Effects of the low-speed continuous infusion catheter technique on double-lumen central venous catheters: A randomized controlled trial
Central venous catheters are widely used in clinical practice, and the incidence of central venous catheter occlusion is between 25 % and 38 %. The turbulence caused by the pulsatile flushing technique is harmful to the vascular endothelium and may lead to phlebitis. The low-speed continuous infusio...
Gespeichert in:
| Veröffentlicht in: | International journal of nursing studies 2024-03, Vol.151, p.104676-104676, Article 104676 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 104676 |
|---|---|
| container_issue | |
| container_start_page | 104676 |
| container_title | International journal of nursing studies |
| container_volume | 151 |
| creator | Zhou, Mian Dong, Shan Zhang, Jinghui Liu, Yuping Zhang, Liuliu Xu, Junxia Yang, Ying He, Yulan Wu, Kaiping Yuan, Yuan Lin, Wenqin Bian, Wenxia Li, Juan Chen, Chunli Xue, Youhua Tao, Tingting Kang, Yubiao Sun, Lulu Yuan, Ling Xu, Cuirong |
| description | Central venous catheters are widely used in clinical practice, and the incidence of central venous catheter occlusion is between 25 % and 38 %. The turbulence caused by the pulsatile flushing technique is harmful to the vascular endothelium and may lead to phlebitis. The low-speed continuous infusion catheter technique is a new type of continuous infusion that ensures that the catheter is always in a keep-vein-open state by continuous low-speed flushing; hence, avoiding the problem of catheter occlusion.
To investigate the effectiveness of the low-speed continuous infusion catheter technique and the routine care of double-lumen central venous catheters.
This was a prospective, randomized, controlled, open-label trial.
Patients were recruited from 14 medical institutions in China between February and June 2023.
In total, 251 patients were recruited, with 125 in the intervention group and 126 in the control group.
Patients who used double-lumen central venous catheters for infusion treatment were selected, and those who met the sampling criteria were randomly divided into intervention and control groups using the random envelope method. The intervention group used the low-speed continuous infusion catheter technique to maintain catheter patency, whereas the control group used routine care with a trial period of 7 days. The primary outcome was the occlusion rate. The secondary outcomes included nursing satisfaction and complication rates of the two groups.
After 7 days, the rate of catheter occlusion was 28.0 % (35/125, 95 % confidence interval (CI):0.203, 0.367) in the intervention group and 53.97 % (68/126, 95 % CI: 0.449–0.629) in the control group, with a statistically significant difference (χ2 = 17.488, p |
| doi_str_mv | 10.1016/j.ijnurstu.2023.104676 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2925032442</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0020748923002419</els_id><sourcerecordid>2925032442</sourcerecordid><originalsourceid>FETCH-LOGICAL-c363t-25c9ba77eeebc70619c3c180f6b53da5d7e13b413f492bb54600c0cf44af80f03</originalsourceid><addsrcrecordid>eNqFkclOHDEQhq0oURhIXgH5yKUHb71xAiGSICHlkki5WW53WXjktideiOAFeO14NDNcOVWp9P21_QidU7KmhHaXm7Xd-BJTLmtGGK9F0fXdB7SiQ88bMdI_H9GKEEaaXgzjCTpNaUMIoQMZPqMTPjBBB9qv0OudMaBzwsHg_AjYhX9N2gLMWAefrS-hJGy9KckGj7WqTIaIM-hHb_8WwLU6hzI5aFxZoCLgc1QOP4HfSY-KdIVvcFR-Dot9OXSPwbma5miV-4I-GeUSfD3EM_T7292v2x_Nw8_v97c3D43mHc8Na_U4qb4HgEn3pKOj5roeZbqp5bNq5x4onwTlRoxsmlrREaKJNkIoUynCz9DFvu82hrp-ynKxSYNzykPdV7KRtYQzIVhFuz2qY0gpgpHbaBcVnyUlcmeC3MijCXJngtybUIXnhxllWmB-kx2_XoHrPQD10icLUSZtwWuYbaxmyDnY92b8B-Rin90</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2925032442</pqid></control><display><type>article</type><title>Effects