- Catheter occlusion is the most common noninfectious complication in the long-term use of central venous catheters (CVCs) and occurs in 33% of these catheters. 1
- A common cause for catheter occlusion is clotting of blood refluxed into the catheter. Blood reflux occurs when an administration set or syringe is connected to a positive displacement connector or disconnected from a negative displacement connector. 1
- Occlusions increase the risk of procedural complications, risk of infections, and costs in hospital time and money. Maintaining the patency of the catheter is a high priority. 2
- Facilities and governments have increased pressure to reduce hospital-acquired infections (HAis).
- It is estimated that central vascular catheters are associated with 248,000 bloodstream infection per year in the US. 4
- Development of a catheter-related bloodstream infection (CR-BSI) can increase hospital length of stay by an average of 23 days, and mortality rate by 21.6% which increases total cost of care. 5
- As an additional reference the FDA has expressed concern about multiple clinical reports regarding the association of BSls with positive displacement devices. 6
- Connectors not designed to tolerate pressures used for power injection can fail and harm the patient. 3
- Failure can delay treatment of patient. 7
- Multiple connectors with varied techniques can cause confusion and increased potential for errors. 8
- Ongoing staff turnover requires increased training. 9
Key Features and Benefits of the One-Link Needle-free IV Connector
†Replace if a pressure over 325 psi is applied to the connector. Flush per organization protocol.
‡Flush with a volume of 10 ml after exposure to blood. Replace if a 10 ml flush cannot be performed.
- Hadaway L. Reopen the pipeline. Nursing. 2005; 35(8): 54-61.
- Yacopetti N. Central Venous Catheter-Related Thrombosis-A Systematic Review. Journal of Infusion Nursing. July/August 2008; 31(4): 244.
- Reminders from FDA Regarding Ruptured Vascular Access Devices from Power Injection. www.fda.gov (January 2009).
- CDC June 2010: Central Line-Associated Bloodstream Infection (CLABSI) Event.
- Pennsylvania Health Care Cost Containment Council, January 2009, Hospital Acquired Infections in Pennsylvania, Data reporting 2006-2007.
- FDA Alert Letter: Positive Displacement Needleless Connectors and Bloodstream Infections: Initial Communication. August 11. 2010.
- Pennsylvania Patient Safety Authority Vol 5, No 4-December 2008, CT Contrast Media Power lnfectors Can Rupture Conventional IV Sets.
- Jarvis W. Choosing the Best Design for Intravenous Needleless Connectors to Prevent Bloodstream Infections. www.infectioncontroltoday.com. posted 7/28/2010.
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