterial growth at the insertion site were evaluated. Results: Compared with the Wing group, the Shoelace group had a lower occurrence of catheter displacement (n=0 versus n =4; p = 0.04), kinking (n=0 versus n=8; p=0.001), and fixation failure (n=2 versus n=8; p=0.018). No significant difference was found in bacterial growth (n=20 versus n=14; p=0.267) between groups. Conclusion: The Shoelace fixation technique presented fewer adverse events than the Wing fixation technique.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Suturas , Cateterismo Venoso Central/métodos , Técnicas de Sutura/instrumentação , Cateteres Venosos Centrais , Suturas/microbiologia , Índice de Gravidade de Doença , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/instrumentação , Método Simples-Cego , Estudos Prospectivos , Reprodutibilidade dos Testes , Fatores de Risco , Técnicas de Sutura/efeitos adversos , Distribuição por Sexo , Estatísticas não Paramétricas , Unidades de Terapia Intensiva
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