Paracentesis Catheter Fixator: Introducing a New Instrument and a Pilot Study
Author | Afsaneh Amouzegar | en |
Author | Sahra Emamzadeh Fard | en |
Issued Date | 2014-09-30 | en |
Abstract | Background: Paracentesis is a common bedside therapeutic and diagnostic procedure that requires insertion of a catheter into the peritoneal cavity; however, lack of a specialized fixator for securing the catheter causes frequent catheter kinking and patient discomfort. Objectives: This study aimed to demonstrate the efficacy of a designed paracentesis fixator in reducing patient discomfort and procedure failure rates. Materials and Methods: This interventional study was conducted on 20 patients referred to Imam Khomeini General Hospital for therapeutic paracentesis. A fixator was used to secure the catheter in the experimental group. This designed fixator consisted of an inverted plastic cup with six square-shaped appendages, a cylinder-shaped tube, a flexible silicone hose in continuation of the cylindrical tube, and a connector piece. In the control group, catheter was fixed using tape and sterile gauze. A questionnaire regarding subjective discomfort and overall satisfaction was filled by patients after the procedure. Results: Mean score for subjective discomfort was significantly lower (P = 0.03) and patients’ overall satisfaction was higher in the experimental group (P = 0.04) in comparison to control group. Failure occurred in 20% and 70% of patients in the experimental and control groups, respectively. Coclusions: The designed paracentesis fixator effectively secures the catheter, reduces catheter kinking incidents, and improves patient's comfort and satisfaction. | en |
DOI | https://doi.org/10.5812/thrita.21223 | en |
Keyword | Ascites | en |
Keyword | Paracentesis | en |
Keyword | Equipment and Supplies | en |
Keyword | Fixator | en |
Publisher | Brieflands | en |
Title | Paracentesis Catheter Fixator: Introducing a New Instrument and a Pilot Study | en |
Type | Brief Report | en |
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