Methods for measuring venous peripherally inserted central catheters in newborns

Abstract

Objective: to analyze the results of insertion procedures of Peripherally Inserted Central Catheters in newborns using two measurement methods. Methods: this is a randomized clinical trial, presenting descriptive and exploratory results of variables. It was held at a Neonatal Intensive Care Unit. Data were collected between September 2018 and 2019. The sample analyzed was 88 catheter insertion procedures, distributed in two groups. Study approved by an Institutional Review Board and obtained registration in the country and abroad. Descriptive analysis and logistic regression of data. Results: modified measurement obtained a significant difference for the central catheter tip location. Elective removals and adverse events were not significant between groups; however, poor positioning was related to adverse events. Conclusions: between the two methods analyzed, the modified measurement obtained better results in the proper catheter tip positioning and, consequently, less risk to patients.

Tecnologias para manutenção do Cateter Central de Inserção Periférica em neonatos: revisão integrativa

“…O USG foi efetivo para identificar o mal posicionamento do PICC em tempo real, permitiu correções e evitou eventos adversos. [26][27][34][35][36][38][39][40][41][42] Quanto aos procedimentos e recomendações para o posicionamento adequado do PICC, foram identificados sete artigos, 30,[50][51][52][53][54][55] dos quais quatro abordaram procedimentos de medição do cateter antes da inserção, [50][51][52][53] um abordou a taxa de sucesso na implantação do cateter, 30 e dois estratégias para monitoramento da posição do cateter após a inserção. [54][55] Acerca das manobras de reposicionamento do PICC mal localizado, foram incluídos cinco artigos.…”

“…relação ao tórax, seguido da medição da distância do ponto de punção até a junção esterno-clavicular direita e desta até o terceiro espaço intercostal 12. Há uma variedade de métodos para estimar o comprimento dos cateteres,12,[50][51][52][53] porém não há uma recomendação sobre o mais eficaz que garanta o posicionamento adequado da ponta do PICC.…”

Peripheral intravenous catheter-induced phlebitis in a tertiary hospital of Karachi: A cohort study

“…However, such a non-specific measure for children and neonates may cause incorrect PICC positioning and the subsequent need for repeated catheter tractions after insertion to reposition the device tip properly. This increases the risk of adverse events in this vulnerable population (Tomazoni et al, 2021;Tomazoni et. al, 2022).…”

“…Based on a randomized clinical trial, the method's effectiveness was verified as optimizing PICC tip positioning in neonates (Tomazoni, 2020). The recommended traditional method (INS, 2018) produced 44.8 times more chances of an intracardiac tip location than with the Tomazoni Technique (Tomazoni et al, 2021;Tomazoni et al, 2022). For ease of understanding and use of the Tomazoni Technique, the PICCTIP Tool was created, allowing the technique to be implemented in healthcare institutions in a practical manner.…”