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- W2184227207 abstract "Background: Peripheral arterial catheters (AC) are widely used in critical care patients for continuous blood pressure monitoring and blood sampling, yet failure — from dislodgement, accidental removal, phlebitis, pain, occlusion or infection — is common. Effective methods of dressing and securement are needed to prevent complications that cause failure, yet few studies have been conducted that explore this problem.Aim: To perform a narrative review of research literature about dressing and securement of ACs. Methods: A literature search of the Cochrane Central Register of Controlled Trials, Ovid MEDLINE, Ovid EMBASE, and EBSCO CINAHL, as well as Google and Google Scholar was performed. A meta-analysis or systematic review was not possible because of scarce literature.Results: Guidelines for dressing and securement of intravascular devices did not specifically address ACs. One large, non-randomised study compared “band aids” with a sutureless securement device, finding a significant reduction in catheter failure associated with the sutureless securement device. Other studies of polyurethane dressings versus sutureless securement devices only studied intravenous, not ACs. One small, pilot, randomised controlled trial (RCT) indicated feasibility of the use of tissue adhesive plus a polyurethane dressing for ACs.Conclusion: There is limited high-quality research literature about effective dressing and securement of ACs." @default.
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- W2184227207 date "2015-01-01" @default.
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- W2184227207 title "Assessment of Dressing and Securement Techniques for Peripheral Arterial Catheters: A Narrative Review" @default.
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