Decreasing leakage during continuous femoral nerve catheter fixation using 2-octyl cyanoacrylate glue (Dermabond®): a randomized controlled trial.

BMC Anesthesiology
Theerawat Chalacheewajiravud Chanvitayapongs

Abstract

Continuous peripheral nerve catheters (CPNCs) have been used for postoperative pain relief. A common problem encountered with CPNCs is pericatheter leakage, which can lead to dressing adhesive failure. Frequent dressing changes increase the risk of catheter dislodgement and infections. Adhesive glue is effective in securing the peripheral nerve catheter and decreasing leakage around the catheter insertion site. This study aimed to evaluate the incidence of pericatheter leakage with fixation using 2-octyl cyanoacrylate glue (Dermabond®) as compared to sterile strips. Thirty patients undergoing unilateral total knee arthroplasty (TKA) with continuous femoral nerve catheter for postoperative analgesia were randomized into the catheter fixation with 2-octyl cyanoacrylate glue (Dermabond®) group or the sterile strip group. The primary outcome was the incidence of pericatheter leakage. Secondary outcomes included the frequent of catheter displacement, the difficulty of catheter removal, pain score and patient satisfaction. The incidence of pericatheter leakage at 24 and 48 h was 0% versus 93 and 0% versus 100% in the Dermabond® and sterile strip groups, respectively (P < 0.001). The incidence of displacement at 24 and 48 h was 6.7% v...Continue Reading

References

Jan 29, 2003·Anesthesiology·Stephen M KleinSusan M Steele
Sep 12, 2008·Current Opinion in Anaesthesiology·Xavier CapdevilaOlivier Choquet
Dec 24, 2008·Anesthesiology·Xavier CapdevilaAlain Borgeat
Dec 22, 2010·British Journal of Anaesthesia·J E ChellyA Fanelli
Jun 28, 2011·Anesthesia and Analgesia·Harshad GurnaneyArjunan Ganesh
Aug 9, 2011·Anesthesia and Analgesia·Brian M Ilfeld

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Software Mentioned

SPSS
Dermabond
CONSORT

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