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Reducing umbilical catheter migration rates by using a novel securement device.

Juliana R Perl¹, Tanya Crabtree-Beach², Amy Olyaei²

¹Stanford Byers Center for Biodesign, Stanford University, Stanford, CA, 94305, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association

|March 24, 2024

Summary

The LifeBubble device significantly reduces umbilical cord catheter migration in neonates. This novel securement method enhances infant safety by preventing catheter dislodgement and associated complications.

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Area of Science:

Neonatal intensive care
Medical device innovation
Patient safety in pediatrics

Background:

Umbilical cord (UC) catheter migration is a common issue in neonatal care.
Catheter migration can lead to serious complications and necessitate premature removal.
Effective securement devices are crucial for maintaining catheter position and integrity.

Purpose of the Study:

To evaluate the efficacy of the LifeBubble device in preventing umbilical cord catheter migration.
To compare the performance of LifeBubble against standard adhesive securement methods.
To assess the impact of LifeBubble on catheter-related complications in neonates.

Main Methods:

Retrospective review of neonatal intensive care unit (NICU) data from 2019-2021.
Comparison of outcomes between neonates secured with LifeBubble versus standard adhesive methods.
Analysis of primary outcomes including UC migration, malposition-related discontinuation, and central line-associated bloodstream infection (CLABSI) incidence.

Main Results:

LifeBubble significantly reduced overall UC migration (12.3% vs. 55.7%) compared to adhesive securement.
The device markedly decreased umbilical venous catheter (UVC) migration (5.3% vs. 39.3%) and umbilical artery catheter (UAC) migration (7.0% vs. 23.0%).
LifeBubble also significantly lowered UVC discontinuation due to malposition (5.6% vs. 37.7%), with a number needed to treat of 4.

Conclusions:

The LifeBubble device demonstrates high effectiveness in reducing umbilical cord catheter migration.
LifeBubble use is associated with a significant decrease in premature catheter discontinuation.
This novel device holds potential for improving safety and outcomes in neonatal care.