Use of Midline Catheters in a Pediatric Population: A Product Evaluation

Holt, Dayna; Guzzi, Lisa; Ferrer, Karen De; Stebel, Melissa

doi:10.1016/j.java.2016.10.064

Cited by 1 publication

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The rate of VTE was reported in six studies and ranged from 0% to 13% 21,29,32,34,36,37 . Rate of CRBSI was reported in 10 studies, and, except for one study, the rate was 0% 21,25,27,28,32–37 . The one study that reported a rate of 3.5% of positive blood cultures explained that 61% of the infants with a positive blood culture had a central VAD in addition to the LPC 35 …”

Section: Resultsmentioning

confidence: 99%

“…Dwell‐time was reported in 17 studies with the overall reported range of dwell‐time from 1–48 days 20–25,27–33,35–38 . The range of average dwell‐time was 4.0–11.9 days, and the range of median dwell‐time was 4.7–14 days.…”

Section: Resultsmentioning

confidence: 99%

“…Dwell-time was reported in 17 studies with the overall reported range of dwell-time from 1-48 days. [20][21][22][23][24][25][27][28][29][30][31][32][33][35][36][37][38] The range of average dwell-time was 4.0-11.9 days, and the range of median dwell-time was 4.7-14 days. Fourteen studies reported a percentage of completion of therapy with the initial LPC.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…Of the 21 included studies involving 2695 LPCs, 2 studies were randomized controlled trials (87 LPCs), 21,22 with most designs being observational: 11 retrospective (1324 LPCs) 19,20,[23][24][25][26][27][28][29][30][31] and 8 prospective (1304 LPCs). [32][33][34][35][36][37][38][39] Eight studies were performed in the United States 19,20,23,25,30,32,33,35 ; seven studies in Australia, 21,22,26,27,34,36,38 three studies in Italy, 24,29,37 one each in India and Iraq, 31,39 with one not specified.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…22,36 The most common location of placement was the upper arm which was reported in all studies reporting location (18/21). 9,20,21,23,24,[26][27][28][29][30][31][32][33][34][35][36][37][38] Other anatomical locations reported for LPC placement were the lower arm including the hand (7/21), 23,24,28,30,33,35,38 lower extremities (7/21), [22][23][24]30,33,35,36 and scalp (2/21). 23,35 Six studies reported a success rate of placement on the first attempt which ranged from 85% to 100% 21,32,33,[36][37][38] ; the overall success rate of placement ranged from 80% to 100% in seven studies that reported this measure.…”

Section: Vad Nomenclature and Characteristicsmentioning

confidence: 99%

See 4 more Smart Citations

Long peripheral catheters in children: A scoping review

Burek

Liljestrom

Dundon

et al. 2022

Journal of Hospital Medicine

View full text Add to dashboard Cite

Background and Objectives: Long peripheral catheters (LPCs) are emerging vascular access devices used for short-medium term vascular access needs. Literature in adults suggests LPCs have longer dwell-times than peripheral intravenous catheters (PIVs) and lower rates of serious complications than peripherally inserted central catheters (PICCs). The role of LPCs in children is less established. The objective of this scoping review is to describe and synthesize the existing literature on the effectiveness and safety of LPCs in children. Methods: This review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Searches were done in MEDLINE (Ovid), Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science Core Collection, Scopus, CINAHL (Ebsco), and Google Scholar most recently on February 22, 2022. Studies were included if published in English on or after 2000 and included patients <18 years of age.Results: Twenty-one studies were included. The body of literature is variable in quality, measurements, and reported outcomes. Median dwell-time ranged from 5 to 14 days. The rate of completion of therapy ranged from 20% to 86%. Dislodgement, occlusion, and infiltration were the most common complications reported (0%-31%).Venous thromboembolism rates ranged from 0% to 13%. The rate of catheterrelated bloodstream infection was 0% in 9 of 10 studies. Less than 50% of studies reported comparative outcomes. Conclusion:LPCs show promising outcomes in select populations, with longer dwell-time than PIVs and possibly lower rates of serious complications than PICCs.However, more research is needed to clarify the optimal use of LPCs in pediatrics.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%