Academic Journal
Postinsertion care practices for nontunnelled dialysis catheters in intensive care: A cross-sectional survey.
| Τίτλος: | Postinsertion care practices for nontunnelled dialysis catheters in intensive care: A cross-sectional survey. |
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| Συγγραφείς: | Corley A; School of Nursing and Midwifery, Griffith University, Nathan, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia; Division of Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia. Electronic address: amanda.corley@health.qld.gov.au., Takashima M; School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia; Centre of Children's Health Research, Children's Health Queensland, South Brisbane, Australia., Bloomer MJ; School of Nursing and Midwifery, Griffith University, Nathan, Australia; School of Nursing and Midwifery, La Trobe University, Bundoora, VIC, Australia., Ullman AJ; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia; Centre of Children's Health Research, Children's Health Queensland, South Brisbane, Australia., Keogh S; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia; School of Nursing and Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Australia., Shinners L; School of Nursing and Midwifery, Griffith University, Nathan, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia., Hall S; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia; Grantley Stable Neonatal Unit, Royal Brisbane and Women's Hospital, Herston, Australia., O'Brien C; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia., Larsen EN; School of Nursing and Midwifery, Griffith University, Nathan, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia., Coyer F; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia., Marsh N; School of Nursing and Midwifery, Griffith University, Nathan, Australia; Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia; School of Nursing and Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Australia. |
| Πηγή: | Australian critical care : official journal of the Confederation of Australian Critical Care Nurses [Aust Crit Care] 2026 Oct; Vol. 39 (5), pp. 101653. Date of Electronic Publication: 2026 Jul 27. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Confederation of Australian Critical Care Nurses Country of Publication: Australia NLM ID: 9207852 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1036-7314 (Print) Linking ISSN: 10367314 NLM ISO Abbreviation: Aust Crit Care Subsets: MEDLINE |
| Imprint Name(s): | Publication: North Strathfield : Confederation of Australian Critical Care Nurses Original Publication: North Strathfield, NSW : The Confederation, [1992- |
| Ιατρικοί όροι (MeSH): | Renal Dialysis*/instrumentation , Catheterization, Central Venous*/nursing , Practice Patterns, Nurses'* , Critical Care* , Critical Care Nursing*, Humans ; Cross-Sectional Studies ; Australia ; Intensive Care Units ; Surveys and Questionnaires |
| Περίληψη: | Background: Dialysis catheters facilitate renal replacement therapy in critically ill patients with acute renal failure. However, they have the highest failure rate of all central venous access devices, estimated at 7-20%. Their unique postinsertion management requirements to maintain extracorporeal blood flow may contribute to increased rates of complications and failure. Objectives: The aim of this study was to describe current clinical practices of Australian critical care nurses caring for nontunnelled dialysis catheters in intensive care units to identify opportunities for practice improvement. Methods: A cross-sectional, internet-based survey explored six postinsertion clinical practice domains. Critical care nurses with experience of caring for dialysis catheters within the last 12 months were eligible to participate. Results: From 276 responses, 205 (74%) met minimum data requirements and were included in the analysis. Most respondents were registered nurses (97/205, 47%), clinical nurses (41/205, 20%), or clinical nurse specialists/consultants (48/205, 23%), with more than 15 years' experience (82/203, 40%), working in adult settings (156/205, 76%). For 85% (172/203) of respondents, a policy guiding postinsertion care existed in their unit. Most commonly, insertion sites were inspected once a shift (76/198, 38%); covered with bordered chlorhexidine gluconate-impregnated dressings (111/193, 58%); which were changed every 7 days and as required (109/192, 56.8%). Catheters were commonly secured with insertion site sutures (176/196, 90%). Ninety-seven unique dressing and securement combinations were reported. Heparin was the most used medication for catheter locking (124/190, 65%). To troubleshoot catheter dysfunction, respondents repositioned patients (177/182, 97%), swapped access/return lines (170/182, 93%), applied traction (154/182, 85%), flushed (145/182, 80%) and/or rotated catheters 180° (112/182, 62%). Conclusions: This survey demonstrates some variability in postinsertion care practices for dialysis catheters in Australian intensive care units, likely driven by the lack of specific evidence in this area. Findings suggest opportunities may exist where practice variability was observed, and these findings can help guide priorities for future interventional research. (Copyright © 2026 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| Competing Interests: | Declaration of competing interests The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: AC: AC’s employers (Griffith University or The University of Queensland) have received on her behalf investigator-initiated research grants from Terumo Asia Pacific, Biolife, 3M/Solventum, and Eloquest and consultancy fees from Wolters Kluwer (unrelated to the current work). AC is a member of the Editorial Board of Australian Critical Care. AU: AU reports investigator-initiated research grants paid to her employer from BD, Solventum/3M, Medline, Eloquest, and Biolife, unrelated to this work. SK: SK reports monies received by employer from BD Medical for education consultancies unrelated to this work. AC is an Editor of Australian Critical Care. FC: FC has received speaker fees from Solventum/3M, unrelated to this work. NM: NM reports Griffith University and the University of Queensland have received on her behalf investigator-initiated grants from Eloquest, Cardinal Health, Solventum/3M, and Biolife, and consultancy payments for lectures or opinion from Solventum/3M, Medline and Wolters Kluwer, unrelated to this work. MB, LS, SH, COB, EL, and MT have no conflicts of interest to declare. |
| Contributed Indexing: | Keywords: Central venous access devices; Critical care; Cross-sectional survey; Intensive care; Nursing staff; Patient safety; Renal dialysis |
| Entry Date(s): | Date Created: 20260727 Date Completed: 20260928 Latest Revision: 20260928 |
| Update Code: | 20260929 |
| DOI: | 10.1016/j.aucc.2026.101653 |
| PMID: | 42508300 |
| Βάση Δεδομένων: | MEDLINE |
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