“In the current study a new safety IV catheter equipped with a blood leakage control septum was assessed under routine clinical conditions” Haeseler et al (2015).
Haeseler, G., Hildebrand, M. and Fritscher, J. (2015) Efficacy and ease of use of an intravenous catheter designed to prevent blood leakage: a prospective observational trial. The Journal of Vascular Access. January 27th, .
Purpose: Conventional safety intravenous (IV) catheters prevent blood exposure during catheter placement but blood leakage from the unconnected catheter still frequently occurs. In the current study a new safety IV catheter equipped with a blood leakage control septum was assessed under routine clinical conditions.
Methods: This prospective observational trial was conducted at the KKRN (Katholisches Klinikum Ruhrgebiet Nord), Germany, September/October 2012. Peripheral IV access was established in presurgical patients using either the investigational (“IS3”) or a conventional safety IV catheter (“IS”). Incidence of blood leakage during placement and subsequent (dis-)connection procedures, duration of placement as well as handling conditions were compared.
Results: A total of 200 IV accesses were established (n(IS3) = 102 and n(IS) = 98). Blood leakage during catheter placement (4.9% (IS3) vs. 61.2% (IS); p<0.001) and blood contaminations (3.9% (IS3) vs. 14.3% (IS); p = 0.01) were significantly reduced for IS3. All blood leakages observed with IS3 were due to improper technique. No blood leakage occurred during repeated (dis-)connections of IS3 (blood leakage IS: 74%). Using IS3, vein compression was not required (no compression: 98%) and duration of catheter placement was significantly shorter (t(IS3) = 69.6 ± 22.4 s vs. t(IS) = 85.2 ± 28.2 s; p<0.001).
Conclusions: The investigational IV catheter effectively prevented blood leakage, thereby reducing contamination risk and workload associated with cleaning. Omission of vein compression facilitated and shortened IV catheter placement.
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