A Novel, Simple Way to Insert Percutaneous Central Venous Catheters in Newborn Babies

Gandini, Donna; Koh, Tieh Hee Hai Guan

doi:10.1038/sj.jp.7210875

Cited by 6 publications

(7 citation statements)

References 6 publications

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“…Furthermore, compared to the Groshong or Hickman CVCs, Vygon CVCs are quite inexpensive. Vygon CVCs are mostly used for parenteral nutrition or in neonatology [6]. Little data exists on their use, including the complications and advantages during long-term chemotherapy.…”

Section: Introductionmentioning

confidence: 99%

Long-term, tunneled, noncuffed central venous catheter in cancer patients (Vygon): safety, efficacy, and complications

Masci

Magagnoli

Pedicini

et al. 2006

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Section: Introductionmentioning

confidence: 99%

Long-term, tunneled, noncuffed central venous catheter in cancer patients (Vygon): safety, efficacy, and complications

Masci

Magagnoli

Pedicini

et al. 2006

Support Care Cancer

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“…However, insertion of these thinnest catheters is a very delicate procedure associated with a high failure rate in neonates especially in low birth weight infants because the diameter of the vessel is smaller than the introducer and stabilization of the introducer is too difficult [6][7][8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

“…The insertion technique of PICCs is through-the-introducer catheter technique. In this technique, butterfly needle, splitting needle, peelable cannula, split cannula or peripheral venous cannula (PVC) are used as an introducer [6][7][8][9][10][11] . Peripheral insertion is safer than direct central venous puncture.…”

Section: Introductionmentioning

confidence: 99%

Peripherally inserted central catheters in the neonatal period

et al. 2011

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PuRPOsE: Peripherally inserted central catheters (PICC) have been extensively used in neonates. However, insertion of these thinnest catheters is a very delicate procedure associated with a high failure rate. In our Neonatal Surgical Intensive Care Unit, we developed a very easy new PICC insertion and evaluated the neonates treated with PICCs which were inserted by using our technique as well as catheter features such as success rate, number of insertion attempts, reason for removal and complications. METHOds: Information was retrospectively collected on all 40 PICCs inserted at Kutahya Evliya Celebi Goverment Hospital andDicle University Hospital during a 6-years period from September 2004 to September 2010. REsuLTs:A total of 40 PICCs were inserted in 37 patients (26, 70% males, 11, 30% females) by using new technique. The median age of patients was 8.3 days (range 1 to 66 days) and the median weight of patients was 2365 g (range 600 to 5000 g). The vein most commonly accessed was long saphenous vein (85%). The length of PICCs in the body was 19.6 cm (range 5 cm to 30 cm). The tip was located in a central vein in all patients. Surgical abdomen was the most common cause for PICC insertion (38%). Duration of catheterization was 7.7±5.6 days (1-F 5.5 days, 2-F 8.6 days). Almost all of the PICCs were inserted successfully (40/42, success rate 95%) and in the first venipucture (36/42, 86%). Completion of therapy and removed after death were achieved with 87% of PICCs.Three minor complications were noted. Minor bleeding in the insertion site which was stopped via compression occurred in two neonates. Major complication was not seen. No deaths were directly attributed to PICCs use. CONCLusION: The new insertion technique of the neonatal peripherally inserted central catheters may be one of the easiest and safest techniques, in comparison to previous techniques reported in the literature.Keywords: Catheterization, Peripheral. Techniques. Infant, Newborn. REsuMOOBJETIVO: Cateteres centrais de inserção periférica (PICC) têm sido usados extensivamente em neonatos. Entretanto, a inserção destes cateteres tão finos é um procedimento muito delicado associado a uma elevada taxa de falha. Em nossa Unidade de Cuidado Intensivo Neonatal, nós desenvolvemos uma técnica muito fácil de inserção de PICC e avaliamos os neonatos tratados com PICCs que foram inseridos usando nossa técnica assim como características relacionadas ao cateter tais como taxa de sucesso, número de tentativas de inserção, razão de remoção e complicações. MéTOdOs: Informações foram coletadas retrospectivamente de todos os 40 PICCs inseridos no Kutahya Evliya Celebi GovermentHospital e Dicle University Hospital durante um período de seis anos, desde Setembro de 2004 até Setembro de 2010.REsuLTAdOs: Um total de 40 PICCs foi inserido em 37 pacientes (26 homens, 70%, 11 mulheres, 30%) usando a nova técnica. A idade media dos pacientes foi de 8,3 dias (variando entre 1 e 66 dias) e a mediana do peso dos pacientes foi 2365g (variando entre 600g e 5000g). A v...

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“…The smallest existing PICCs of 1-F which are commonly used in very small premature babies can be introduced through 24-gauge PVCs (24-G) [4,8]. However, these very small PICCs are not adequate for high infusion rates [4,8]. If there is need for higher infusion rates, a 2-F PICC is needed, which is much more difficult to place.…”

Section: Discussionmentioning

confidence: 99%

“…For smaller PICCs only MIs that have to be inserted like PVCs exist. The smallest existing PICCs of 1-F which are commonly used in very small premature babies can be introduced through 24-gauge PVCs (24-G) [4,8]. However, these very small PICCs are not adequate for high infusion rates [4,8].…”

Section: Discussionmentioning

confidence: 99%

A new modified Seldinger technique for 2- and 3-French peripherally inserted central venous catheters

et al. 2008

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This study describes a modified Seldinger technique for 2- and 3-French peripherally inserted central venous catheters: A device similar to that used in heart catherisation with a standard micro-introducer serving as sheath and an arterial catheter serving as inner dilator was pushed forward over a wire guide that had before been inserted via a peripheral venous catheter. With this method 2-and 3-French catheters could be safely inserted into peripheral veins of 14 paediatric patients. In conclusion successful insertion of a small peripheral venous catheter offers in most cases a possibility for the placement of a central venous line.

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A Novel, Simple Way to Insert Percutaneous Central Venous Catheters in Newborn Babies

Cited by 6 publications

References 6 publications

Long-term, tunneled, noncuffed central venous catheter in cancer patients (Vygon): safety, efficacy, and complications

Long-term, tunneled, noncuffed central venous catheter in cancer patients (Vygon): safety, efficacy, and complications

Peripherally inserted central catheters in the neonatal period

A new modified Seldinger technique for 2- and 3-French peripherally inserted central venous catheters

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