Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 29 Jun 2022

Ten years of clinical experience with cyanoacrylate glue for venous access in a 1300-bed university hospital

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Page Range: 40 – 46
DOI: 10.2309/1557-1289-27.2.40
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ABSTRACT

In the past decade, cyanoacrylate glue has been progressively introduced into the clinical practice of venous access devices used for different purposes. Glue has been used to increase device stabilisation (to reduce the risk of catheter dislodgement), to seal the exit site (to both reduce local bleeding and decrease the risk of bacterial contamination) and to close skin incisions required for the insertion of tunnelled catheters or totally implanted venous ports. For many of these purposes, the efficacy and cost-effectiveness of cyanoacrylate glue has been demonstrated, while some indications are still controversial. This article reports on 10 years of clinical experience with cyanoacrylate glue in a large university hospital, and provides a narrative review of the scientific evidence on the benefits of glue in venous access that has been accumulating over the past decade.

Keywords: Cyanoacrylate glue; Tissue adhesive; Peripheral venous access; Peripherally inserted central catheter; Central venous access; Securement; Skin closure
Figure 1.
Figure 1.

Tunnelled peripherally inserted central catheters: glue is used both to seal the exit site (a) and to close the puncture site (b)

Figure 2.
Figure 2.

Glue used for centrally inserted central catheters (a) and for tunnelled femorally inserted central catheters (b), on both the exit site and the puncture site

Figure 3.
Figure 3.

Glue used for closing the skin incision made for brachial port implantation

Figure 4.
Figure 4.

Glue used to seal the exit site of a short peripheral cannula

Figure 5.
Figure 5.

Glue used to secure of an epicutaneo-cava catheter in a pre-term neonate

Figure 6.
Figure 6.

Glue used to seal the exit site of a midline catheter

Figure 7.
Figure 7.

Glue used for sealing the exit site of a centrally inserted central catheter in a small infant

Figure 8.
Figure 8.

Glue used for sealing exit site of dialysis catheter

Accepted: 01 Jan 2022
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