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Trial registered on ANZCTR
Registration number
ACTRN12613000563763
Ethics application status
Not yet submitted
Date submitted
14/05/2013
Date registered
17/05/2013
Date last updated
23/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Cyanoacrylate Adhesive and Polyurethane Dressings in Arterial Catheter Securement
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Scientific title
The securement of arterial lines in intensive care patients comparing cyanoacrylate adhesive and polyurethane dressings in terms of failure rate
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Secondary ID [1]
282505
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Nil
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Universal Trial Number (UTN)
U1111-1143-0797
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Trial acronym
CAPDACS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Arterial catheter securement in intensive care patients
289159
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Condition category
Condition code
Anaesthesiology
289486
289486
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Cyanoacrylate adhesive - n-butyl cyanoacrylate (Histoacryl, B Braun)
Adhesive is applied to the arterial catheter in order to secure it. Adhesive is applied on initial insertion and every three days thereafter. A maximum of 0.5ml of adhesive is to be used during any one application. The adhesive should be applied to the hub of the catheter and the entry site only.
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Intervention code [1]
287157
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Treatment: Devices
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Comparator / control treatment
Standard intravenous catheter dressing - Tegaderm IV 1633 (3M)
This dressing is applied on initial insertion and every three days thereafter. Clinicians may use one dressing in a manner of their discretion.
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Control group
Active
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Outcomes
Primary outcome [1]
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Failure rate of arterial catheters in %. Failure rate is defined as overt dislodgement of catheter, loss of pressure reading or waveform or inability to aspirate blood from catheter
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Assessment method [1]
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Timepoint [1]
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During insertion of arterial catheter, up to one week post-insertion
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Secondary outcome [1]
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Skin damage/irritation - clinical assessment
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Assessment method [1]
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Timepoint [1]
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At any time following insertion of catheter and securement until 48 hours post removal of catheter
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Eligibility
Key inclusion criteria
Intensive care patients who require an arterial catheter to be inserted in the radial artery
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Intensive care patients who require an arterial catheter to be inserted in an artery other than the radial
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sequentially numbered concealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random number generator on internet
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
8/07/2013
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
180
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
1010
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
6884
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Sir Charles Gairdner Hospital
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Address [1]
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Hospital Avenue
Nedlands WA 6009
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Country [1]
287286
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Australia
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Funding source category [2]
287287
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Commercial sector/Industry
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Name [2]
287287
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B Braun Australia
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Address [2]
287287
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17 Lexington Drive
Bella Vista NSW 2153
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Country [2]
287287
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Australia
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Primary sponsor type
Individual
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Name
Dr Tom Ryan
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Address
Sir Charles Gairdner Hospital
Hospital Avenue
Nedlands WA 6009
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
286039
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Address [1]
286039
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Country [1]
286039
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
289263
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Sir Charles Gairdner Group Human Research Ethics Committee
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Ethics committee address [1]
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2nd Floor A Block Sir Charles Gairdner Hospital Hospital Avenue Nedlands WA 6009
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Ethics committee country [1]
289263
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Australia
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Date submitted for ethics approval [1]
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01/05/2013
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Approval date [1]
289263
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Ethics approval number [1]
289263
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2013-084
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Summary
Brief summary
The insertion of an arterial catheter is a common intervention in the intensive care unit, allowing continuous haemodynamic monitoring as well as easy access for blood samples and blood gas analysis. Arterial catheterisation is recognised as being a safe procedure, with major complications such as arterial occlusion occurring in less than 1% of cases. Partial or complete dislodgement of arterial catheters, with the attendant risks of re-insertion such as infection and trauma remains an ongoing problem in the intensive care unit. Much effort has been made to improve the standard of securement, with studies focussing on alternative methods of fixation. The study will compare the rate of failure of arterial catheters secured with cyanoacrylate tissue adhesive (tissue glue) with those secured with traditional bordered polyurethane dressings. Dislodgement and subsequent failure of arterial lines is a relatively common problem in the intensive care unit, with associated costs for replacement in terms of staff time, equipment and consumables used and patient comfort. Arterial catheters will be randomised to receive either fixation with cyanoacrylate adhesive or traditional dressings. The primary outcome is the rate of failure of arterial catheters. The secondary outcome is skin reactions or injuries secondary to the fixation method used. The study population will be adult patients admitted to the SCGH ICU. The number of patients for this study will be calculated from the previous audit on arterial catheter failure rates. Inclusion criteria will be arterial catheters inserted in the radial artery. Exclusion criteria will be arterial catheters inserted into an artery other than the radial. Failure is defined as the inability to obtain an arterial waveform and subsequent pressure reading via the catheter, the inability to aspirate blood from the catheter or overt physical dislodgement of the catheter from the artery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Tom Ryan
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Address
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Department of Intensive Care
4th Floor, G Block
Sir Charles Gairdner Hospital
Hospital Avenue
Nedlands WA 6009
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Country
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Australia
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Phone
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+61439306337
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Tom Ryan
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Address
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Department of Intensive Care
4th Floor, G Block
Sir Charles Gairdner Hospital
Hospital Avenue
Nedlands WA 6009
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Country
40055
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Australia
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Phone
40055
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+61439306337
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Fax
40055
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Email
40055
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[email protected]
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Contact person for scientific queries
Name
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Tom Ryan
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Address
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Department of Intensive Care
4th Floor, G Block
Sir Charles Gairdner Hospital
Hospital Avenue
Nedlands WA 6009
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Country
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Australia
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Phone
40056
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+61439306337
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Fax
40056
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Email
40056
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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