Peripheral Catheter Pressure Ulcer Prevention in Pediatry : Use of Compresses Versus Standard Care"
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 360
- Locations
- 1
- Primary Endpoint
- Pressure Ulcer of Grade >=1 on the National Pressure Ulcer Advisory Panel (NPUAP) Scale
Study Overview
Brief Summary
Peripheral venous catheterisation is a multi-daily practice in a paediatric ward.
In our pediatrics department, nurses have observed for several years now the appearance of pressure sore-like skin lesions at the junction of the peripheral venous catheter with the extension tube. A ward habit has spontaneously developed of applying a compress under this junction. The objective is to minimize physical or emotional aggression as well as pain. Pain that is denied or not identified and not relieved is memorized by the child, which can have consequences on the perception of pain and the subsequent acceptance of care.
To date, through their reading and research, investigators have been able to find articles mentioning the risks of pressure ulcers in children related to medical devices. However, few elements are developed concerning catheter-related pressure ulcers, especially on this specific technique for preventing injuries at the catheter-extension tube junction. Investigators have not found any recommendations on this subject.
Thus, the aim of this study is to compare two peripheral venous catheter fixation devices, with compress and without compress, and to analyse the frequency of pressure ulcer occurrence and the intensity of this lesion.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Outcomes Assessor)
Masking Description
The childcare assistant in charge of primary outcome assessment should not having taken care of the child before. In addition, the catheter-extension tube junction, with or without compress,will be secured by placing a crepe bandage. The nurse will call him to assess the primary outcome after the catheter ( and compress and crepe bandage) will have been removed.
Eligibility Criteria
- Ages
- 1 Month to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Aged 1 month to 18 years old, according to the criteria of the paediatrics department of the Departmental Hospital la Roche sur Yon .
- •Hospitalized in paediatrics ward or consultant in paediatric emergencies with a high probability of being hospitalized in paediatrics ward later.
- •With an indication for the insertion of a short peripheral venous catheter
- •Written agreement from the holder(s) of parental authority
Exclusion Criteria
- •Children with dermatological affections prior to inclusion and at the puncture site (atopic dermatitis, skin infection, skin wound, chickenpox, epidermolysis bullosa)
- •Allergy to fixation devices
- •Known immune deficient child
- •Refusal of the patient or of the holders of parental authority to participate
- •Life-saving emergency care
- •Patient already included in the study
- •Patient without social security coverage
Arms & Interventions
peripheral venous catheter with compress
Insertion of a peripheral venous catheter with a compress inserted below the catheter-extension tube junction
Intervention: peripheral venous catheter with compress under the catheter-extension tube junction (Other)
peripheral venous catheter without compress
Insertion of a peripheral venous catheter without any compress inserted below the catheter-extension tube junction.
Intervention: peripheral venous catheter without compress under the catheter-extension tube junction (Other)
Outcomes
Primary Outcomes
Pressure Ulcer of Grade >=1 on the National Pressure Ulcer Advisory Panel (NPUAP) Scale
Time Frame: at catheter removal
Occurrence of a pressure ulcer of grade ≥1 according to the NPUAP scale at the catheter extension junction. A higher grade on this scale indicates a worse patient outcome. The assessment will be performed in a blinded manner by a childcare assistant (CDA) from the department.
Secondary Outcomes
No secondary outcomes reported