Study of Tubular Bandage Use to Extend Peripheral Intravenous Catheter Duration and Reduce Infiltration in Children Aged 6 to 12 Years
Led by Istanbul University · Updated on 2024-08-30
100
Participants Needed
2
Research Sites
13 weeks
Total Duration
AI-Summary
What this Trial Is About
This research aims to evaluate the effect of using a tubular bandage on the duration of peripheral intravenous catheter use and the occurrence of infiltration in children aged 6 to 12 years receiving intravenous fluids. Peripheral intravenous catheters are common in pediatric care for administering medications and fluids, but complications like infiltration, where fluid leaks into surrounding tissues, are frequent. The study is designed as a randomized controlled trial to address issues with catheter fixation unique to active pediatric patients and to assess whether tubular bandages can improve outcomes.
Children in the experimental group will have a tubular bandage applied over their routinely placed peripheral intravenous catheter, while the control group will receive standard catheter care without the bandage. The catheter is placed in the middle part of the forearm and used to deliver specific intravenous fluids including 5% dextrose, 0.45% sodium chloride, and 75% potassium chloride. Randomization is done using a method involving colored balls to assign children to either group. The trial will monitor how long the catheter stays functional and the frequency of infiltration events.
Participants will be assessed using a pediatric peripheral infusion scale and data collection forms over approximately one year. Researchers will track catheter use duration and infiltration incidence, along with skin integrity and any adverse reactions. The study includes regular monitoring and documentation by clinical staff to evaluate the safety and practical effects of tubular bandage application on catheter care in this pediatric population.
CONDITIONS
Brief Title
Effect of Tubular Bandage Application on Peripheral Intravenous Catheter Usage Time and Infiltration in Children
Research Team
D
dilek sönmez sağlık
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Intact skin integrity at the catheter application area
First-time placement of a peripheral venous catheter on the middle part of the child's forearm
Physician recommendation for intravenous fluid containing 5% dextrose, 0.45% sodium chloride, and 75% potassium chloride through a peripheral venous catheter
Child's age between 6 and 12 years
Successful placement of the peripheral venous catheter on the first attempt
You will not qualify if you...
Coagulation abnormalities
Receiving blood and blood products through the peripheral venous catheter
Nutritional problems
Hematologic or oncologic diseases
Congenital genetic or neurological disorders
Problems with skin integrity or movement in the upper extremities
Sensitivity to the tubular bandage
Fever above 37.5 degrees Celsius
Accidental dislodgement of the catheter
Early completion of treatment and removal of the catheter
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Duration of peripheral intravenous catheter use (varies per participant)
Participants receive a peripheral intravenous catheter; some receive a tubular bandage applied over the catheter while others receive routine catheter care without the bandage. The duration of catheter use and frequency of infiltration are monitored.
Visits as needed during catheter use for monitoring
Long-term Monitoring
Duration - About 1 year
Participants are followed up to collect information on catheter infiltration using the pediatric peripheral infiltration scale for about a year.
Periodic follow-up visits
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
FACTORIAL
Primary Purpose
PREVENTION
Number of Arms
2
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Published Research Related To This Trial
Peripheral intravenous catheter dressing and securement practice is associated with site complications and suboptimal dressing integrity: A secondary analysis of 40,637 catheters.
Current practices of peripheral intravenous catheter fixation in pediatric patients and factors influencing pediatric nurses' knowledge, attitude and practice concerning peripheral intravenous catheter fixation: a cross-sectional study.
Peripheral intravenous catheter securement: An integrative review of contemporary literature around medical adhesive tapes and supplementary securement products.