The Line Snuggler: A Central Line Bundling Innovation Evaluated in a High-Risk Pediatric Population.

Journal Article (Journal Article)

Central line associated blood stream infections and complications in children require prevention strategies related to both traditional childhood activities as well as adverse events in the intensive care unit or bone marrow transplant unit. This study evaluated a nurse-invented product, the Line Snuggler, designed to protect intravenous tubing and central lines from contamination or entanglement. Patients (n = 30) were enrolled following the chemotherapy phase of transplant. Using a pre-post intervention design, each subject served as their own control for the control phase of the study (Days 1-3 without a Line Snuggler) and the intervention phase (Days 4-6 with a Line Snuggler), with bacterial levels of product and sheets tested on Days 1, 3, 4, and 6. At study conclusion, staff (n = 44) and parents/guardians (n = 25) completed an online survey assessing satisfaction with the product, and perceived utilization and safety. Using t tests, the Line Snuggler bacterial levels showed no difference in growth in adenosine triphosphate levels compared with the same patient's sheets, thereby supporting no increased risk of bacterial growth. Both staff and parents/guardians reported high satisfaction with their use of the Line Snuggler and noted the benefit of its protecting and bundling intravenous lines into a single organizer. This innovative product designed by nurses was evaluated as a means to provide exceptional, high-quality care to achieve the best outcomes while eliminating hospital-acquired complications (

Full Text

Duke Authors

Cited Authors

  • Tetlow, M; Allen, D; Barnes, A; Shaw, RJ

Published Date

  • January 2021

Published In

Volume / Issue

  • 38 / 1

Start / End Page

  • 36 - 41

PubMed ID

  • 32951501

Electronic International Standard Serial Number (EISSN)

  • 1532-8457

International Standard Serial Number (ISSN)

  • 1043-4542

Digital Object Identifier (DOI)

  • 10.1177/1043454220958672


  • eng