Catheter Dislocation and the Influence of Different Catheter Fixation in Pediatric Patients

Study Overview
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Brief Summary
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Insertion of intravenous or intra-arterial catheter is one of the most common procedures in anesthesiology and intensive care medicine. After successful insertion, proper catheter fixation is required to maintain the catheter correct position with the aim to preserve catheter patency, prevent excessive movements of catheter or even iatrogenic catheter extraction/dislocation. Beside the historically preferred surgical fixation to the skin of the patient (invasive method, repeated percutaneous punction), atraumatic fixation by special dressing is currently available in clinical practice. In pediatric patients, due to limited cooperation, higher risk of dislocation exists.

Detailed Description
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Pediatric patients with intravenous and/or intraarterial catheters with estimated length of insertion over 72 hours will be included into the trial.Type of catheter fixation (surgical versus atraumatic) will be evaluated. Demographic data, local and systemic complication between the group of surgical fixation and atraumatic fixation will be evaluated.

Official Title
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Catheter Dislocation and the Influence of Different Catheter Fixation in Pediatric Patients: Prospective Observational Trial

Conditions
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Catheter Complications

Intervention / Treatment
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* Procedure: Surgical fixation
* Procedure: Atraumatic fixation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: pediatric patients with intravenous/intraarterial catheter secured at Departement of pediatric anesthesiology and intensive care medicine estimated length of catheter left in place longer than 72 hours Exclusion Criteria: estimated length of catheter left in place shorter than 72 hours impossible patient´s evaluation after catheter insertion

Ages Eligible for Study
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Maximum Age: 19 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Surgical fixation<br>Pediatric patients with intravenous and/or intraarterial catheter in situ secured with surgical fixation | Procedure: Surgical fixation<br>* Pediatric patients with intravenous and/or intraarterial catheter in situ secured with surgical fixation<br>|
| Atraumatic fixation<br>Pediatric patients with intravenous and/or intraarterial catheter in situ secured with surgical fixation | Procedure: Atraumatic fixation<br>* Pediatric patients with intravenous and/or intraarterial catheter in situ secured with atraumatic fixation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of catheter extraction/dislocation | The incidence of catheter extraction/dislocation will be evaluated between the group of surgical and atraumatic catheter fixation | In 30 days after catheter insertion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of local infectious complications | The incidence of local infectious complications will be evaluated between the group of surgical and atraumatic catheter fixation | In 30 days after catheter insertion | 
| Incidence of systemic infectious complications | The incidence of systemic infectious complications will be evaluated between the group of surgical and atraumatic catheter fixation | In 30 days after catheter insertion | 
| Incidence of thrombotic complications | The incidence of thrombotic complications will be evaluated between the group of surgical and atraumatic catheter fixation | In 30 days after catheter insertion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intravenous, intraarterial, catheter, fixation, withdrawal, dislocation