The equations of the inserted length of percutaneous central venous catheters on neonates in NICU

Chen, I‐Lun; Ou‐Yang, Mei‐Chen; Chen, Feng-Shun; Chung, Mei‐Ing; Chen, Chih‐Cheng; Liu, Yuchen; Lin, K. J.; Huang, Hsin‐Chun

doi:10.1016/j.pedneo.2018.07.011

Cited by 20 publications

(34 citation statements)

References 15 publications

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“…This is very practical for clinical application. In Chen et al's study, 4 the mean gestational age and birth body weight of the enrolled babies were 31.6 weeks and 1639 g, respectively. Of the 214 PCVCs, 22% (46) were inserted in the upper extremities; the mean body weight and body length at the insertion date were 2408 g and 44 cm, respectively.…”

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confidence: 94%

“…Chen et al suggested that it is preferential to insert PCVCs from lower extremities because complications, such as infection, occlusion, phlebitis, and leakage, are not life threatening. 4 On the other hand, Bashir et al indicated that there is no difference in the total PCVCs-related complications between upper and lower extremity PCVCs. 5 Goldwasser et al collected and analyzed the data of 176 PCVCs in a level III neonatal intensive care unit and showed that a central location is ideal for the tip of a PCVC.…”

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confidence: 99%

“…Currently, there is no existing formulation that can be used beforehand to estimate the optimal insertion length of PCVCs in the field of neonatal intensive care. In this issue of Pediatrics and Neonatology, 4 Chen et al proposed equations of the inserted length of PCVCs for newborn infants. The equations were made using the data of 214 newborn babies with PCVCs and were validated in another 102 newborn babies.…”

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confidence: 99%

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Neonatal percutaneous central venous catheters: Equations for the inserted length and locations of the insertion sites

Chiang

2019

Pediatrics & Neonatology

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Neonatal percutaneous central venous catheters: Equations for the inserted length and locations of the insertion sites

Chiang

2019

Pediatrics & Neonatology

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“…PICCs on the other hand may cause several complications that result in significant morbidity and mortality. Ruptured PICC, inappropriate insertion site regarding the location of catheter tip, misplacement, repositioning the catheter are some of problems that can increase the risks of hemothorax, pneumothorax, sepsis, embolism, phlebitis, bleeding, intravascular thrombosis, extravasation of parenteral nutrition, or pericardial effusion with tamponade and even death [2,[4][5][6]. Moreover, the procedure associated with PICC insertion especially in preterm neonates with tiny vessels requires lots of skill [7].…”

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confidence: 99%

A proposed equation estimating the length of peripherally inserted central catheter in hand for NICU hospitalized preterm neonates

MahbodKaveh¹,

SadeghArabhosseini²,

Zarkesh³

et al. 2021

World J. Adv. Res. Rev.

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Background: Although PICC plays a crucial role in preterm neonates, it may cause several complications. A pilot study was conducted to propose a useful equation in identifying the safe length of catheter during the first attempt of catheterization. Methods: A pilot study was carried out and NICU admitted preterm neonates requiring PICC insertion entered the study. PICC was inserted for neonates by an expert NICU nurse. After catheterization, a chest X-ray examination with contrast was done to determine the location of canola. All neonates' demographic data were extracted from medical records. Age of neonate at catheterization, the duration of catheterization period as well as data regarding the first and final sizes of the inserted PICC were also recorded. Finally, the associations between the lengths of catheters with neonates' demographic factors were assessed to propose an equation estimating the optimal length of inserted PICC. Results: One hundred preterm neonates requiring PICC entered the study. The results have shown significant associations between the first length of inserted catheter in the hand with head circumference (p=0.019; r=0.293) as well as the final length of inserted catheter in the hand with birth weight (p=0.015; r=0.304). There was a linear correlation between the length of inserted catheter in the hand with neonate's birth weight (p=0.029); however, based on the value of R2=0.167, this relationship was weak. According to these findings an equation was proposed as follows; Inserted length in hand (cm) = 17.98 + 0.618body weight (gr). Conclusion: Our results showed a positive correlation between the inserted lengths of PICC in the hand with neonate's body weight. Our findings proposed an equation; however, the regression coefficient was not significantly notable.

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“…En este contexto, el complejo proceso en cuestión requiere el conocimiento y la calificación técnico-científica del equipo, así como las etapas de indicación, inserción, mantenimiento y retirada del catéter, a fin de emplear procedimientos y tecnologías seguros para reducir al mínimo los efectos adversos (EA) que puedan surgir debido a una manipulación inadecuada (5,6) .…”

Section: Introductionunclassified

Variáveis associadas a eventos adversos em neonatos com cateter central de inserção periférica

et al. 2020

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Objetivo: Identificar los factores asociados con la aparición de eventos adversos en el catéter de inserción central periférica en recién nacidos.Métodos: Un estudio transversal con un enfoque cuantitativo realizado en una Unidad de Cuidados Intensivos Neonatales de un hospital de maternidad de referencia en atención materna e infantil de alto riesgo en el noreste de Brasil. Muestra de 108 neonatos recolectados de febrero a noviembre de 2016.Resultados: La prevalencia de eventos adversos en los recién nacidos fue del 53,70%, asociada a las siguientes variables: sexo masculino (p = 0,033), peso inferior a 2500 gramos (p = 0,003), inserción después de 48 horas (p = 0,027), más de tres intentos de punción (p = 0,024), dificultad de progresión del catéter (p = 0,040), presencia de intercurrencias durante la inserción del catéter (p = 0,027), sobre dos cambios de apósito = 0.009) y ubicación no central del dispositivo (p = 0.042).Conclusión: Los resultados indican la necesidad de estrategias para la prevención de eventos adversos, con énfasis en la educación continua y el mejoramiento de habilidades en la gestión de este dispositivo. Objective: To identify the factors associated with the occurrence of adverse events by a peripherally inserted central catheter in newborns. Methods: A quantitative, cross-sectional study carried out in the Neonatal Intensive Care Unit of a reference maternity hospital in high-risk maternal and child care in Northeast Brazil. The sample of 108 neonates was collected from February to November 2016. Results: The prevalence of adverse events in newborns was 53.70%, associated with the following variables: male gender (p=0.033), weight below 2500 grams (p=0.003), insertion performed after 48 hours of life (p=0.027), more than three puncture attempts (p=0.024), difficulty in inserting the catheter (p=0.040), intercurrence during catheter insertion (p=0.027), over two dressing changes (p=0.009), and non-central position of the device (p=0.042). Conclusion: The results indicate the need for strategies to prevent adverse events, with emphasis on continuing education and on the improvement of skills regarding the use of this device.

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The equations of the inserted length of percutaneous central venous catheters on neonates in NICU

Abstract: Equations provided a convenient and accurate method to estimate the optimal insertion length of PCVCs before their placement.

Cited by 20 publications

References 15 publications

Neonatal percutaneous central venous catheters: Equations for the inserted length and locations of the insertion sites

Neonatal percutaneous central venous catheters: Equations for the inserted length and locations of the insertion sites

A proposed equation estimating the length of peripherally inserted central catheter in hand for NICU hospitalized preterm neonates

Variáveis associadas a eventos adversos em neonatos com cateter central de inserção periférica

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