title: Improving safety and efficiency during emergent central venous catheter placement with a needleless securing clamp.
abstract: OBJECTIVE
  To compare the needleless securing clamp to the traditional suture-secured clamp for central venous catheters.
  
  
  METHODS
  Compare the holding strength of each type of clamps by measuring the amount of kinetic energy absorbed, ask 20 physicians to evaluate the clamp placement using sutures or staples, and summarise the clamps effectiveness and complications in 10 patients.
  
  
  RESULTS
  Compared to sutured clamp, the needleless clamp was more secure. The needleless clamp was also significantly better with regard to ease of use, safety, perceived strength (p value <0.002), and insertion time was reduced by 63%. No adverse events or skin infections occurred while using the needleless clamps.
  
  
  CONCLUSIONS
  Without incurring complications or increasing risk to patients, the needleless clamp is secure and improves safety and efficiency for physicians.
authors.affiliation: Department of Emergency Medicine, Henry Ford Health System, Detroit, Michigan, USA. bsilich1@hfhs.org
authors.forename: Bert
authors.initials: B
authors.lastname: Silich
authors.forename: Paul
authors.initials: P
authors.lastname: Chrobak
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Siu
authors.forename: Adam
authors.initials: A
authors.lastname: Schlichting
authors.forename: Samir
authors.initials: S
authors.lastname: Patel
authors.forename: James
authors.initials: J
authors.lastname: Yang
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D006801:Humans; D007700:Kinetics; D017060:Patient Satisfaction; D012449:Safety; D013528:Surgical Staplers / Q000592:standards*; D013536:Suture Techniques