Journal of intravenous nursing : the official publication of the Intravenous Nurses Society
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomized study comparing IV 3000 (transparent polyurethane dressing) to a dry gauze dressing for peripheral intravenous catheter sites.
Patients with an intravenous catheter on a cardiology unit were prospectively randomized to receive a transparent polyurethane dressing (N = 49) or sterile gauze (N = 31) dressing to compare security of fixation, dressing condition, skin condition, and rates of inflammation. The mean age of patients was 63 years of age (standard deviation, 12.57), and the average length of cannulation was 18 hours. The only significant difference between the two groups was the dressing condition in the transparent group was significantly better (P = 0.006) than that of the gauze group. The results suggest that gauze dressing may be a viable option to cover i.v. exit sites for patients requiring short-term cannulation.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of two percutaneous intravenous "midline" catheters in cystic fibrosis.
Administration of intravenous antibiotics in cystic fibrosis has been facilitated by the use of midline catheters; percutaneous lines inserted through a peripheral vein and advanced into a large but noncentral vein. In a randomized study, a 23-gauge silastic catheter (Vygon EC, Cirencester, United Kingdom) was compared with the Hydrocath (Viggo-Spectromed, Swindon, United Kingdom), a 22-gauge hydrophillic coated polyurethane catheter inserted using the Seldinger technique. Fifty eight courses of intravenous antibiotics were given, 28 through the Hydrocath (median age 11 years, range 1.5-17.5 years) and 30 through the silastic catheter, (median age 11 years, range 0.5-17.5). ⋯ The Hydrocath took longer to insert and was associated with more pain on insertion. However, administration of antibiotics was easier through the Hydrocath and overall satisfaction was higher in those who had the Hydrocath. Both catheters performed well, but administration of antibiotics was easier through the Hydrocath.