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Vascular access device dressing optimisation using tissue adhesive.

Jan Hitchcock1, Leo Andrew Almerol2

  • 1Lead Nurse, Vascular Access Team, Imperial College Healthcare NHS Trust, London.

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|June 20, 2025
PubMed
Summary
This summary is machine-generated.

Tissue adhesives improve vascular access device (VAD) care by enhancing securement and haemostasis, reducing catheter-related bloodstream infections (CRBSIs). This practice enhances patient safety and reduces healthcare costs associated with frequent dressing changes.

Keywords:
Catheter-related bloodstream infectionsHaemostasisHealthcare cost savingsSecurementTissue adhesiveVascular access devices

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Area of Science:

  • Medical Devices
  • Infection Control
  • Wound Care

Background:

  • Vascular access device (VAD) care involves insertion, maintenance, and removal.
  • Dressings protect VAD sites but can lead to catheter-related bloodstream infections (CRBSIs).
  • Traditional gauze dressings may require frequent changes and offer limited protection.

Purpose of the Study:

  • To evaluate the efficacy of tissue adhesives in VAD care.
  • To compare traditional dressings with tissue adhesive-enhanced dressings.
  • To assess improvements in haemostasis, securement, and infection rates.

Main Methods:

  • Review of electronic patient records and databases for VADs.
  • Focus on tissue adhesive use in adults and older children.
  • Comparison of traditional dressings versus tissue adhesive-enhanced dressings.

Main Results:

  • Tissue adhesive improved haemostasis and securement, reducing dressing change frequency.
  • Bacteriostatic properties of tissue adhesive decreased CRBSI rates.
  • Tissue adhesive preserved dressing integrity, potentially allowing 7-day wear and reducing costs.

Conclusions:

  • Tissue adhesives optimize VAD dressing by improving haemostasis, securement, and infection control.
  • This practice enhances patient outcomes and reduces overall costs.
  • Integration into standard VAD care protocols is recommended for improved patient safety and efficiency.