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Lug 22, 2022

The benefits of cyanoacrylate glue in venous accesses

Cyanoacrylate glue has been increasingly used in venous access devices over the past decade for several reasons.

In addition to improving the stabilization of catheters, reducing the risk of dislodgement, it also allows to seal the exit site and close skin incisions required for the insertion of tunnelled catheters or totally implanted venous ports.

An article published in the British Journal of Nursing (Ten years of clinical experience with cyanoacrylate glue for venous access in a 1300-bed university hospital) provides a narrative review of the scientific evidence on the benefits of cyanoacrylate glue over the past decade. Let's see, below, some points from the article.

The advantages of cyanoacrylate glue

If since 2000 cyanoacrylate glue was often used in the university hospital of the authors of the article to close skin incisions after minor surgeries, it is since 2007 - with Wilkinson et al - that is reported for the first time the use of this instrument to stabilize CICCs, as an alternative to sutures.

The authors began using it 10 years ago in their hospital as a hemostatic strategy in patients at high risk of local bleeding. In fact, in 2012, the efficacy of cyanoacrylate glue in reducing bleeding from the exit site in the first 24 hours after PICC placement was reported for the first tima.

Since then, there has been much evidence on cyanoacrylate glue in different areas over the years. Just to name a few:

  • it is considered a safe, effective and cost-effective strategy for avoiding the risk of early bleeding and oozing after the insertion of any peripheral or central venous catheter (Pittiruti et al, 2012; 2016; Scoppettuolo et al, 2013; Guido et al, 2020);
  • it may reduce the risk of infection by decreasing bacterial contamination via the extraluminal route (Annetta et al, 2013; Biasucci et al, 2018, Bull et al, 2018; Gilardi et al, 2021)
  • it is an effective and cost-effective replacement for sutures when a skin incision needs to be closed (ie in tunnelled venous access devices and in ports), (Pittiruti et al, 2016; Martin et al, 2017).

Based on the evidence, the GAVeCeLT group has published specific recommendations for the use of cyanoacrylate glue as well, which you can read at this link.

Here, instead, you can find the full article of the British Journal of Nursing.

SecurePortIV cyanoacrylate glue

SecurePortIV is a cyanoacrylate glue produced by Adhezion Biomedical and also distributed by Delta Med.

Simple to apply and water-resistant from the very first moments, it helps stabilize the catheter and reduce bleeding at the exit site, creating a protective barrier that helps prevent infection.

This product provides several benefits for patient comfort and safety:

  • reduces the chances of dislodgement, movement and migration of the catheter;
  • has antimicrobial action against gram-negative and gram-positive bacteria, yeasts and fungi;
  • is also suitable for newborns, premature babies and chlorhexidine-sensitive patients;
  • is waterproof, so it keeps the dressing dry and clean.

Each applicator includes 0.15 ml of product and is compatible with PICCs, CVCs, Midlines, peripheral catheters, arterial catheters, dialysis catheters and other percutaneous systems.

Want to learn more about SecurePortIV? Contact us today.

 

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