of the low-speed continuous infusion catheter technique on double-lumen central venous catheters: A randomized controlled trial</title><source>Elsevier ScienceDirect Journals</source><creator>Zhou, Mian ; Dong, Shan ; Zhang, Jinghui ; Liu, Yuping ; Zhang, Liuliu ; Xu, Junxia ; Yang, Ying ; He, Yulan ; Wu, Kaiping ; Yuan, Yuan ; Lin, Wenqin ; Bian, Wenxia ; Li, Juan ; Chen, Chunli ; Xue, Youhua ; Tao, Tingting ; Kang, Yubiao ; Sun, Lulu ; Yuan, Ling ; Xu, Cuirong</creator><creatorcontrib>Zhou, Mian ; Dong, Shan ; Zhang, Jinghui ; Liu, Yuping ; Zhang, Liuliu ; Xu, Junxia ; Yang, Ying ; He, Yulan ; Wu, Kaiping ; Yuan, Yuan ; Lin, Wenqin ; Bian, Wenxia ; Li, Juan ; Chen, Chunli ; Xue, Youhua ; Tao, Tingting ; Kang, Yubiao ; Sun, Lulu ; Yuan, Ling ; Xu, Cuirong</creatorcontrib><description>Central venous catheters are widely used in clinical practice, and the incidence of central venous catheter occlusion is between 25 % and 38 %. The turbulence caused by the pulsatile flushing technique is harmful to the vascular endothelium and may lead to phlebitis. The low-speed continuous infusion catheter technique is a new type of continuous infusion that ensures that the catheter is always in a keep-vein-open state by continuous low-speed flushing; hence, avoiding the problem of catheter occlusion.
To investigate the effectiveness of the low-speed continuous infusion catheter technique and the routine care of double-lumen central venous catheters.
This was a prospective, randomized, controlled, open-label trial.
Patients were recruited from 14 medical institutions in China between February and June 2023.
In total, 251 patients were recruited, with 125 in the intervention group and 126 in the control group.
Patients who used double-lumen central venous catheters for infusion treatment were selected, and those who met the sampling criteria were randomly divided into intervention and control groups using the random envelope method. The intervention group used the low-speed continuous infusion catheter technique to maintain catheter patency, whereas the control group used routine care with a trial period of 7 days. The primary outcome was the occlusion rate. The secondary outcomes included nursing satisfaction and complication rates of the two groups.
After 7 days, the rate of catheter occlusion was 28.0 % (35/125, 95 % confidence interval (CI):0.203, 0.367) in the intervention group and 53.97 % (68/126, 95 % CI: 0.449–0.629) in the control group, with a statistically significant difference (χ2 = 17.488, p < 0.001); at 3 days of intervention, the rate of catheter blockage was 8.0 % (10/125, 95 % CI: 0.039–0.142) in the intervention group and 23.8 % (30/126, 0.167–0.322) in the control group, with a statistically significant difference (χ2 = 11.707, p < 0.001). Nurse satisfaction was significantly higher in the intervention group (115/125, 92.0 %, 95 % CI: 0.858–0.961) than in the control group (104/126, 82.54 %, 95 % CI: 0.748–0.887) (χ2 = 5.049, p = 0.025). There were no statistically significant complication rates in either group (p = 0.622).
The low-speed continuous infusion catheter technique helps maintain catheter patency, improves nurse satisfaction, and provides a high level of safety.
