G55(P) Audit on Optimal Positioning of Peripherally Inserted Central Catheters in Neonates

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Changes in upper extremity position cause migration of peripherally inserted central catheters in neonates.

OBJECTIVE The migration of peripherally inserted central catheters (PICCs) from the superior or inferior vena cava into the right atrium can pose a significant risk of lethal pericardial effusion and tamponade secondary to myocardial perforation. Arm movement has been reported to cause displacement of the catheter tip toward the heart and lead to ventricular tachycardia in adults. The objective...

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Incidence of catheter-related bloodstream infections in neonates following removal of peripherally inserted central venous catheters.

OBJECTIVES Catheter-associated bloodstream infections are a significant source of morbidity and healthcare cost in the neonatal ICU. Previous studies examining the prevalence of bloodstream infections after removal of peripherally inserted central venous catheters in neonates are equivocal. DESIGN A retrospective cohort study. PATIENTS All infants with peripherally inserted central venous c...

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Risk of Infection Using Peripherally Inserted Central and Umbilical Catheters in Preterm Neonates.

OBJECTIVE To compare the rates of catheter-associated bloodstream infection (CABSI) in preterm infants born at <30 weeks' gestation who received a peripherally inserted central catheter (PICC) versus an umbilical venous catheter (UVC) immediately after birth as their primary venous access. METHODS This retrospective matched cohort study examined data from infants born at <30 weeks' gestation ...

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Transparent semipermeable dressings for peripherally inserted central catheters in neonates – should we be concerned?

Methods All neonates with a PICC in 2010 were prospectively included in this single-centre observational study. There was no scheduled dressing change for TSD. Non-selective culture plates, pressed to the PICC insertion site upon catheter removal, were incubated for 24 hours and colony counts within a 1 cm radius were compared to the time of dressing. Dressing-time was defined as days TSDs were...

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Peripherally inserted central catheters in the neonatal period.

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...

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ژورنال

عنوان ژورنال: Archives of Disease in Childhood

سال: 2013

ISSN: 0003-9888,1468-2044

DOI: 10.1136/archdischild-2013-304107.067