Heparinization vs Salinization of the Peripheral Venous Catheter
Study Details
Study Description
Brief Summary
Randomized, double-blind clinical trial to compare the efficacy of catheter sealing with saline, compared to low-dose heparin. 3,450 patients hospitalized at the Hospital Residencia Sant Camil, in Catalonia (Spain), will be randomized to each branch of study. The primary outcome will be the percentage of catheters removed due to obstruction in each branch of study. As secondary outcomes, the number of catheter-associated phlebitis, catheter-associated bacetrihemia, extravasation, and catheter loss will be measured. For the primary outcome, a superiority analysis will be carried out in terms of the percentage of obstructed catheters in each branch of the study.
Condition or Disease | Intervention/Treatment | Phase |
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|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Catheter sealing with low dose heparin Catheters will be sealed with 3mL of Fibrillin Ⓡ (heparin 20UI/mL) |
Drug: Low dose heparin
Catheters will be sealed with 3 mL of Fibrillin Ⓡ (heparin 20UI/mL)
|
Active Comparator: Catheter sealing with normal saline Catheters will be sealed with 3mL of 0.9% sodium chloride |
Drug: Normal saline
Catheters will be sealed with 3mL of 0.9% sodium chloride
|
Outcome Measures
Primary Outcome Measures
- Percentage of obstructed catheters [From date of randomization through the date of hospital discharge, an average of 10 days.]
percentage of obstructed catheters
Secondary Outcome Measures
- Number of catheter-associated phlebitis [From date of randomization through the date of hospital discharge, an average of 10 days.]
Number of catheter-associated phlebitis
- Number of catheter-associated bacterihemia episodes [From date of randomization through the date of hospital discharge, an average of 10 days.]
Number of catheter-associated bacterihemia episodes
- Number of catheter loss due to extravasation [From date of randomization through the date of hospital discharge, an average of 10 days.]
Number of catheter loss due to extravasation
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients older than 18 yo, admitted to the Hospital Residencia Sant Camil
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Patients with at least one peripheral venous line for discontinuous treatment, which has not been channeled in a medical emergency situation.
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Written informed consent
Exclusion Criteria:
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Allergy to heparin
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Patients treated with unfractionated sodium heparin.
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Patients in dialysis
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Patients with a venous catheter indicated for diagnosis tests.
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Patients with a venous catheter indicated for blood transfusion
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Severe heparin-induced thrombocytopenia in recent months
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Active uncontrollable bleeding during admission
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Brain aneurysm or dissecting aorta, except in association with corrective surgery.
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Confirmed / suspected cerebrovascular hemorrhage
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Severe uncontrolled hypertension
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Severe alterations in platelet coagulation <30,000, TP> 1.7 APTT ratio> 1.7 ratio.
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Patient included in another clinical trial with drugs or procedures that may affect the patency of venous catheters.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hospital Residència Sant Camil | Sant Pere De Ribes | Barcelona | Spain | 08810 |
Sponsors and Collaborators
- Consorci Sanitari de l'Alt Penedès i Garraf
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CSAPG-18