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 I do not know of any other studies conducted with other types of CVADs. I do know that many hospitals have had greater success with using a manufactuered stabilization device for CVADs but it is hard to convince many physicians that these are better than sutures. The best thing I can offer is the paper from OSHA several years ago. It can be found at

http://www.osha.gov/SLTC/bloodbornepathogens/factsheet_catheters.pdf

Needlestick injuries from sutures still occur at a high rate and this is one major reason to get rid of them in all areas where it is possible. And it is possible for stablization CVADs. 

We defnitiely need more studies on outcomes with these devices on CVADs but I do not know of any available other than the reference included in the CDC guidlines. 

Lynn

The paper written by Chuck Ramierez in 2011 JVAD on outcomes of respiratory therapy with CVAD placement has outcomes.  Respiratory therapy does not suture lines and in this paper they discuss the outcomes of dialysiis acute crare placements, acute care CVC's.  I highly suggest contacting Chuck Ramierez at Banner as he is a wealth of information.  He is in charge of Respiratory  therapy at Banner Estrella.  Banner uses a needle free stabalizer on all of these central line placements performed by respiratory therapy.

Due to needleestick risk of employed healthcare workers sutures should not be used period for CVC's.  I would also take your case to risk management as it is the RN who cleans up the field and can suffer the needlestick injiry.,  It is mandatory for hospitals to protect their employees from needlestick injuries and that is call led OSHA.  If OSHA found out the doctors were suturing when an effective needleless substitute was available the hospital can be fined.  There are plenty of needle free stabalizers on the market today.

Kathy Kokotis

Bard Access Systems

Is there a securement device for non-tunnelled CVCs that works well on femoral CVCs? Our ER physicians prefer this site for patients that are extremely hypotensive or for peri-arrest vascular access. I have not been able to get any traction on using IJ or Subclavian lines and they are adamant about suturing femoral lines. I think they should use IO access on these patients, but they are reluctant. Is there a securement that I can use to replace these sutures?