Trial Comparing Peripheral I.V. Catheter Complication Rates of Two Different Catheter Dressings
A Multi-Center, Prospective, Randomized Trial Comparing the Peripheral I.V. Catheter Complication Rates of Two Different Catheter Dressings
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Nebraska
-
Omaha, Nebraska, United States, 68198-4031
- University Of Nebraska Medical Center
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North Carolina
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Chapel Hill, North Carolina, United States, 27599
- University of North Carolina
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Ohio
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Cleveland, Ohio, United States, 44109
- MetroHealth Medical Center
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15212
- Allegheny General Hospital
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Virginia
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Richmond, Virginia, United States, 23298
- Virginia Commonwealth University Medical Center
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- At least 18 years of age, or of consenting age;
- Admitted or going to be admitted to the hospital;
- Requires peripheral IV therapy (catheter) for an anticipated 72 hours or longer;
- Has an insertion site in the forearm or hand free of phlebitis, infiltration, dermatitis, burns, lesions or tattoos;
- Demonstrates cooperation with a catheter insertion and the securement protocol; and
- Patient or legally authorized representative is willing and able to provide written informed consent and authorization for use and disclosure of Protected Health Information
Exclusion Criteria:
- Is a current participant or a past participant in this study;
- If the subject already has a functioning PIV in place, not requiring a replacement catheter
- If the study PIV catheter site will be placed below an old infusion site;
- If the study PIV site needs to be immobilized with a splint or other device;
- Has a documented or a known allergy or sensitivity to a medical adhesive product such as transparent film adhesive dressings, tapes, or liquid skin protectants;
- Requires the application of a gauze pad, a topical ointment or solution under the dressing in addition to the prep(s) required in the protocol;
- Will require a power injection through the study PIV catheter for a radiologic procedure during participation in this study;
- Will require a numbing agent prior to PIV insertion; or
- Will require the use of ultrasound for the PIV catheter insertion.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: New PIV Dressing
Bordered, notched dressing that covers, secures peripheral intravenous (PIV) catheter
|
A commercially available breathable, transparent film dressing with a soft-cloth border, notch and securement tape strip.
The dressing system is used in the study to cover a peripheral intravenous catheter insertion site and secure the catheter.
Dressing system is to remain in place until the PIV catheter is discontinued which is anticipated to be 72 hours.
The dressing and PIV site will be observed daily.
If dressing excessively lifts from the skin, the dressing system will be replaced with the same, assigned dressing system.
The number of dressing replacements and the duration of wear will be measured while the same study PIV catheter dwells, an average of 72 hours during the subject's hospitalization.
|
|
Other: Standard PIV Dressing
Film,adhesive dressing that covers, secures peripheral intravenous (PIV) catheter and used with a medical grade tape
|
A commercially available breathable, transparent film dressing used with a one inch width piece of Transpore™ medical tape.
The dressing system is used in the study to cover a peripheral intravenous catheter insertion site and secure the catheter.
Dressing system is to remain in place until catheter is discontinued which is anticipated to be 72 hours.
The dressing and PIV site will be observed daily.
If dressing excessively lifts from the skin, the dressing system will be replaced with the same, assigned dressing system.
The number of dressing replacements and the duration of wear will be measured while the same study PIV catheter dwells, an average of 72 hours during the subject's hospitalization.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dressing Wear Time
Time Frame: Dressing wear time was assessed daily and 8 month dressing wear data are presented
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Dressing wear time is the time from dressing application to removal, i.e. catheter no longer needed or catheter-related complication occurs (remove dressing and catheter) OR excessive dressing lift requiring dressing replacement.
|
Dressing wear time was assessed daily and 8 month dressing wear data are presented
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Mark E Rupp, MD, University of Nebraska
Publications and helpful links
General Publications
- Wood D. A comparative study of two securement techniques for short peripheral intravenous catheters. J Intraven Nurs. 1997 Nov-Dec;20(6):280-5.
- Alexander M. Corrigan A. Infusion Nurses Society: Infusion nursing an evidence-based approach. St. Louis, Mo.: Saunders-Elsevier; 2010.
- Royer T. Improving short peripheral IV outcomes: a clinical trial of two securement methods. Journal of the Association for Vascular Access. 2003; 8(4): 45-49.
- Sheppard K, LeDesma M, Morris NL, O'Connor K. A prospective study of two intravenous catheter securement techniques in a skilled nursing facility. J Intraven Nurs. 1999 May-Jun;22(3):151-6.
- Rosenthal K. Get a hold on costs and safety with securement devices. Nurs Manage. 2005 May;36(5):52-4. doi: 10.1097/00006247-200505000-00014.
- Schears GJ. Summary of product trials for 10, 164 patients: comparing an intravenous stabilizing device to tape. J Infus Nurs. 2006 Jul-Aug;29(4):225-31. doi: 10.1097/00129804-200607000-00009. Erratum In: J Infus Nurs. 2006 Sep-Oct;29(5):242.
- Bausone-Gazda D, LeFaiver C., et al. A randomized controlled trial to compare the complications of 2 peripheral intravenous catheter stabilization systems. J Intraven Nurs 33(6) Nov 2010 371-384.
- Dunnett CW, Gent M. An alternative to the use of two-sided tests in clinical trials. Stat Med. 1996 Aug 30;15(16):1729-38. doi: 10.1002/(SICI)1097-0258(19960830)15:163.0.CO;2-M.
- Hwang IK, Morikawa T. Design issues in noninferiority/equivalence trials. Drug Information journal 33: 1205-18, 1999.
- Tripathi S, Kaushik V, Singh V. Peripheral IVs: factors affecting complications and patency--a randomized controlled trial. J Infus Nurs. 2008 May-Jun;31(3):182-8. doi: 10.1097/01.NAN.0000317704.03415.b9.
- Tripepi-Bova KA, Woods KD, Loach MC. A comparison of transparent polyurethane and dry gauze dressings for peripheral i.v. catheter sites: rates of phlebitis, infiltration, and dislodgment by patients. Am J Crit Care. 1997 Sep;6(5):377-81.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- EM-05-013243
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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