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Purpose:
An evidence implementation of a randomized controlled trial for whether there is the difference in intermittent flushing 0.9% normal saline and heparin? Design: a single-blind randomized controlled trial
Method:
This study is based on the 5A (Ask, Acquire, Appraise, Apply, Audit) of evidence health care step, and design randomized controlled trial for evidence implementation.
We will include inpatients over 20 years-old adults in New Taipei City TuCheng Hospital, Taiwan, who need administration medicine by port-a-catcher. The sample size is 192 according to G-power software. Random allocation software has using for block randomization, would assign to group A: flushing with 0.9% normal saline 10ml, group B: flushing with 0.9% normal saline 20ml, and group C: flushing with heparin 100 USP/ml. SPSS 20.0 software for statistical analysis, mean or standard deviation, one- way ANOVA would use.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Normal saline 20 ml | Experimental |
| |
| Normal saline 10 ml | Experimental |
| |
| usual care (heparin) | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Normal Saline Flush 20 ml | Drug | Normal Saline Flush 20 ml |
| |
| Measure | Description | Time Frame |
|---|---|---|
| port-a-cath occlusion | failure to infusion fluid | in hospitalized (during admission), up to 12 weeks |
| port-a-cath infection | blood culture from port-A show bacterial growth | in hospitalized (during admission), up to 12 weeks |
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Inclusion Criteria:
Non-pediatric inpatients over 20 years of age with PAC placed for any disease and who need medication during hospitalization.
Exclusion Criteria:
History of PAC obstruction, continuous high volume drip via PAC, taking anticoagulant or antiplatelet agents, abnormal blood coagulation, pregnancy or contraceptive use, specified flushing solution by case
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| Normal Saline Flush 10 ml |
| Drug |
Normal Saline Flush 10 ml |
|
| Heparin Flush (1000 USP, 10ml) | Drug | Heparin Flush (1000 USP, 10ml) |
|