Evaluation of Techniques for IV Catheter Tubing 

24 February 21

Evaluation of Strategies for Arterial Catheter and Tubing Fixation 

The main purpose of this method was to inspect two techniques. These techniques deliberated to prevent accidental dislocation of intravenous catheters after the proper foundation of infusion line access. There are certain key methods like IV catheter tubing.  

After IV catheter tubing placing and tying in the position complex with gauze roll sequentially tied around the appendage across which the tubing elongates. This helps in differentiation with the use of a polyethylene roll manipulated by an attached handle. The tests performed on the medical personnel serve as live models.   

Introduction on Catheter Tubing 

In the main survey, we observe the swift control of acute visible hemorrhage and solution of acute airway threats regarding breathing which need management. There are no particular life-threatening conditions that coexist using IV catheter tubing.  

As in opposition to central lines which are usually in the grip with the sutures, in the military and damage scenarios we look for quick fixation of the peripheral intravenous line indwelling within the venous vasculature of the limb. Ideally, this approach will immediately secure the tubing.  

The wrong pull of the line must not result in accidental dislocation from a position that is an all too common event to those versed in the field. Such infelicitous incidents after the successful establishment of intravenous access are not important and can be avoided.  

In some disorderly scenarios, a particular awareness requirement is important to ward off such events. Nevertheless, even in the most perfect situations, a wrong motioning by the involved patient or one of the medical staff may result in loss of catheter access.  

Right now the study sets a goal to pioneer in this field of investigation by introducing a new way to use more familiar things. The speed of application and success in stabilizing the drip tubing and sustaining this fixation to accidental pulling forces is objectively under assessment. For more information, we performed subjective assessments of ease of success and satisfaction of the picked out methods by the participating with care providers.   

Intervention using IV catheter tubing 

The body area assessment for the use of infusion line fixation methods elongated from the ante-cubical fossil to the hind hand of each of either upper limb. The 2 ways compared were: 

The quality gauze roll sequentially wraps around the limb across which the tubing had been elongated and tied by a knot to guard in position. 

An inert polyethylene roll manipulated by an attached handle wraps around the tubing and the limb. This aids the procedure without the necessity of a knot or other guarding. It is because the material is self-adherent. Hence, making use of an apparatus in one hand can be manipulated while the contralateral hand guards the catheter and tubing in the position. 

In both 2 ways precaution is of utmost importance. They both require application only with mild tension so that the results don’t show hindrance underlying blood flow consequently. 

Study design of IV catheter tubing 

A certified military medic or a graduate-only of first aid courses get training to insert IV catheter tubing. Thus, the training also administers intravenous fluids used in emergency purposes for objectivity testing of these methods. The test performance notes down on trained volunteers each, in turn, changing as imaginary patient and care provider.  

Two applied methods served as each other with control groups. This involves measuring the period between an equal set at the starting point. An independent spectator or the stepping forward patient activated a stopwatch from the time the catheter remains in position with a single sticky tape strip placed over the catheter insertion site and a second strip placed over the posterior aspect of the catheter to which the tubing enters.  

The time elapsed continues until the finishing line fixates and concludes when the hands of the training volunteer raises upon completion.  

Results of IV catheter tubing 

The gauze rolling technique got recognized by all of the participants, whereas, the polyethylene technique was new to all. Most participants felt satisfied to experiment with observing a brief demonstration of this method. Whereas, only a few chose to practice once or twice before the readings.  

Aside from two cases, all catheters introduced entered into the antecubital fossa. Thirty-eight trials of tests showed 19 of each fixation technique by the emergency volunteer team. The variables measured were to assess the success of the new method as following.  

The time from insertion till fixation, evaluation of the medical staff regarding the comfort of use, general satisfaction, and success score of the fixation. The results of these depicted as follows.  

All of these measurements found to differ significantly between the methods. In the meantime from insertion till fixation was shorter in the new method (conventional method 83.37 vs.) polyethylene roll 30.05 seconds, p 0.0001); comfort level was noted to be higher (9.11 vs. 5.68, p 0.0001) as well as satisfaction (9.28 vs. 5.06, p 0.0001) and success score (9.72 vs. 8.06, p 0.05).  

Statistical significance observation regarding the strength of fixation demonstrated an advantage to the polyethylene roll. The timing of procedures exhibited remarkably favorable results relaying the rapidity of the polyethylene technique. In fact, the medical team members, attested to their satisfaction with the polyethylene technique for the first time. The demonstrated difference in satisfaction compared showed satisfactory results. 

Review 

A review of literature unfolds an amazing lack of experimentation of any sort concerning preference between the existing methods for fixating catheter tubing in the extremity situation. There are different kinds of methods of covering peripheral intravenous catheters that review in the literature.  

The most usual of which are the transparent polyurethane film dressing and brittle gauze dressing. There is always a risk of bacteria and catheter sepsis as suggested with the use of transparent polyurethane film for central venous catheters.  

This meta-analysis controls many medical facilities to come back by using dry gauze dressing for intravenous catheters. In the surroundings of injury and emergency medicine, there is a great importance of complexity. This happens against the dislodgment of the intravenous catheter. 

The catheter must remain attached during patient transfer despite being pressed and being far from perfect surroundings. The major consideration in this injury or trauma is that how much time it takes to secure the intravenous catheter. 

The new method introduced, shows us that this device can split in half. In the time needed to be secure by the catheter and attached tubing. Yet remarkably improve success rates and diminish discomfort. The resulting answers we get through this process are convincing. But, they are not just from the aspect of the demanded result. Seeing as for most of the volunteers this was their first try. At operating the polyethylene roll we allow the technique as being learnable and executable. 

Keeping in mind the risk of an over-vigorous care provider overemphasizing wrapping tightness blocks vascular supply under the wrap. With necessary precautions, this domestic merchandise wrapper faithfully serves as a novel technique. Furthermore, it is easily teachable and is readily acceptable only to prove more effective than its previous alternative. 

 

Conclusion 

The conclusion produced data shows that we can support the use of a transparent polyethylene roll. You can use it for dressing intravenous catheters and tubing in the context of emergency field care.

The way of performing exhibits is an inexpensive, simplistic, swift, and effective method to ensure guarding victorious intravenous access. All of this overwhelming places the polyethylene roll method in an advocated category consideration. Hence, this technique of choice for fixating the infusion line during emergency pre-hospital care is becoming a practical approach. 

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