Testing Zinc Oxide Adhesive to Secure Midline and Central Catheters in Hospitalized Adults to Reduce Catheter Complications

What this Trial Is About

Researchers are evaluating a zinc oxide adhesive securement device to help reduce complications related to the fixation of midline and peripherally inserted central catheters PICC in hospitalized adult patients. The study aims to compare this zinc oxide device with a standard acrylic adhesive device to see if it lowers issues such as catheter displacement, skin injuries, phlebitis, and pain. The trial is a randomized clinical study designed to improve care decisions for vascular access devices by reducing common complications. Participants will be divided into two groups after catheter insertion using a modified micro-Seldinger technique. One group will receive the standard care using an acrylic adhesive securement device along with a clear polyurethane dressing and cyanoacrylate glue. The intervention group will receive the same care except their catheter will be fixed with a zinc oxide adhesive securement device instead of the acrylic adhesive. Ultrasound guidance is used for all catheter insertions to improve accuracy. During the study, researchers will observe participants for seven days following catheter placement to monitor for treatment-related adverse events, skin changes under the fixation device, catheter displacement, phlebitis using a visual rating scale, and pain in the affected limb measured by a pain scale. Participants will be monitored closely for any complications related to the catheter fixation. The total participation involves care and assessments over this week-long period to evaluate the safety and efficacy of the zinc oxide adhesive device compared to the standard adhesive.

Effectiveness of a Zinc Oxide Adhesive Securement Device in the Fixation of Midline and Peripherally Inserted Central Catheters in Hospitalized Adult Patients