Table 1 Data collection
Study enrolment | CVAD insertion | Daily check | CVAD removal | 48 h post-CVAD removal |
|---|---|---|---|---|
Age Weight Height APACHE II Score Skin type • Very fair, fair, medium, olive, etc. Skin integrity • Good, fair, poor Date of hospital and ICU admission ICU admission type • Planned, emergent, IHT Primary reason for ICU admission • Medical, surgical, other Number of comorbidities Current infections • Blood, urinary, respiratory, etc. Current wounds • Yes, no | CVAD insertion site • Left or right IJ Placement of CVAD in IJ vein • High, mid, low Angle of CVAD lumens • Down, up, horizontal Number of CVAD lumens Place of CVAD insertion • ICU, OT, etc. Antimicrobial-impregnated CVAD • Yes, no Inserter type • ICU registrar, ICU consultant, anaesthetic registrar, etc. Number of insertion attempts Technologies used during insertion • Ultrasound, x-ray, ECG, etc. Hair clipped prior to CVAD insertion • Yes, no Dressing site • Neck, chest, other Diaphoretic at insertion site • Yes, no Facial hair at insertion site • Yes, no Dressing and securements in addition to ‘standard care’ • Sutures, bordered transparent dressing, tissue adhesive, etc. Date and time of first MLA application Staff/patient satisfaction with dressing application • 0 = not at all satisfied, 10 = completely satisfied | Date/time of check Reason why check not able to be completed • Patient not available, etc. Is randomised dressing still in situ • Yes, no Dressing site • Neck, chest, other Dressing and securements in situ • Sutures, bordered transparent dressing, tissue adhesive, etc. Condition of current dressing • Clean, dry, intact, lifting at edges, etc. How many edges of the dressing are lifting or requiring reinforcement Complications at CVAD insertion site • Redness, purulent discharge, pain, etc. Has the patient mobilised, been diaphoretic, restless/agitated • Yes, no Signs and symptoms of skin injury/reaction • Pain, itch, redness, rash, papules, stripping, blister, etc. Suspected cause of MARSI or skin injury/reaction Extent of redness, rash or maceration if applicable Positive bloodstream infections since last daily check • Yes, no Number of administration sets What is the CVAD currently being used for • Fluids, blood products, CVP monitoring, blood sampling, etc. Dressing changes since last daily check • Date/time, reason for dressing change, staff/patient satisfaction, etc. | Date/time of CVC removal Reason for CVC removal • Treatment complete with/without complications, patient deceased, routine replacement, etc. Complications at time of CVC removal • Occlusion, unable to aspirate, accidental removal, suspected infection, MARSI, etc. Signs and symptoms of skin injury/reaction • Pain, itch, redness, etc. Extent of redness, rash or maceration if applicable Pain, tenderness, redness, swelling at CVC insertion site Patient mobility at time of CVC removal • Independent, requires assistance, bed-bound, etc. IV antibiotics administered during CVC dwell • Yes, no Patient diagnosed with delirium • Yes, no Staff/patient satisfaction with dressing removal • 0 = not at all satisfied, 10 = completely satisfied | Was the patient alive at 48 h after CVC removal? • Yes, no Date/time of death SAEs Results of CVC tip culture Results of CVC insertion site swabs Results of blood cultures |