Nursing and Midwifery Director, Research Queensland Health Herston, Queensland, Australia
Disclosure(s):
Nicole Marsh, PhD: No relevant disclosure to display
Central venous access devices (CVADs), particularly those placed in the internal jugular vein, are vulnerable to complications and failure from inadequate dressing and securement. These largely preventable failures lead to painful re-insertions of subsequent devices, delays in essential medical treatment and an increase in healthcare costs. With better adhesion of the dressing to the skin, there is the potential to reduce CVAD failure.
This session will share the results of a randomized controlled trial conducted in four intensive care units that compared a standard dressing alone, with a standard dressing secured by an additional liquid adhesive, and its impact on CVAD dressing adherence, complications and failure.
Learning Objectives:
Describe the impact of dressing and securement on CVAD complications and failure
Understand the rationale for applying liquid adhesive to CVAD dressings
Explain the key findings of a trial using liquid adhesive to secure CVAD dressings
Understand the benefit of clinical trials in evaluation of practice
