Skin Glue Versus Suture for Securing Radial Arterial Lines

CHRISTUS Health

Status: Completed

Conditions: Arterial Catheters; Catheter Related Complication

Treatments: Procedure: 2-octyl cyanoacrylate covered by chlorhexidine gluconate dressing; Procedure: Silk 0-0 suture covered by chlorhexidine gluconate dressing

Study type: Interventional

Funder types: Other

Identifiers

NCT06589284

2022078

Details and patient eligibility

About

Prior investigators have evaluated the use of 2-octyl cyanoacrylate (glue) as a method to secure a variety of venous catheters including central/peripheral lines. There is a paucity of research evaluating the use of glue for arterial catheters. The investigators conducted a pilot study to test the null hypothesis that there would be no difference in failure rates between radial arterial lines (r-a-line) secured with glue vs. suture.

Full description

This was a prospective, randomized, controlled, trial for which the investigators enrolled a convenience sample of consenting, non-pregnant, adult patients who received an r-a-line in the ICU or ED at a community-based, teaching hospital. After randomization, lines were secured with either silk 0-0 suture or 2-octyl cyanoacrylate and, then, covered by chlorhexidine gluconate dressing. Patients were followed for duration of line placement and for the occurrence of premature line failure. Categorical data were analyzed by chi-square; continuous data by t-tests.

Enrollment: 70 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Be at least 18 years of age
2. Require invasive blood pressure monitoring via radial arterial catheter

Exclusion criteria

1. Under 18 years of age
2. Pregnant

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

Silk 0-0 suture covered by chlorhexidine gluconate dressing

Other group

Description:

The provider will be asked to use standard straight suturing technique followed by a tegaderm dressing for securing the radial arterial catheter.

Treatment:

Procedure: Silk 0-0 suture covered by chlorhexidine gluconate dressing

2-octyl cyanoacrylate covered by chlorhexidine gluconate dressing

Other group

Description:

The provider will be asked to use skin glue in a standardized fashion followed by a tegaderm dressing for securing the radial arterial catheter.

Treatment:

Procedure: 2-octyl cyanoacrylate covered by chlorhexidine gluconate dressing