Securement of Umbilical Venous Catheter Using Cyanoacrylate Glue: A Randomized Controlled Trial

Abstract

To evaluate the role of cyanoacrylate glue in reducing dislodgement of umbilical venous catheters (UVCs). This was a single-center, randomized, controlled, nonblinded trial. All infants requiring an UVC according to our local policy were included in the study. Infants with a UVC with a centrally located tip as verified by real-time ultrasound examination were eligible for the study. Primary outcome was the safety and efficacy of securement by cyanoacrylate glue plus cord-anchored suture (SG group) vs securement by suture alone (S group), as measured by reduction in dislodgment of the external tract of the catheter. Secondary outcomes were tip migration, catheter-related bloodstream infection, and catheter-related thrombosis. In the first 48hours after UVC insertion, dislodgement was significantly higher in the S group than in the SG group (23.1% vs 1.5%; P<.001). The overall dislodgement rate was 24.6% in the S group vs 7.7% in the SG group (P=.016). No differences were found in catheter-related bloodstream infection and catheter-related thrombosis. The incidence of tip migration was similar in both groups (S group 12.2% vs SG group 11.7%). In our single-center study, cyanoacrylate glue was safe and effective for securement of UVCs, and particularly effective in decreasing early catheter dislodgments. UMIN-CTR Clinical Trial; Registration number: R000045844.