Effectiveness of Peripheral Intravenous Line Securement With Splint in Neonates Admitted to the Neonatal Intensive Care Unit.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 192
- Locations
- 1
- Primary Endpoint
- Dwell time
Study Overview
Brief Summary
Splints are often used in neonatal intensive care units (NICUs) to immobilize the limb and stabilize the catheter, theoretically reducing complications by minimizing movement at the catheter site. Unfortunately, not much local data exist on the effectiveness of splints for peripheral intravenous line securement (PIVC). This study aimed to compare the dwell time of PIVCs with and without splints in neonates admitted to the NICU.
Detailed Description
The expected outcomes, which included optimized PIVC management protocols that could lower the frequency of catheter replacements, thereby reducing neonatal distress and the risk of infection. Establishing clear best practices may improve overall care quality, enhance workflow efficiency for NICU staff, and ultimately lead to better health outcomes. The findings could support the development of standardized guidelines for PIVC securement, with implications not only for local but also for global neonatal care settings.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 1 Day to 28 Days (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Any gender
- •Admitted to the NICU and required PIVC insertion
Exclusion Criteria
- •Skin conditions like fragile skin syndromes, dermatitis, or local infections that may worsen with splint and adhesive use
- •Congenital limb deformities like clubfoot, polydactyly, joint contractures that impede proper splint application
- •Severe limb edema
Arms & Interventions
Group-A
Neonates were supported with a splint for PIVC securement.
Intervention: Splint (Procedure)
Group-B
Neonates were not supported with a splint for PIVC securement.
Intervention: Neonates were not supported with a splint (Procedure)
Outcomes
Primary Outcomes
Dwell time
Time Frame: One week
The dwell time of PIVCs with and without splints was compared, calculated from PIVC insertion to the completion of the therapy.
Secondary Outcomes
No secondary outcomes reported
Investigators
Muhammad Aamir Latif
Research Consultant
RESnTEC, Institute of Research