Fixation of Vascular Access Catheters
10.2185/jjrm.57.656
- Author:
Yayoi KATO
;
Emiko OHTANI
;
Masashige KUDO
;
Shinya ISHIDA
;
Yuko OHNO
;
Takeyuki HIRAMATSU
- Publication Type:Journal Article
- MeSH:
Catheter;
Blood vascular;
SIZES;
Access;
Fixation - action
- From:Journal of the Japanese Association of Rural Medicine
2008;57(4):656-660
- CountryJapan
- Language:Japanese
-
Abstract:
A vascular access catheter has been widely used for hemodialysis patients in an emergency when an arteriovenous shunt get clogged and cannot be reopened or when patients have no arterio-venous fistula. However, it often causes deterioration in activities of daily living (ADLs) and other troubles. Therefore, we place the catheter into the internal jugular vein in the neck to minimize the risk of complications and patients' inconvenience. Nevertheless, free spaces tend to be created between the dressing agent and skin because the articular excursion is wide in the neck. Although the CDC (Centerfor Disease Control and Prevention) guidelines recommended that the dressing tapes should be changed once every seven days, we change the tapes every two or four days to avoid peeling-off. In this study, we examine the difference in fixation ability between two types of tapes;standard size (10×12 cm) and 1/4 cut-size (5×6 cm). Our results showed that there were significant differences in peeling-off area between the two tapes. The smaller-sized tape had better adhesion to the skin so that you could not peel it off easily. Furthermore, the smaller one stuck fast to the catheter and needed less replacement. Consequently, the skins seemed to be more protected.
