Peripheral nerve catheter securement: A narrative literature review
Publication Details
Wiesel, J.,
Findlay, B.,
Ching Ooi, L.,
Stevens, J.,
&
Hadzic, R.
(2023).
Peripheral nerve catheter securement: A narrative literature review.
Journal of Perioperative Nursing, 36 (3), e36-e42.
Abstract
Peripheral nerve catheters are commonly used to provide analgaesia and improve patient outcomes. Catheter dislodgment, displacement or leakage can result in premature cessation of analgaesic effect. There are currently no published guidelines for how to secure peripheral nerve catheters.
This narrative review explores and integrates the available research into the efficacy of peripheral nerve catheter securement products and techniques to reduce catheter dislodgement and displacement.
All studies looking at peripheral nerve catheter securement methods were included from inception until 19 October 2022 across PUBMED, Scopus, Ovid, Google Scholar, EMBASE and The Cochrane Library. The Jadad scale and Newcastle–Ottawa scale were used to assess the methodological quality of randomised controlled trials and observational studies, respectively.
Sixteen papers were included in this review. The results were mixed and substantial heterogeneity across studies further limited the ability to draw firm or generalisable conclusions. Rather, several products and techniques that may reduce catheter dislodgement, displacement or leakage, that can contribute to dislodgement, were identified for further investigation. There was some evidence to support the use of the catheter over needle technique, adhesive dressings and tissue adhesives. The number of studies investigating subcutaneous tunnelling and anchoring devices was particularly limited.
Keywords
regional anesthesia, analgesia, nerve block, catheters
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