Publications by authors named "Colleen Pitt"
Background: An evidence and consensus-based instrument is needed to classify central venous access device-associated skin impairments.
Aim: The aim of this study was to design and evaluate the central venous access device-associated skin impairment classification tool.
Design: A two-phase modified Delphi study.
Importance: Catheter dislodgement is a common complication for children with tunneled or peripherally inserted noncuffed central venous catheters (CVCs). A subcutaneous anchor securement system (SASS) may reduce this risk compared with traditional adhesive securement.
Objective: To compare dislodgement of noncuffed CVCs secured with SASS with dislodgement of noncuffed CVCs secured with sutureless securement devices (SSDs).
Article Synopsis
- Peripheral intravenous catheters (PIVCs) often fail, leading to treatment disruptions, additional pain, and increased healthcare costs; midline catheters (MCs) may offer a better alternative by improving functional dwell time.
- A study conducted in a pediatric hospital evaluated MCs against PIVCs to see which had lower device failure rates among patients needing intravenous therapy for at least 4 days.
- Results showed that MCs had significantly lower failure rates compared to PIVCs (16.1% vs. 46.2%), alongside fewer insertion attempts and increased patient satisfaction.
Central venous access devices (CVADs) are vital to enable treatment for children with cancer and other complex health conditions. However, complications effecting the CVAD wound are commonly reported. This study aimed to identify the incidence and prevalence of CVAD-associated skin complications current management, and characteristics associated with complication development, in pediatrics.
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