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Skin Glue to Reduce Intravenous Catheter Failure in Children

Owen Chauhan1, Amy C Plint2, Nick Barrowman3

  • 1Department of Emergency Medicine, IWK Health Centre, Dalhousie University, Halifax, NS, Canada.

Annals of Emergency Medicine
|January 11, 2025
PubMed

Insights

Adding skin glue to peripheral intravenous catheters (IVs) did not reduce failure rates in children. This common pediatric emergency department procedure showed no significant difference in IV longevity when skin glue was used for securement.

Area of Science:

  • Pediatric Emergency Medicine
  • Medical Device Securement
  • Clinical Trials

Background:

  • Peripheral intravenous catheters (IVs) are essential but frequently fail in pediatric acute care.
  • Catheter failure leads to patient discomfort and increased healthcare costs.
  • Novel securement methods are explored to improve IV longevity.

Purpose of the Study:

  • To evaluate the efficacy of adding cyanoacrylate skin glue to standard securement methods for peripheral IVs in children.
  • To determine if skin glue reduces the rate of IV catheter failure in a pediatric emergency department setting.

Main Methods:

  • A randomized controlled trial was conducted in a tertiary-care pediatric emergency department.
  • Pediatric patients (<18 years) requiring IVs were randomized to standard securement or standard securement plus skin glue.
  • The primary outcome was IV failure before completion of the intended treatment course, analyzed using intention-to-treat.

Main Results:

  • 557 participants were enrolled; 527 were included in the intention-to-treat analysis.
  • The IV failure rate was 31.3% in both the skin glue group (83/265) and the control group (82/262).
  • No significant difference in the odds of IV failure (aOR 0.98; 95% CI, 0.67-1.42) or time to device failure (HR 0.99; 95% CI, 0.73-1.35) was observed between groups.

Conclusions:

  • The addition of skin glue to standard securement techniques does not decrease the failure rate of peripheral IVs in pediatric emergency department patients.
  • Current evidence does not support the routine use of skin glue for IV securement in this population.
  • Further research may explore alternative securement strategies or specific pediatric subpopulations.
Abstract

Keywords:
Children < 18 yearsEquipment failureIntravenous catheterTissue adhesive

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