{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T19:33:15Z","timestamp":1772479995395,"version":"3.50.1"},"reference-count":19,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000266","name":"Engineering and Physical Sciences Research Council","doi-asserted-by":"publisher","award":["EP\/T51780X\/1"],"award-info":[{"award-number":["EP\/T51780X\/1"]}],"id":[{"id":"10.13039\/501100000266","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000266","name":"Engineering and Physical Sciences Research Council","doi-asserted-by":"publisher","award":["EP\/S021752\/1"],"award-info":[{"award-number":["EP\/S021752\/1"]}],"id":[{"id":"10.13039\/501100000266","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Peripheral vascular access devices (PVADs) and their associated intravenous (IV) lines are widely used in clinical care. Securement devices are typically employed to prevent accidental dislodgement and complications such as occlusion and phlebitis. Despite the wide use of securement devices, there are no standardised methods for evaluating their actual ability to secure IV lines. This study assessed the securing ability of four commercially available IV line securement devices \u2013 Grip Lok, Javelo, micropore tape, and IV bracelet \u2013 under controlled laboratory conditions. First, all four devices were tested for resistance to axial pull-out forces using a uniaxial materials testing machine across ten participants. Participant comfort during testing was assessed via questionnaire. Grip-Lok and Javelo exhibited significantly greater axial pull-out strength than the other two devices (p-adj\u2009&lt;\u20090.001), and were progressed to further testing, consisting of off-axis loading at 90\u00b0, 135\u00b0, and peel-off, and axial pull-out under simulated perspiration conditions. No significant differences were observed between Grip Lok and Javelo under loading in 90\u00b0 and 135\u00b0. Javelo demonstrated superior performance in both peel-off and perspirant conditions (p-adj\u2009&lt;\u20090.05). Javelo was rated the most comfortable by 60% of participants. The results highlight the need for incorporating realistic loading conditions and comfort metrics when evaluating the performance of infusion line securement aids. Furthermore, the results provide evidence that using a non-adhesive based device, particularly in patients with marked diaphoresis might provide more infusion line security, though further study is required.<\/jats:p>","DOI":"10.1371\/journal.pone.0341618","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T18:28:02Z","timestamp":1772476082000},"page":"e0341618","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of peripheral intravenous line securement devices under clinically relevant loading and perspiratory conditions"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3200-6215","authenticated-orcid":true,"given":"George K. 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An international cross-sectional survey of 25 countries","volume":"13","author":"M Cooke","year":"2018","journal-title":"PLoS One"},{"key":"pone.0341618.ref010","doi-asserted-by":"crossref","first-page":"103488","DOI":"10.1016\/j.ijnurstu.2019.103488","article-title":"Incidence of peripheral intravenous catheter failure and complications in paediatric patients: systematic review and meta analysis","volume":"102","author":"F Indarwati","year":"2020","journal-title":"Int J Nurs Stud"},{"issue":"1","key":"pone.0341618.ref011","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1177\/11297298231222052","article-title":"Evaluating the impact of external forces on peripheral intravenous catheter movement using ultrasound: a randomized pilot study","volume":"26","author":"A Bahl","year":"2025","journal-title":"J Vasc Access"},{"issue":"2","key":"pone.0341618.ref012","doi-asserted-by":"crossref","DOI":"10.12968\/bjon.2022.31.2.S4","article-title":"Solving the problem of IV dislodgement","volume":"31","author":"G Munoz-Mozas","year":"2022","journal-title":"Br J Nurs"},{"key":"pone.0341618.ref013","doi-asserted-by":"crossref","DOI":"10.1097\/NAN.0000000000000532","article-title":"Infusion therapy standards of practice, 9th edition","volume":"47","author":"B Nickel","year":"2024","journal-title":"J Infus Nurs"},{"issue":"9","key":"pone.0341618.ref014","article-title":"Guidelines for the prevention of intravascular catheter-related infections","volume":"52","author":"NP O\u2019Grady","year":"2011","journal-title":"Clin Infect Dis"},{"issue":"1","key":"pone.0341618.ref015","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/s40635-015-0060-3","article-title":"Catheter securement systems: comparison of two investigational devices to a sutureless securement device, a securement dressing, and sutures in a pig model","volume":"3","author":"LF Rutledge","year":"2015","journal-title":"Intensive Care Med Exp"},{"issue":"10","key":"pone.0341618.ref016","doi-asserted-by":"crossref","first-page":"3192","DOI":"10.3390\/jcm9103192","article-title":"Dislodgement forces and cost effectiveness of dressings and securement for peripheral intravenous catheters: a randomized controlled trial","volume":"9","author":"A Schmutz","year":"2020","journal-title":"J Clin Med"},{"issue":"1","key":"pone.0341618.ref017","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/00129804-200601000-00004","article-title":"Peripheral intravenous catheter dwell times: a comparison of 3 securement methods for implementation of a 96-hour scheduled change protocol","volume":"29","author":"B Smith","year":"2006","journal-title":"J Infus Nurs"},{"issue":"4","key":"pone.0341618.ref018","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.java.2018.07.002","article-title":"Impact and safety associated with accidental dislodgement of vascular access devices: a survey of professions, settings, and devices","volume":"23","author":"N Moureau","year":"2018","journal-title":"J Assoc Vasc Access"},{"key":"pone.0341618.ref019","article-title":"Evaluation of peripheral vascular access line securement devices under clinically relevant loading and perspiratory conditions","author":"G Morgan","year":"2025","journal-title":"Zenodo"}],"container-title":["PLOS One"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0341618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T18:28:06Z","timestamp":1772476086000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0341618"}},"subtitle":[],"editor":[{"given":"Federica","family":"Canzan","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,3,2]]},"references-count":19,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3,2]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0341618","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,2]]}}}