The Safety and Efficacy of Peripheral Intravenous Catheters in Ill Neonates

Franck, Linda S.; Hummel, Debra; Connell, Kelly; Quinn, Dolores; Montgomery, J. E.

doi:10.1891/0730-0832.20.5.33

Cited by 52 publications

(42 citation statements)

References 8 publications

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“…The incidence of extravasations from Teflon 1 catheters has been reported to vary from 23 to 63% [40]. A recent survey of regional NICUs in the UK recorded the prevalence of extravasation injury resulting in skin necrosis to be 3.8%, with 70% of these injuries occurring in infants of 26 weeks' gestation or less [41].…”

Section: Extravasation Injuriesmentioning

confidence: 99%

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Iatrogenic skin injury in the neonatal intensive care unit

Sardesai

Kornacka

Walas³

et al. 2010

The Journal of Maternal-Fetal & Neonatal Medicine

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Although neonatal care has become more and more meticulous with significant changes in technology in the neonatal intensive care unit (NICU) in the past 50 years, iatrogenic cutaneous injuries continue to occur. Although the incidence of severe injuries is decreasing because the more difficult procedures are being replaced by improved techniques, skin injuries have not yet been completely eliminated. However, the nature and causes of cutaneous injuries have changed, and the injuries are frequent but generally minor. The major risk factors are low birth weight, gestational age, length of stay, a central venous line, mechanical ventilation, and support with continuous positive airway pressure. The rate of iatrogenic events is about 57% at gestational ages of 24-27 weeks, compared with 3% at term. There are no current comprehensive reviews of iatrogenic cutaneous injury. The purpose of this review is to describe the iatrogenic cutaneous injuries that may occur in the newborns as a consequence of perinatal and postnatal medical procedures. With increased survival of extremely-low-birth-weight (ELBW) infants and changing modes of management in the NICU, neonatologists must make every effort to recognize injuries and prevent their occurrence in the NICU.

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Section: Extravasation Injuriesmentioning

confidence: 99%

“…About 4% of infants leave the NICU with cosmetically or functionally significant scars, caused by extravasation injuries [40].…”

Section: Extravasation Injuriesmentioning

confidence: 99%

Iatrogenic skin injury in the neonatal intensive care unit

Sardesai

Kornacka

Walas³

et al. 2010

The Journal of Maternal-Fetal & Neonatal Medicine

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“…El número de intentos de venopunción promedio cercano a 1,5 para las alternativas estudiadas fue menor al reportado previamente (Franck et al, 2001). El retiro electivo de los catéteres no superó el 15% de los casos.…”

Section: Discusionunclassified

“…Sheehan et al (1992) describieron un 56 y 78% de extravasación en neonatos de cuidado intensivo con cánulas de Aquavene y teflón respectivamente. Por su parte, Franck et al (2001) describieron una frecuencia de 52,2% de retiro por este motivo.…”

Section: Discusionunclassified

Acceso Vascular Periferico en Neonatos De Cuidado Intensivo: Experiencia De Un Hospital Publico

2006

Cienc. enferm.

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RESUMENEn el contexto de un hospital público y con el objetivo de comparar la facilidad de venopunción, tipo e incidencia de complicaciones de dos métodos de cateterización venosa periférica usados en cuidado intensivo neonatal, se realizó un estudio prospectivo no controlado. 828 dispositivos fueron instalados en 75 neonatos, empleándo-se 595 cánulas de Vialon ® y 233 agujas de acero tipo mariposa. Hubo diferencia estadísticamente significativa a favor del catéter de Vialon ® en la permanencia promedio. En dispositivos instalados en menores de 1.500g se evidenció significativa mayor duración de las cánulas Insyte ® y menor tiempo de instalación y menor cantidad de intentos de venopunción de las agujas tipo mariposa. El principal motivo de retiro para ambas alternativas fue la extravasación en casi 75%. No hubo diferencias en la incidencia de flebitis pero sí en la incidencia de necrosis tisular en las cánulas tipo mariposa (RR:17,8; IC 95 2,2 -144,5). El uso de cánulas de Vialon ® es más recomendable incluso cuando se prolongan por más de 72 horas.Palabras claves: Acceso venoso, catéter venoso periférico, recién nacido. ABSTRACTIn the context of a public hospital, a prospective study was conducted to compare two methods of peripheral venous catheterization used in neonatal intensive care units. Type and incidence of complications and venipunction practices were analyzed. 828 catheters were used in 75 neonates (595 Vialon ® and 233 Butterfly steel needle). The mean life span of Vialon ® was longer than Butterfly. In neonates less than 1500g, Insyte ® remained functional longer than Butterfly, but this required less time and attempts to be installed. The main reason to removal both types of catheters were extravasations (75%). There were no differences in phlebitis incidence but tissue necrosis incidence was higher in Butterfly (RR: 17,8; IC 95 2,2 -144,5). We recommend the use of Vialon ® , even though the utilization time is longer than 72 hours.

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“…Though this has many advantages, it is not uncommon to encounter complications associated with the central lines. The main advantages of PICC lines include attainment of minimal handling, a long-term intravenous access for parenteral nutrition, the ability to transfuse hyperosmolar fluids, the opportunity to inject important drugs with PH less than 6 (e.g., vancomycin) or more than 8 (e.g., phenytoin) and continuous infusions like prostaglandins, irritants (calcium gluconate) and extended antibiotic therapy [1,2,11,12]. These PICC lines are made of silicone or polyurethane.…”

Section: Introductionmentioning

confidence: 99%

Central Venous Catheter-Induced Cardiac Arrhythmias in Neonates

Prabha¹,

Khan²,

Galal³

et al. 2018

Cardiac Arrhythmias

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Central venous catheter (CVC) placement or peripherally inserted central catheters are a common bedside procedure, which is frequently performed in critically ill neonates. Even though it is a routine procedure in the neonatal critical care unit, it is not uncommon to have complications related to it. Due to the smaller size of the heart in neonates and premature infants, the usual anatomic landmark and distance from the insertion site may not be accurate. As they are commonly performed at bedside, fluoroscopic guidance would not be possible. In this chapter, we describe common cardiac arrhythmias induced by these CVC lines and practical tips to avoid these complications. Proper measurement with correct technique, proper fixation and vigilant watching for migration will reduce the incidence of these complications. It is mandatory that all bed side intensivist should think of central line induced arrhythmias in an ICU settings and should identify and treat it appropriately.

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The Safety and Efficacy of Peripheral Intravenous Catheters in Ill Neonates

Cited by 52 publications

References 8 publications

Iatrogenic skin injury in the neonatal intensive care unit

Iatrogenic skin injury in the neonatal intensive care unit

Acceso Vascular Periferico en Neonatos De Cuidado Intensivo: Experiencia De Un Hospital Publico

Central Venous Catheter-Induced Cardiac Arrhythmias in Neonates

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