Comparison of Risks from Central Venous Catheters and Peripheral Intravenous Lines among Term Neonates in a Tertiary Care Hospital, India

Ratchagame, Vicknesh; Prabakaran, Vetriselvi

doi:10.34172/jcs.2021.012

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…The PICC facilitated central venous access since it is placed without the need for anesthesia and can be used for weeks with minimal complications [7] . The PICC is a thin, long catheter (14-16 in.)…”

Section: Introductionmentioning

confidence: 99%

Pneumothorax as a rare complication of peripherally inserted central catheter (PICC) in neonates: A case report study

Goli

Zafarmokhtarian

Ghalandari

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance The Peripherally Inserted Central Catheter (PICC) placement is associated with complications such as deep vein thrombosis, phlebitis, air embolism, infection, and superior vena cava syndrome. The aim of this study is to report pneumothorax as a rare complication of PICC insertion in a newborn. Case presentation The present case report is of a 32-week- and 4-day-old female fetus who was born at Mahzad Obstetrics and Gynecology Hospital, Urmia, Iran. A PICC was placed for the infant. The infant underwent an antero–posterior chest X-ray, in which the presence of a complete white-out of the right hemithorax indicated pneumothorax and right lung collapse. The review of literature in this field showed that there were no reports of pneumothorax as a complication of PICC insertion in neonates. Clinical discussion Despite that the PICC placement seems to have many medical advantages in infants, it may cause life-threatening complications such as pneumothorax. In this newborn, the PICC placement was the main cause of pneumothorax and it can be stated that the catheter tip might cause trauma to the chest wall during the placement procedure which resulted in an air trap in the pleural cavity and eventually right lung collapse. Conclusion There are a couple of rare cases being reported to have complications of PICC placement in neonates, but none had associated pneumothorax and PICC placement in neonates. Therefore, innovative methods require to be used for meeting the nutrition and fluid requirements of the infants for a long time.

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Section: Introductionmentioning

confidence: 99%

Pneumothorax as a rare complication of peripherally inserted central catheter (PICC) in neonates: A case report study

Goli

Zafarmokhtarian

Ghalandari

et al. 2021

International Journal of Surgery Case Reports

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“…Various studies comparing the site and duration of vascular access it was seen that peripheral veins for the neonates and children are soft and fragile and they even possess high difficulty in cannula fixation. 3 PIVC are the indwelling, single lumen plastic conduits which are introduce directly into peripheral veins. It comes into various sizes, starting from 14 gauge (largest) to 26 gauge (smallest).…”

Section: Introductionmentioning

confidence: 99%

Incidence of phlebitis among children having peripheral intravenous line in selected hospital, Siliguri

Kumar,

Dhar,

Banik

et al. 2023

Int J Contemp Pediatr

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Background: Vascular access is the most common and widely used medical device in hospital setting especially peripheral intravenous line rather than central venous line and it is more essential in the pediatric and newborn group in accessing and maintaining a safe and reliable venous access for continuous management. Though it is the most common procedure, complication like phlebitis, extravasation, induration, dislodgement related to PIVC are also high. Methods: A prospective cohort study which included 86 children of age 1-7 years admitted in pediatric ward in selected hospital, Siliguri during the year 2023 in the month of May and June. Objective of the study was to find out the incidence of phlebitis among children admitted in pediatric ward. Observational method was adopted to collect data from the participants. Jackson’s VIP scale and FLACC scale was used to collect data along with demographic variables and peripheral intravenous catheter characteristics. Results: The study revealed that all the 86 children developed phlebitis where 64% of children developed phlebitis Grade 2 of phlebitis and 19% grade 3 on day 2 from the day of insertion where on day 3 8% had grade 2 and 9% had grade 3. The mean duration of PIVC was 53.11±0.87 hours and the major risk factor associated with phlebitis was site of insertion (OR=33.8, 95% CI-0.5, 207). Conclusions: By identifying early signs of phlebitis among children, one can manage it at appropriate time and can reduce the further complication related to the PIVC.

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“…1 and many cannulas get removed after occurrence of complications, most commonly infiltration. 2 Each attempt at cannulation creates a wound, a door for entry of skin-based bacteria, causing local cellulitis and even systemic bacteraemia 3 and neonatal sepsis-a leading cause of neonatal mortality. 4 Peripheral intravenous cannulas are simple, inexpensive and convenient for short durations of intravenous therapy, against central lines or peripherally inserted central catheters (PICCs) which maybe left in situ longer.…”

Section: Introductionmentioning

confidence: 99%

“…3 Technique of cannula fixation finally adopted by the unit at the end of PDSAs-called the 'Fixomull-Fixation' in this article and analysis. PDSA, Plan-Do-Study-Act.…”

mentioning

confidence: 99%

Improving the longevity of intravenous cannulas in sick neonates admitted to NICU in a tertiary care centre: a quality improvement project

Vadapalli,

Valvi,

Nagpal

et al. 2023

BMJ Open Qual

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BackgroundNeonatal intravenous cannulation, especially in preterms, is more challenging than in children or adults. Placement of an intravenous cannula is painful and many cannulas need frequent changing due to complications. Each attempt at cannulation creates an entry for skin flora to cause systemic bacteraemia. This study was undertaken at a level III NICU. The team attempted to prolong the existing cannula longevity to reduce the frequency of intravenous cannulation thereby reducing handling and pain.ObjectivesTo improve the longevity of peripherally inserted intravenous cannula in sick neonates in NICU from the current 25.7 hours to 36 hours or more, over a span of 6 weeks.Materials and methodsThe quality improvement (QI) team comprised resident doctors and staff nurses. A fishbone analysis was used to identify factors that affected the longevity of intravenous cannulas. Five WHYs technique was used to identify the cause behind early cannula removal. Both techniques identified the fixation technique used at the study centre for target intervention. Plan-Do-Study-Act cycles were planned to explore different fixation techniques to improve cannula longevity. The unpaired t-test and the χ2tests were applied to analyse statistical significance.ResultsWe achieved significant improvement in cannula longevity from 25.7 hours to 39.6 hours just by improving the fixation technique over 6 weeks with a p=0.0006.ConclusionsThe QI study was successful and is adopted for routine practice. Such initiatives would greatly impact babies in low-resource settings and in transit.

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Comparison of Risks from Central Venous Catheters and Peripheral Intravenous Lines among Term Neonates in a Tertiary Care Hospital, India

Cited by 6 publications

References 19 publications

Pneumothorax as a rare complication of peripherally inserted central catheter (PICC) in neonates: A case report study

Pneumothorax as a rare complication of peripherally inserted central catheter (PICC) in neonates: A case report study

Incidence of phlebitis among children having peripheral intravenous line in selected hospital, Siliguri

Improving the longevity of intravenous cannulas in sick neonates admitted to NICU in a tertiary care centre: a quality improvement project

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