Chinese Clinical Trial Registry (ChiCTR2200064007, www.chictr.org.cn). The first recruitment was conducted in February. https://www.chictr.org.cn/showproj.html?proj=177311.</description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/j.ijnurstu.2023.104676</identifier><identifier>PMID: 38241817</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Central venous catheter ; Continuous flow ; Flushing ; Nursing care ; Pulsatile flow ; Randomized controlled trial</subject><ispartof>International journal of nursing studies, 2024-03, Vol.151, p.104676-104676, Article 104676</ispartof><rights>2023 The Author(s)</rights><rights>Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c363t-25c9ba77eeebc70619c3c180f6b53da5d7e13b413f492bb54600c0cf44af80f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0020748923002419$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38241817$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Mian</creatorcontrib><creatorcontrib>Dong, Shan</creatorcontrib><creatorcontrib>Zhang, Jinghui</creatorcontrib><creatorcontrib>Liu, Yuping</creatorcontrib><creatorcontrib>Zhang, Liuliu</creatorcontrib><creatorcontrib>Xu, Junxia</creatorcontrib><creatorcontrib>Yang, Ying</creatorcontrib><creatorcontrib>He, Yulan</creatorcontrib><creatorcontrib>Wu, Kaiping</creatorcontrib><creatorcontrib>Yuan, Yuan</creatorcontrib><creatorcontrib>Lin, Wenqin</creatorcontrib><creatorcontrib>Bian, Wenxia</creatorcontrib><creatorcontrib>Li, Juan</creatorcontrib><creatorcontrib>Chen, Chunli</creatorcontrib><creatorcontrib>Xue, Youhua</creatorcontrib><creatorcontrib>Tao, Tingting</creatorcontrib><creatorcontrib>Kang, Yubiao</creatorcontrib><creatorcontrib>Sun, Lulu</creatorcontrib><creatorcontrib>Yuan, Ling</creatorcontrib><creatorcontrib>Xu, Cuirong</creatorcontrib><title>Effects of the low-speed continuous infusion catheter technique on double-lumen central venous catheters: A randomized controlled trial</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description>Central venous catheters are widely used in clinical practice, and the incidence of central venous catheter occlusion is between 25 % and 38 %. The turbulence caused by the pulsatile flushing technique is harmful to the vascular endothelium and may lead to phlebitis. The low-speed continuous infusion catheter technique is a new type of continuous infusion that ensures that the catheter is always in a keep-vein-open state by continuous low-speed flushing; hence, avoiding the problem of catheter occlusion.
To investigate the effectiveness of the low-speed continuous infusion catheter technique and the routine care of double-lumen central venous catheters.
This was a prospective, randomized, controlled, open-label trial.
Patients were recruited from 14 medical institutions in China between February and June 2023.
In total, 251 patients were recruited, with 125 in the intervention group and 126 in the control group.
Patients who used double-lumen central venous catheters for infusion treatment were selected, and those who met the sampling criteria were randomly divided into intervention and control groups using the random envelope method. The intervention group used the low-speed continuous infusion catheter technique to maintain catheter patency, whereas the control group used routine care with a trial period of 7 days. The primary outcome was the occlusion rate. The secondary outcomes included nursing satisfaction and complication rates of the two groups.
After 7 days, the rate of catheter occlusion was 28.0 % (35/125, 95 % confidence interval (CI):0.203, 0.367) in the intervention group and 53.97 % (68/126, 95 % CI: 0.449–0.629) in the control group, with a statistically significant difference (χ2 = 17.488, p < 0.001); at 3 days of intervention, the rate of catheter blockage was 8.0 % (10/125, 95 % CI: 0.039–0.142) in the intervention group and 23.8 % (30/126, 0.167–0.322) in the control group, with a statistically significant difference (χ2 = 11.707, p < 0.001). Nurse satisfaction was significantly higher in the intervention group (115/125, 92.0 %, 95 % CI: 0.858–0.961) than in the control group (104/126, 82.54 %, 95 % CI: 0.748–0.887) (χ2 = 5.049, p = 0.025). There were no statistically significant complication rates in either group (p = 0.622).
The low-speed continuous infusion catheter technique helps maintain catheter patency, improves nurse satisfaction, and provides a high level of safety.
