Peripheral Catheter Pressure Ulcer Prevention in Pediatry : Use of Compresses Versus Standard Care

  • STATUS
    Recruiting
  • End date
    Sep 29, 2022
  • participants needed
    360
  • sponsor
    Centre Hospitalier Departemental Vendee
Updated on 30 March 2021

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.

Details
Condition Decubitus Ulcer, Bed Sores (Decubitus Ulcers), Pressure Ulcers, Pressure Ulcer, pressure sores, decubitus, bedsore
Treatment peripheral venous catheter with compress under the catheter-extension tube junction, peripheral venous catheter without compress under the catheter-extension tube junction
Clinical Study IdentifierNCT04540822
SponsorCentre Hospitalier Departemental Vendee
Last Modified on30 March 2021

Eligibility

Yes No Not Sure

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
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