The neonatal DAV-expert algorithm: a GAVeCeLT/GAVePed consensus for the choice of the most appropriate venous access in newborns

Barone, Giuseppe; D’Andrea, Vito; Ancora, Gina; Cresi, Francesco; Maggio, Luca; Capasso, Antonella; Mastroianni, Rossella; Pozzi, Nicola; Rodriguez‐Pérez, Carmen; Romitti, M; Tota, Francesca; Spagnuolo, Ferdinando; Raimondi, Francesco; Pittiruti, Mauro

doi:10.1007/s00431-023-04984-4

Cited by 10 publications

(1 citation statement)

References 77 publications

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“…In Italy, GAVE-CELT is a leading expert group on venous accesses, and GAVEPED is its paediatric interest group [10]. The GAVECELT panel has published recommendations for choosing the most appropriate Venous Access Device (VAD, or DAV) in potentially complex situations [11]. The "DAV-EXP" algorithm, developed by GAVECELT, is a simple and clear tool to facilitate clinical decision making on a case-by-case basis: http://davexpert.gavecelt.it/ (accessed on 8 February 2024) [10].…”

Section: The Choice Of the Most Appropriate Venous Access Device (Vad...mentioning

confidence: 99%

Ultrasound-Guided Centrally Inserted Central Catheter (CICC) Placement in Newborns: A Safe Clinical Training Program in a Neonatal Intensive Care Unit

Zini,

Corso,

Mazzi

et al. 2024

Children

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Background: Centrally inserted central catheters (CICCs) are increasingly used in neonatal care. CICCs have garnered attention and adoption owing to their advantageous features. Therefore, achieving clinical competence in ultrasound-guided CICC insertion in term and preterm infants is of paramount importance for neonatologists. A safe clinical training program should include theoretical teaching and clinical practice, simulation and supervised CICC insertions. Methods: We planned a training program for neonatologists for ultrasound-guided CICCs placement at our level III neonatal intensive care unit (NICU) in Modena, Italy. In this single-centre prospective observational study, we present the preliminary results of a 12-month training period. Two paediatric anaesthesiologists participated as trainers, and a multidisciplinary team was established for continuing education, consisting of neonatologists, nurses, and anaesthesiologists. We detail the features of our training program and present the modalities of CICC placement in newborns. Results: The success rate of procedures was 100%. In 80.5% of cases, the insertion was obtained at the first ultrasound-guided venipuncture. No procedure-related complications occurred in neonates (median gestational age 36 weeks, IQR 26–40; median birth weight 1200 g, IQR 622–2930). Three of the six neonatologists (50%) who participated in the clinical training program have achieved good clinical competence. One of them has acquired the necessary skills to in turn supervise other colleagues. Conclusions: Our ongoing clinical training program was safe and effective. Conducting the program within the NICU contributes to the implementation of medical and nursing skills of the entire staff.

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Section: The Choice Of the Most Appropriate Venous Access Device (Vad...mentioning

confidence: 99%