Tissue adhesive for PICC securement
Background: Within every neonatal clinical setting, vascular access devices are considered essential for administration of fluids, nutrition, and medications. However, use of vascular access devices is not without danger of failure. Catheter securement adhesives are being evaluated among adult populations, but to date, studies in neonatal settings are scant.
Purpose: This research describes the prevalence of peripherally inserted central catheter failure related to catheter securement before and after the introduction of tissue adhesive for catheter securement. The identified modifiable risks might be used to evaluate efficacy, to innovate neonatal practice and support future policy developments.
Method and setting: This was a retrospective observational analysis of routinely collected anonymized intravenous therapy-related data. The study was carried out at the tertiary neonatal intensive care unit (112 beds) of the Women’s Wellness and Research Center of Hamad Medical Corporation, Doha, Qatar.
Results: The results showed that the use of an approved medical grade adhesive for catheter securement resulted in significantly less therapy failures, compared with the control group. This remains significant after adjusting for day of insertion, gestational age, birth weight, and catheter type.
Implications for practice and research: In parallel with currently published international literature, this study’s findings support catheter securement with an octyl-based tissue adhesive in use with central venous catheters. When device stabilization is most pertinent, securement with tissue adhesive is a safe and effective method for long-term vascular access among the neonatal population.
Van Rens M, Nimeri AMA, Spencer TR, Hugill K, Francia ALV, Olukade TO, Mahmah MA. Cyanoacrylate Securement in Neonatal PICC Use: A 4-Year Observational Study. Adv Neonatal Care. 2021 Nov 2. doi: 10.1097/ANC.0000000000000963. Epub ahead of print. PMID: 34743117.