Cyanoacrylate tissue adhesive: a new tool for the vascular access toolbox
Health professionals are responsible for preventing and minimising complications related to vascular access devices. This is important from the perspectives of both the patient and the health economy. Practitioners have many tools at their disposal and evidence is available to assist in using these tools to enhance best practice. A relatively new tool has been acknowledged as having a role in vascular access as well as previously recognised roles in other areas of healthcare. Cyanoacrylate tissue adhesive has been approved for use with vascular access devices and the benefits of this aid to device securement are now being recognised.
Across the world it is estimated that over a billion peripheral intravenous cannulas (PIVCs) are placed annually, more than 300 million of which are placed in the US (Zingg and Pittet, 2009, PR Newswire). In addition, in 2005 it was estimated that five million and 200 000 central venous catheters (CVCs) were used in the US and UK, respectively each year (Worthington, 2005).
Health professionals must constantly strive to minimise the complications associated with these devices. Complications can include: infection, both systemic and local; vessel trauma and/or thrombosis; skin damage; and catheter migration.
Complications affect the wellbeing of patients, and catheter failure necessitates device replacement. Replacing a vascular access device (VAD) can cause disruption to intravenous (IV) therapy, inconvenience to patients, increased healthcare-associated costs and is at odds with the principles of vessel health and preservation (Hallam et al, 2016).
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