Impact of lock solutions on the mechanical performance of polyurethane central venous catheters: A comparative study

Med Eng Phys. 2023 Jul:117:103994. doi: 10.1016/j.medengphy.2023.103994. Epub 2023 May 17.

Abstract

The impact of ethanol locks on the mechanical performances of central venous catheters was compared to that of aqueous-based locks. Several mechanical tests were performed to evaluate catheter behavior: kinking radius measurements, burst pressure, and tensile tests. Different polyurethanes were studied to assess the impact of radio-opaque charge and polymer chemical composition on catheter behavior. The results were correlated to swelling measurements and calorimetric measurements. In particular, ethanol locks have a higher impact on long contact time than aqueous-based locks: stresses and strains at break were lower, and kinking radii were higher. However, for all catheters, the mechanical performances remain much higher than the normative requirements.

Keywords: Burst pressure; Central venous catheter; Ethanol lock; Kinking; Polyurethane; Tensile testing.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Catheter-Related Infections*
  • Central Venous Catheters*
  • Ethanol / chemistry
  • Humans
  • Polyurethanes / chemistry

Substances

  • Polyurethanes
  • Ethanol