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The bumper stitch for drainage tube securement: preliminary study
Andi Fu1, Aaron Cohen, Nicole S Mungiole
1Department of Radiology, Division of Interventional Radiology, University of Pennsylvania Medical Center, 1 Silverstein, 3400 Spruce St, Philadelphia, PA 19104, USA.
Journal of Vascular and Interventional Radiology : JVIR
|January 7, 2012
Summary
The bumper stitch significantly reduces tube movement compared to the traditional air knot, potentially preventing dislodgment during drainage procedures. This securement technique offers improved stability for medical tubes.
Area of Science:
- Medical Devices
- Surgical Techniques
- Patient Safety
Background:
- Tube dislodgment is a frequent complication in medical drainage procedures.
- Securement methods are crucial for maintaining tube position and preventing adverse events.
- Suture erosion is a concern with traditional tube fixation techniques.
Purpose of the Study:
- To compare the efficacy of the bumper stitch securement technique against the traditional air knot.
- To evaluate the impact of the bumper stitch on reducing tube motion and suture erosion.
- To determine if the bumper stitch can decrease the incidence of tube dislodgment.
Main Methods:
- A comparative study involving 61 patients undergoing drainage procedures.
- 12 patients utilized the bumper stitch securement technique.
- 54 patients were secured with the traditional air knot technique.
Main Results:
- Eighty-three percent of bumper stitch tubes exhibited no in-and-out motion, compared to 41% of air knot tubes (P = .02).
- The mean tube play was significantly lower with the bumper stitch (0.4 mm) versus the air knot (4.7 mm) (P = .007).
- The bumper stitch demonstrated a statistically significant reduction in tube play.
Conclusions:
- The bumper stitch is a superior technique for securing drainage tubes, significantly reducing tube play.
- This enhanced stability provided by the bumper stitch may lead to a decreased rate of tube dislodgment.
- The bumper stitch offers a promising alternative to traditional methods for improving patient safety in drainage procedures.
