Impact of Cyanoacrylate Glue on PICC Line Dressing Care
Condition: Central Line Complication; Neonatal Disease
MeSH terms: Infant, Newborn, Diseases
Study type: Interventional

Summary: 
      This study will evaluate whether applying micro drops of cyanoacrylate glue to the
      participant's peripherally inserted central catheter (PICC) insertion site prior to covering
      the area of PICC line with a transparent film dressing will make the PICC dressing last
      longer and prevent an occurrence of PICC line moving out of its original placement. The
      investigators aims to evaluate whether 1) using the cyanoacrylate glue will lengthen the time
      to first dressing change; and 2) participants in the experimental arm (glue used) will have
      fewer dressing changes per week compared to the control arm (standard care) during admission.
    

Detailed description: 
      The neonatal population poses a unique challenge due to the small surface area of PICC sites,
      underdeveloped skin layer, and inability to contain the child's movements during a dressing
      change.

      PICC line migration is the most common complication of PICC line maintenance in the neonatal
      intensive care unit (NICU). Previous studies have found that the PICC migration/dislodgment
      mostly occurs during PICC dressing changes among the neonatal population.

      Recent published studies demonstrated that medical tissue adherence glue, Cyanoacrylate,
      significantly reduces the incidences of catheter migration and insertion site bleeding of
      PICC lines in all age of patients including premature infants.

      The proposed study is a randomized control study with aimed data collection of 60
      participants; of the 60 participants, 50 participants' data are to be used for statistical
      analysis and additional 10 participants to account for withdrawals.

      The participants will be randomly assigned to one of two groups: one (the control group)
      receiving our standard PICC dressing method and the other (the study group) receiving
      cyanoacrylate glue at the PICC insertion sites prior to applying a standard transparent film
      dressing over the PICC sites.

      The control group will reflect standard practice of PICC insertion and dressings using a
      standard transparent polyurethane film dressing, 3M TEGADERM Film.

      The study group will reflect the application of a few drops of cyanoacrylate glue,
      SecurePortIVTM by Adhezion Biomedical® at the insertion sites prior to dressing a PICC line
      area with a standard transparent polyurethane film dressing.

      The aim for this study is to investigate whether the application of cyanoacrylate glue at the
      insertion sites prior to dressing a PICC line area with a standard dressing will increase the
      longevity of the PICC line dressing and reduce the incidences of PICC line migration.
    

Intervention name(s): Cyanoacrylate glue; Standard transparent film dressing
Intervention type(s): Device; Device
Intervention description(s): Adhesive to be applied on the PICC line site prior to usual standard film dressing over the site, such as SecurePortIV® Catheter Securement Adhesive by Adhezion Biomedical® Cyanoacrylate adhesive that is FDA-approved for securement of vascular access devices.
Securement method that provides microbial protection by sealing the insertion site.; A standard transparent polyurethane film dressing, such as 3M TEGADERM Film, for dressing the PICC line area.
Other intervention name(s): SecurePortIV® Catheter Securement Adhesive
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized control study
Masking: None (Open Label)
Primary purpose: Other
Keywords: PICC line dressing; cyanoacrylate glue; NICU