Effect of Tubular Bandage Application on Peripheral Intravenous Catheter Usage Time and Infiltration in Children

NCT06579820 | Recruiting

• 1 other identifier: DSONMEZSAGLIK
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 2

Brief Summary

In pediatric patients, placement of peripheral intravenous catheters is the most commonly performed invasive medical procedure. In addition to the administration of medications, parenteral nutrition, intravenous fluids, and blood products, peripheral intravenous catheters are placed prophylactically before procedures and for emergency use in unstable patients. One of the most common complications of peripheral intravenous catheters is infiltration. Infiltration is a vascular trauma resulting from a lesion in the vascular layers and subsequent perforation, resulting in the leakage of medications or non-vesicant solutions into the tissues surrounding the site of placement of the peripheral venous catheter. In pediatric patients, physical factors (e.g. hyperactivity, sweating), tight fixation (may affect blood circulation and iatrogenic skin injury), loose fixation (may cause peripheral intravenous catheter displacement and infection), poor-quality fixation (may cause unplanned removal and skin injuries due to pressure), etc. causes more peripheral intravenous catheter fixation problems in pediatric patients than in adult patients Additional fixation products may be effective in preventing dislocation and micromotion in an active pediatric patient. However, limited recommendations regarding medical adhesive tapes and additional fixation products are guided only by low-evidence studies. The purpose of this study was to determine the effect of tubular bandage use on the duration of pediatric peripheral intravenous catheter use and the incidence of infiltration.

Conditions

Child, Only

Keywords

child, infiltration,catheter usage time

Outcome Measures

Primary Outcomes (1)

• pediatric peripheral infiltration scale, information collection form

  The effect of tubular bandage on infiltration and catheter use time in children will be analyzed.

  about a year

Study Arms (2)

experimental group

EXPERIMENTAL

The experimental group consisted of the group to which a tubular bandage was placed over the routinely applied peripheral intravenous catheters.

Combination Product: tubular bandage

control group

NO INTERVENTION

The routine practice used for the application of peripheral intravenous catheters in the ward constituted the control group.

Interventions

tubular bandage COMBINATION_PRODUCT

The experimental group consisted of the group in which a tubular bandage was applied over the PIC, which was routinely applied.

experimental group

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Willingness to participate in the study
• Parent/child's proficiency in Turkish
• Intact skin integrity in the application area
• First-time application of the peripheral venous catheter to the middle part of the child's forearm
• Recommendation by a physician for intravenous fluid containing 5% dextrose, 0.45% NaCl, and 75% KCL through a peripheral venous catheter
• Child's age between 6-12 years
• Successful placement of the peripheral venous catheter on the first attempt

You may not qualify if:

• Coagulation abnormalities
• Receiving blood and blood products through the peripheral venous catheter
• Nutritional issues
• Hematologic or oncologic diseases
• Congenital genetic or neurological disorders
• Problems with skin integrity and movement in the upper extremities
• Sensitivity to the tubular bandage
• Fever above 37.5°C
• Accidental dislodgement of the catheter
• Early completion of treatment and removal of the catheter

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (2)

Istanbul University

Istanbul, Fatih, Turkey (Türkiye)

RECRUITING

Istanbul Unıversity

Istanbul, Turkey (Türkiye)

RECRUITING

Related Publications (8)

• Marsh N, Larsen EN, Takashima M, Kleidon T, Keogh S, Ullman AJ, Mihala G, Chopra V, Rickard CM. Peripheral intravenous catheter failure: A secondary analysis of risks from 11,830 catheters. Int J Nurs Stud. 2021 Dec;124:104095. doi: 10.1016/j.ijnurstu.2021.104095. Epub 2021 Sep 26.

  PMID: 34689013 BACKGROUND

• Santos LMD, Conceicao TB, Silva CSGE, Tavares SS, Rocha PK, Avelar AFM. Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians. Rev Bras Enferm. 2021 Oct 18;75(2):e20200611. doi: 10.1590/0034-7167-2020-0611. eCollection 2021. English, Portuguese.

  PMID: 34669898 BACKGROUND

• Ullman AJ, Takashima M, Kleidon T, Ray-Barruel G, Alexandrou E, Rickard CM. Global Pediatric Peripheral Intravenous Catheter Practice and Performance: A Secondary Analysis of 4206 Catheters. J Pediatr Nurs. 2020 Jan-Feb;50:e18-e25. doi: 10.1016/j.pedn.2019.09.023. Epub 2019 Oct 21.

  PMID: 31648879 BACKGROUND

• Huang LS, Huang Y, Hu J. Current practices of peripheral intravenous catheter fixation in pediatric patients and factors influencing pediatric nurses' knowledge, attitude and practice concerning peripheral intravenous catheter fixation: a cross-sectional study. BMC Nurs. 2021 Nov 23;20(1):236. doi: 10.1186/s12912-021-00758-1.

  PMID: 34814906 BACKGROUND

• Corley A, Ullman AJ, Mihala G, Ray-Barruel G, Alexandrou E, Rickard CM. Peripheral intravenous catheter dressing and securement practice is associated with site complications and suboptimal dressing integrity: A secondary analysis of 40,637 catheters. Int J Nurs Stud. 2019 Dec;100:103409. doi: 10.1016/j.ijnurstu.2019.103409. Epub 2019 Aug 28.

  PMID: 31629208 BACKGROUND

• Corley A, Marsh N, Ullman AJ, Rickard CM. Peripheral intravenous catheter securement: An integrative review of contemporary literature around medical adhesive tapes and supplementary securement products. J Clin Nurs. 2023 May;32(9-10):1841-1857. doi: 10.1111/jocn.16237. Epub 2022 Feb 3.

  PMID: 35118759 BACKGROUND

• Bahl A, Gibson SM, Jankowski D, Chen NW. Short peripheral intravenous catheter securement with cyanoacrylate glue compared to conventional dressing: A randomized controlled trial. J Vasc Access. 2023 Jan;24(1):52-63. doi: 10.1177/11297298211024037. Epub 2021 Jun 11.

  PMID: 34112019 BACKGROUND

• Alexandrou E, Ray-Barruel G, Carr PJ, Frost SA, Inwood S, Higgins N, Lin F, Alberto L, Mermel L, Rickard CM; OMG Study Group. Use of Short Peripheral Intravenous Catheters: Characteristics, Management, and Outcomes Worldwide. J Hosp Med. 2018 May 30;13(5). doi: 10.12788/jhm.3039.

  PMID: 29813140 BACKGROUND

Study Officials

• dilek sönmez sağlık

  dilek.sonmez@istanbul.edu.tr

  PRINCIPAL INVESTIGATOR

Central Study Contacts

dilek sönmez sağlık

CONTACT

0 0507 338 39 97; dilek.sonmez@istanbul.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: August 27, 2024
• First Posted: August 30, 2024
• Study Start: February 10, 2024
• Primary Completion: September 30, 2024
• Study Completion: December 30, 2024
• Last Updated: August 30, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)