Securement options | Description | Benefits or concerns |
Sutures | Synthetic or silk sutures have traditionally been used to attach the CVC to the patient's subcutaneous tissue | Device dislodgement if suture is pulled out and possible increased risk of CRBSI[1] |
Adhesive securement devices | Adhesive footplate and clasp or Velcro-based attachments to the external IV device provide sutureless securement | Enhanced security without increased risk of needle puncture |
Integrated securement devices | New-generation dressings that incorporate a securement function, such as engineered adhesives and padded borders | Unimpaired view of the insertion site |
Tissue adhesive | Medical-grade cyanoacrylate glue used at the insertion site to promote hemostasis | Potentially improve device security[2,3]; have not been demonstrated to reduce CRBSI or device dislodgement for CVCs[4]; may cause skin irritation |
Subcutaneous anchor securement systems | Flexible posts (usually nitinol based) placed beneath the skin to secure CVCs at the insertion point; the product stays in place for the entire CVC dwell | Useful to reduce the time needed to complete dressing changes, especially when the peri-skin is irritated or injured[5]; requires training for insertion and removal |
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