Clinical trial NCT05948878: An Innovative Taping Technique for Improved Intravenous (IV) Catheter Securement
Official title: An Innovative Taping Technique for Improved Intravenous (IV) Catheter Securement
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dislodged Catheter
Catheter Related Complication
Keywords: Catheter Taping Methods
Catheter securement
Catheters
Intravenous catheters
Lead sponsor: Boston Children's Hospital
Sponsor class: OTHER
First posted: 2023-07-17
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This is a prospective, single-blinded, randomized study to assess the ability of taping methods used to secure intravenous (IV) catheters to resist the IV from being pulled away from the skin. Participants will have IV catheters taped on top of the skin (without insertion into the skin) using three taping methods, BCH Emergency Department (BCH ED), Chevron, and our novel method. Six measurements will be obtained per subject (3 random taping methods measuring their resistance to force in two directions, retrograde direction or towards the wrist and 90-degree angle to the arm).

Detailed description: Accidental removal of IV catheters delay patient care and can cause additional medical anxiety and pain that is heightened in the pediatric population. Moreover, such failed catheters create an increased burden economically and emotionally to patients, hospitals, and clinicians. To facilitate the most accurate, consistent results, a calibrated hand wheel test stand with a force gauge will be used to obtain force measurements. We will obtain the amount of force is required to remove the IV catheter form the skin of the subjects to compare the three taping measurements in two different directions. The retrograde direction will be pulling the IV distally from the IV site, towards the participant's wrist. The 90-degree angle will be pulling the IV medially away from the IV site.

Eligibility criteria: Inclusion Criteria:

* Employees of Boston Children's Hospital

Exclusion Criteria:

* Individuals under the direct supervision of any study investigators
* Individuals with excessive hair in/near the antecubital fossa region on either arm
* Individuals with fragile and/or non-intact skin in/near the antecubital fossa region
* Individuals who have adhesive allergies
* Individuals who have already participated

Primary outcomes:
measure: The Force (Newtons) Required to Dislodge an IV Catheter Secured by the Chevron, BCH ED, and Novel Taping Methods Using a Force Gauge in the retrograde direction.
timeFrame: Until the tape is dislodged- approximately 15 seconds
measure: The Force (Newtons) Required to Dislodge an IV Catheter Secured by the Chevron, BCH ED, and Novel Taping Methods Using a Force Gauge in a 90 degrees direction.
timeFrame: Until the tape is dislodged- approximately 15 seconds
Secondary outcomes:
Other outcomes:
Locations:
city: Boston
country: United States
facility: Boston Children's Hospital
state: Massachusetts
Study officials:
affiliation: Boston Children's Hospital
name: Pete Kovatsis, MD
role: PRINCIPAL_INVESTIGATOR
References: