<p>The use of both percutaneous and tunnelled central venous catheters in hospitalized patients has increased markedly over the last decade (Camp-Sorrell, 1990). With this increase, there is a clinical need to have an occlusive central line dressing to maintain a barrier to possible site contamination. This randomized control trial examined the use of the transparent dressing OpSite Wound (Smith and Nephew-Ine.) versus the ransparent dressing LV. 3000 (Smith & Nephew Inc.) in its ability to maintain an occlusive central line dressing. The study took place at Chedoke-McMaster Hospitals McMaster Division from June 1991 to September 1991. Adult medical-surgical patients who had a central line in place for longer than 48 hours were eligible for the study. Twenty five central lines were randomized to either the control group (OpSite Wound) or the experimental group (LV. 3000) An independent assessor saw all study patients daily to document dressing adhesiveness and the number of dressing changes performed. Analysis showed that the LV. 3000 dressing was changed every 5.5 days as opposed to the OpSite Wound dressing that was changed every 2.6 days. This difference was both statistically and clinically significant Analysis also showed that the dressings covering central lines with no intravenous in-line attachment (pigtail) were changed more frequently than the dressings covering central lines with an attached pigtail. This difference was also statistically significant The LV. 3000 dressing therefore, provides an occlusive central line dressing that is changed one-half the number of times that the OpSite Wound dressing is changed, or in other words, the OpSite. Wound dressing is changed twice as often as the I.V. 3000 dressing when used on central lines.</p> / Master of Health Sciences (MSc)
| Identifer | oai:union.ndltd.org:mcmaster.ca/oai:macsphere.mcmaster.ca:11375/8888 |
| Date | 12 1900 |
| Creators | Neufeld, Marilyn |
| Contributors | Roberts, Jacqueline, Health Sciences |
| Source Sets | McMaster University |
| Detected Language | English |
| Type | thesis |
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