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Evaluating Effectiveness of the Use of an Extremity Stabilization Device for Vascular Access Procedures in Pediatrics
Tricia Templet1, Roger Rholdon1, Ansley Bienvenu2
1Department of Nursing, University of Louisiana at Lafayette, Lafayette, Louisiana, United States.
Insights
SafeBoard, an extremity stabilization device, significantly reduced procedure time and personnel needs for pediatric central catheter placement. This assistive method improved workflow and success rates in young children.
Area of Science:
- Pediatric vascular access
- Medical device effectiveness
- Procedural stabilization
Background:
- Pediatric vascular access, particularly peripherally inserted central catheter (PICC) placement, presents challenges in young children (0-3 years).
- Traditional methods often require procedural sedation and multiple personnel, impacting workflow and patient comfort.
- Effective extremity stabilization is crucial for successful and efficient PICC procedures.
Purpose of the Study:
- To evaluate the effectiveness of SafeBoard, a Food and Drug Administration-approved device, for extremity stabilization during PICC procedures in pediatric patients aged 0-3 years.
- To compare outcomes between PICC procedures using SafeBoard versus traditional methods.
- To assess the impact of SafeBoard on procedure efficiency and success rates.
Main Methods:
- Retrospective chart review of 59 pediatric patients undergoing PICC procedures.
- Comparison between procedures utilizing SafeBoard (n=32) and traditional stabilization methods (n=27).
- Statistical analysis of key procedural metrics including length of procedure, personnel required, and placement success.
Main Results:
- SafeBoard utilization was associated with a significant reduction in procedure length.
- Fewer personnel were required for procedures when SafeBoard was employed.
- The success rate of PICC placement was significantly improved with the use of SafeBoard.
- Improved workflow and enhanced placement success were observed.
Conclusions:
- SafeBoard is an effective assistive device for extremity stabilization in pediatric PICC procedures.
- The use of SafeBoard offers significant benefits in terms of efficiency and success rates for vascular access in young children.
- Implementing SafeBoard may optimize workflow and improve patient outcomes in pediatric vascular access interventions.
Abstract:
The purpose of this study is to evaluate the effectiveness of SafeBoard, a Food and Drug Administration-approved extremity stabilization device, as an assistive method in performing peripherally inserted central catheter procedures on children 0 to 3 years of age. This is a retrospective chart review ( n = 59) of vascular access procedures where SafeBoard was utilized ( n = 32 ) in comparison to those procedures which utilized a traditional approach to placement ( n = 27). Statistical analysis demonstrated significant effect on length of procedure time, number of personnel needed for procedure, and success of placement when SafeBoard was utilized. Obtaining vascular access in pediatrics can be a challenging endeavor. Most young pediatric patients require procedural sedation and/or assistive personnel as a "holder" for successful vascular access placement to occur. An alternative option for extremity stabilization may provide improved workflow and improved placement success, which in turn may positively affect workflow.