Chinese Clinical Trial Registry (ChiCTR2200064007, www.chictr.org.cn). The first recruitment was conducted in February. https://www.chictr.org.cn/showproj.html?proj=177311.</description><subject>Central venous catheter</subject><subject>Continuous flow</subject><subject>Flushing</subject><subject>Nursing care</subject><subject>Pulsatile flow</subject><subject>Randomized controlled trial</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFkclOHDEQhq0oURhIXgH5yKUHb71xAiGSICHlkki5WW53WXjktideiOAFeO14NDNcOVWp9P21_QidU7KmhHaXm7Xd-BJTLmtGGK9F0fXdB7SiQ88bMdI_H9GKEEaaXgzjCTpNaUMIoQMZPqMTPjBBB9qv0OudMaBzwsHg_AjYhX9N2gLMWAefrS-hJGy9KckGj7WqTIaIM-hHb_8WwLU6hzI5aFxZoCLgc1QOP4HfSY-KdIVvcFR-Dot9OXSPwbma5miV-4I-GeUSfD3EM_T7292v2x_Nw8_v97c3D43mHc8Na_U4qb4HgEn3pKOj5roeZbqp5bNq5x4onwTlRoxsmlrREaKJNkIoUynCz9DFvu82hrp-ynKxSYNzykPdV7KRtYQzIVhFuz2qY0gpgpHbaBcVnyUlcmeC3MijCXJngtybUIXnhxllWmB-kx2_XoHrPQD10icLUSZtwWuYbaxmyDnY92b8B-Rin90</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Zhou, Mian</creator><creator>Dong, Shan</creator><creator>Zhang, Jinghui</creator><creator>Liu, Yuping</creator><creator>Zhang, Liuliu</creator><creator>Xu, Junxia</creator><creator>Yang, Ying</creator><creator>He, Yulan</creator><creator>Wu, Kaiping</creator><creator>Yuan, Yuan</creator><creator>Lin, Wenqin</creator><creator>Bian, Wenxia</creator><creator>Li, Juan</creator><creator>Chen, Chunli</creator><creator>Xue, Youhua</creator><creator>Tao, Tingting</creator><creator>Kang, Yubiao</creator><creator>Sun, Lulu</creator><creator>Yuan, Ling</creator><creator>Xu, Cuirong</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20240301</creationdate><title>Effects of the low-speed continuous infusion catheter technique on double-lumen central venous catheters: A randomized controlled trial</title><author>Zhou, Mian ; Dong, Shan ; Zhang, Jinghui ; Liu, Yuping ; Zhang, Liuliu ; Xu, Junxia ; Yang, Ying ; He, Yulan ; Wu, Kaiping ; Yuan, Yuan ; Lin, Wenqin ; Bian, Wenxia ; Li, Juan ; Chen, Chunli ; Xue, Youhua ; Tao, Tingting ; Kang, Yubiao ; Sun, Lulu ; Yuan, Ling ; Xu, Cuirong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-25c9ba77eeebc70619c3c180f6b53da5d7e13b413f492bb54600c0cf44af80f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Central venous catheter</topic><topic>Continuous flow</topic><topic>Flushing</topic><topic>Nursing care</topic><topic>Pulsatile flow</topic><topic>Randomized controlled trial</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhou, Mian</creatorcontrib><creatorcontrib>Dong, Shan</creatorcontrib><creatorcontrib>Zhang, Jinghui</creatorcontrib><creatorcontrib>Liu, Yuping</creatorcontrib><creatorcontrib>Zhang, Liuliu</creatorcontrib><creatorcontrib>Xu, Junxia</creatorcontrib><creatorcontrib>Yang, Ying</creatorcontrib><creatorcontrib>He, Yulan</creatorcontrib><creatorcontrib>Wu, Kaiping</creatorcontrib><creatorcontrib>Yuan, Yuan</creatorcontrib><creatorcontrib>Lin, Wenqin</creatorcontrib><creatorcontrib>Bian, Wenxia</creatorcontrib><creatorcontrib>Li, Juan</creatorcontrib><creatorcontrib>Chen, Chunli</creatorcontrib><creatorcontrib>Xue, Youhua</creatorcontrib><creatorcontrib>Tao, Tingting</creatorcontrib><creatorcontrib>Kang, Yubiao</creatorcontrib><creatorcontrib>Sun, Lulu</creatorcontrib><creatorcontrib>Yuan, Ling</creatorcontrib><creatorcontrib>Xu, Cuirong</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Mian</au><au>Dong, Shan</au><au>Zhang, Jinghui</au><au>Liu, Yuping</au><au>Zhang, Liuliu</au><au>Xu, Junxia</au><au>Yang, Ying</au><au>He, Yulan</au><au>Wu, Kaiping</au><au>Yuan, Yuan</au><au>Lin, Wenqin</au><au>Bian, Wenxia</au><au>Li, Juan</au><au>Chen, Chunli</au><au>Xue, Youhua</au><au>Tao, Tingting</au><au>Kang, Yubiao</au><au>Sun, Lulu</au><au>Yuan, Ling</au><au>Xu, Cuirong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of the low-speed continuous infusion catheter technique on double-lumen central venous catheters: A randomized controlled trial</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>151</volume><spage>104676</spage><epage>104676</epage><pages>104676-104676</pages><artnum>104676</artnum><issn>0020-7489</issn><eissn>1873-491X</eissn><abstract>Central venous catheters are widely used in clinical practice, and the incidence of central venous catheter occlusion is between 25 % and 38 %. The turbulence caused by the pulsatile flushing technique is harmful to the vascular endothelium and may lead to phlebitis. The low-speed continuous infusion catheter technique is a new type of continuous infusion that ensures that the catheter is always in a keep-vein-open state by continuous low-speed flushing; hence, avoiding the problem of catheter occlusion.
