The Effect of the Use of Sterile Transparent Film Dressing in Newborns

Yuksek Ihtisas Hospital

Status: Completed

Conditions: Peripheral Venous Catheterization; Newborn

Treatments: Other: Use of sterile transparent film dressing

Study type: Interventional

Funder types: Other

Identifiers

NCT05694390

YIU-M-CI-004

Details and patient eligibility

About

It is important that effective catheter fixation will reduce the risk of catheter unavailability for specific reasons and the incidence of catheter-related complications. The aim of this study was to determine the effect of sterile transparent film dressing and tape methods used in pe- ripheral intravenous catheter application in newborns on the duration of catheter stay and the development of catheter-related complications.

Full description

It has been reported that effective catheter fixation will reduce the risk of catheter unavailability for specific reasons and the incidence of catheter-related complications. Intravenous cannulas are usually fixed with a thin board, a bandage, and tape. There is no standard way of using PIVC dressings in Turkey. After the catheter is inserted into the vein, gauze and a blaster, sterile transparent dressing materials, or just a blaster, are used to prevent contact of the fixed part and the area of intervention with the external environment. Transparent dressing used for catheter fixation contribute to a more comfortable evaluation of the catheter entry site. It has been suggested that the use of transparent film dressing may be effective in preventing and early detection of catheter-related complications. Moreover, it was concluded that due to the short duration of the procedure, it reduced the cost of manpower, and nurses could devote more time to other patients.

Enrollment: 63 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• less than 4 kg (due to the infiltration scale criteria)
• PICV was inserted for the first time

Exclusion criteria

• existing catheter,
• who has a catheter other than PICV (PICC, umbilical catheter, etc.),
• sterile transparent film dressing, tape, babies with allergies to antiseptic solution and catheter,
• with immunodeficiency, and with skin problems that prevent catheter opening

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

63 participants in 2 patient groups

Experimental group: The group applied sterile transparent film dressing

Experimental group

Description:

The nurses in the unit were trained by the charge nurse of the clinic on catheter-related complications (infiltration, extravasation, phlebitis, and occlusion), the scales used in the study, and the use of sterile transparent film dressing. In the experimental group, a sterile transparent film dressing was used to fix the catheter and was monitored hourly until the catheter was removed.

Treatment:

Other: Use of sterile transparent film dressing

Control group: The group applied fixed with a tape (blaster)

No Intervention group

Description:

The nurses in the unit were trained by the charge nurse of the clinic on catheter-related complications (infiltration, extravasation, phlebitis, and occlusion), the scales used in the study, and the use of sterile transparent film dressing. In the control group, the catheter was fixed with a tape (blaster), routinely used in the clinic, and was monitored hourly until the catheter was removed.