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Continuous peripheral nerve block catheters are used for prolonged analgesia, but are often associated with complications such as catheter failure or dislodgement. This is a single center, prospective study to compare peripheral nerve catheter securement techniques at the insertion site in healthy volunteers.
This study will involve the placement of subcutaneous peripheral nerve catheters in healthy volunteers utilizing 6 different securement techniques. The primary outcome is the force required to dislodge the peripheral nerve catheter by 1 centimeter as measured by a dynamometer in Newtons. The secondary endpoint will be the force required to disrupt the catheter dressing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dressing | Experimental | Transparent film dressing (TegadermTM CHG Chlorhexidine Gluconate IV Securement Dressing, 3M Health Care, St. Paul, MN, USA) alone |
|
| Dressing + adhesive | Experimental | Transparent film dressing + topical skin adhesive (SwiftSetTM Topical Skin Adhesive, CovidienTM, Devon, UK) at insertion site |
|
| Dressing + adhesive + strips (parallel) | Experimental | Transparent film dressing + topical skin adhesive + reinforced skin closure strips (Steri-StripTM, 3M Health Care, St. Paul, MN, USA) placed parallel to long axis of catheter |
|
| Dressing + adhesive + strips (perpend) | Experimental | Transparent film dressing + topical skin adhesive + reinforced skin closure strips (Steri-StripTM, 3M Health Care, St. Paul, MN, USA) placed perpendicular to long axis of catheter |
|
| Dressing + adhesive + strips + benzoin | Experimental | Transparent film dressing + topical skin adhesive + skin closure strips + topical benzoin (Compound Tincture of Benzoin USP 10%, Professional Disposables International, Inc., Orangeburg, NY, USA) spread in a 12 centimeter by 14 centimeter area around the insertion site |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dressing | Other | Transparent film dressing (TegadermTM CHG Chlorhexidine Gluconate IV Securement Dressing, 3M Health Care, St. Paul, MN, USA) alone |
|
| Measure | Description | Time Frame |
|---|---|---|
| Force required to dislodge catheter by 1 centimeter | This force will be measured using a dynamometer in Newtons | 1 study day |
| Measure | Description | Time Frame |
|---|---|---|
| Force required to disrupt catheter dressing | This force will be measured using a dynamometer in Newtons | 1 study day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Shaughnessy, MD | Duke UMC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke University Medical Center | Durham | North Carolina | 27710 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33406276 | Derived | Kumar AH, MacLeod DB, Kumar KR, Ray N, Gadsden J. Comparison of perineural catheter fixation methods: a volunteer study. Anaesthesia. 2021 May;76(5):714-716. doi: 10.1111/anae.15372. Epub 2021 Jan 6. No abstract available. |
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|
| Dressing + adhesive + strips + spray | Experimental | Transparent film dressing + topical skin adhesive + skin closure strips + medical adhesive spray (AdaptTM Medical Adhesive, Hollister Incorporated, Libertyville, IL, USA) in a 12 centimeter by 14 centimeter area around the insertion site |
|
| Dressing + adhesive | Other | Transparent film dressing + topical skin adhesive (SwiftSetTM Topical Skin Adhesive, CovidienTM Devon, UK) at insertion site |
|
| Experimental: Dressing + adhesive + strips (parallel) | Other | Transparent film dressing + topical skin adhesive + reinforced skin closure strips (Steri-StripTM, 3M Health Care, St. Paul, MN, USA) placed parallel to long axis of catheter |
|
| Experimental: Dressing + adhesive + strips (perpend) | Other | Transparent film dressing + topical skin adhesive + reinforced skin closure strips (Steri-StripTM, 3M Health Care, St. Paul, MN, USA) placed perpendicular to long axis of catheter |
|
| Experimental: Dressing + adhesive + strips + benzoin | Other | Transparent film dressing + topical skin adhesive + skin closure strips + topical benzoin (Compound Tincture of Benzoin USP 10%, Professional Disposables International, Inc., Orangeburg, NY, USA) spread in a 12 centimeter by 14 centimeter area around the insertion site |
|
| Experimental: Dressing + adhesive + strips + spray | Other | Transparent film dressing + topical skin adhesive + skin closure strips + medical adhesive spray (AdaptTM Medical Adhesive, Hollister Incorporated, Libertyville, IL, USA) in a 12 centimeter by 14 centimeter area around the insertion site |
|
| ID | Term |
|---|---|
| D001458 | Bandages |
| D000269 | Adhesives |
| D001573 | Benzoin |
| ID | Term |
|---|---|
| D004864 | Equipment and Supplies |
| D020313 | Specialty Uses of Chemicals |
| D020164 | Chemical Actions and Uses |
| D008420 | Manufactured Materials |
| D013676 | Technology, Industry, and Agriculture |
| D000098 | Acetophenones |
| D007659 | Ketones |
| D009930 | Organic Chemicals |
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