Aussie researchers have found a new way to make one of the most common medical procedures in the world – placing drips or intravenous (IV) lines – safer, less painful and potentially more cost effective.
The researchers, who were funded by the Emergency Medicine Foundation (EMF), found that using medical skin glue to hold hospital drips in place significantly reduced the need to replace them due to infection, pain, blockage or falling out.
Caboolture Hospital Emergency physician and lead researcher, Dr Simon Bugden, said the failure rate for IV lines in the first 48 hours was 29-40 per cent[i] in Australia and as high as 90 per cent internationally[ii].
“We found that by using medical skin glue, we could reduce the failure rate to below 17 per cent,” Dr Bugden said.
“The glue made IV lines harder to unintentionally remove and was also shown to kill the bacteria that most commonly cause infections.
“The other major benefit was patient comfort, with patients in the trial reporting that the glue caused less irritation and they were less worried about the lines falling out.
“Doctors place more than 10 million IV lines in Australia each year – and more than 300 million in the US – so reducing the need to replace IV lines will save staff time and free up valuable healthcare resources.”
With funding from Queensland Health, EMF awarded a $50,000 grant for the research and patient trials, which ran over several months at Caboolture Hospital in Queensland.
The research is currently undergoing a cost-benefit analysis by health economists at Griffith University, with a view to rolling out the new procedure on a wide scale.
EMF Chair Associate Professor Sally McCarthy said the discovery was an example of how significant healthcare benefits could be achieved by funding front line emergency medicine research.
“There has been no improvement to the current procedure of inserting and securing IV lines in several decades, despite the rate of failure,” A/Prof. McCarthy said.
“Dr Bugden’s method could be simply and cost-effectively introduced in hospitals worldwide.
“EMF is committed to ensuring Australia continues to stay at the forefront of emergency medicine care by funding to dedicated research in this field.”
Dr Bugden’s research was recently published in the Annals of Emergency Medicine.
Photo: Dr Simon Bugden applying medical glue to a patient’s IV line. Image courtesy Caboolture Hospital.
Watch how the glue is removed
[i] Callaghan S., Copnell B., Johnston L. “Comparison of two methods of peripheral intravenous catheter securement in the pediatric setting”. Journal of Infusion Nursing, 2002; 25(4):256-64 Rickard C.M., McCann D., Munnings J., McGrail M.R., “Routine resite of peripheral intravenous devices every 3 days did not reduce complications compared with clinically indicated resite: a randomised controlled trial.” BMC Medicine, 2010;8:53
[ii] Maki D.G., Ringer M., “Evaluation of dressing regimens for prevention of infection with peripheral intravenous catheters. Gauze, a transparent polyurethane dressing, and an iodophor-transparent dressing.” The Journal of the American Medical Association, 1987; 258:2396-403
Smith B., “eripheral intravenous catheter dwell times. A comparison of 3 securement methods for implementation of a 96-hour scheduled change protocol.” Journal of Infusion Nursing, 2006;29:14-7
Wood D., “ comparative study of two securement techniques for short peripheral intravenous catheters.” Journal of Intravenous Nursing, 1997;20:280-5