To investigate the effectiveness of the low-speed continuous infusion catheter technique and the routine care of double-lumen central venous catheters.
This was a prospective, randomized, controlled, open-label trial.
Patients were recruited from 14 medical institutions in China between February and June 2023.
In total, 251 patients were recruited, with 125 in the intervention group and 126 in the control group.
Patients who used double-lumen central venous catheters for infusion treatment were selected, and those who met the sampling criteria were randomly divided into intervention and control groups using the random envelope method. The intervention group used the low-speed continuous infusion catheter technique to maintain catheter patency, whereas the control group used routine care with a trial period of 7 days. The primary outcome was the occlusion rate. The secondary outcomes included nursing satisfaction and complication rates of the two groups.
After 7 days, the rate of catheter occlusion was 28.0 % (35/125, 95 % confidence interval (CI):0.203, 0.367) in the intervention group and 53.97 % (68/126, 95 % CI: 0.449–0.629) in the control group, with a statistically significant difference (χ2 = 17.488, p < 0.001); at 3 days of intervention, the rate of catheter blockage was 8.0 % (10/125, 95 % CI: 0.039–0.142) in the intervention group and 23.8 % (30/126, 0.167–0.322) in the control group, with a statistically significant difference (χ2 = 11.707, p < 0.001). Nurse satisfaction was significantly higher in the intervention group (115/125, 92.0 %, 95 % CI: 0.858–0.961) than in the control group (104/126, 82.54 %, 95 % CI: 0.748–0.887) (χ2 = 5.049, p = 0.025). There were no statistically significant complication rates in either group (p = 0.622).
The low-speed continuous infusion catheter technique helps maintain catheter patency, improves nurse satisfaction, and provides a high level of safety.
Chinese Clinical Trial Registry (ChiCTR2200064007, www.chictr.org.cn). The first recruitment was conducted in February. https://www.chictr.org.cn/showproj.html?proj=177311.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>38241817</pmid><doi>10.1016/j.ijnurstu.2023.104676</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-7489 |
| ispartof | International journal of nursing studies, 2024-03, Vol.151, p.104676-104676, Article 104676 |
| issn | 0020-7489 1873-491X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2925032442 |
| source | Elsevier ScienceDirect Journals |
| subjects | Central venous catheter Continuous flow Flushing Nursing care Pulsatile flow Randomized controlled trial |
| title | Effects of the low-speed continuous infusion catheter technique on double-lumen central venous catheters: A randomized controlled trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T01%3A39%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effects%20of%20the%20low-speed%20continuous%20infusion%20catheter%20technique%20on%20double-lumen%20central%20venous%20catheters:%20A%20randomized%20controlled%20trial&rft.jtitle=International%20journal%20of%20nursing%20studies&rft.au=Zhou,%20Mian&rft.date=2024-03-01&rft.volume=151&rft.spage=104676&rft.epage=104676&rft.pages=104676-104676&rft.artnum=104676&rft.issn=0020-7489&rft.eissn=1873-491X&rft_id=info:doi/10.1016/j.ijnurstu.2023.104676&rft_dat=%3Cproquest_cross%3E2925032442%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2925032442&rft_id=info:pmid/38241817&rft_els_id=S0020748923002419&rfr_iscdi=true |