Peripheral long lines in cystic fibrosis

Abstract

Improved cannula survival with peripheral long lines has been reported for patients requiring multiple courses of intravenous (i.v.) antibiotics, allowing a more normal and mobile pattern of life (1, 2). Since June 1992 we have used both the neonatal silastic long line (Epicutaneo-cava-catheter, Vygon, Aachen) and the Landmark catheter (Menlo Care, California) for administration of i.v. antibiotics to our cystic fibrosis (CF) patients. Information was collected prospectively on the performance of both types of cannulae over 18 months. Cannula survival time was the same and longer than with conventional short cannulae (1, 3). Patient preference for the neonatal line and a trend towards more phlebitis with the Landmark catheter resulted in the selection of the neonatal line for routine use.

Intravenous peripherally-inserted central catheters for antibiotic therapy in children with cystic fibrosis

“…In the past years, some authors have also studied peripheral long lines, for antibiotics in CF, with a good tolerance and acceptability [8,[11][12][13][14][15]. However the introduction of the device can be painful [14], and in some patients, the device was removed due to discomfort [12].…”

The Development of a Long Peripheral Catheter Program at a Large Pediatric Academic Center: A Pilot Study

“…Nineteen catheters were inserted on the first attempt, and 1 catheter was inserted on the second attempt. The mean line duration was 6 days, with a median of 5.5 days (range of [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Eleven of 20 catheters (55%) remained in until completion of therapy, with a catheter failure rate of 74 per 1000 catheter-days (95% confidence interval 40-139).…”

“…9 In Table 1, we provide a summary of studies in which LPCs in pediatrics are evaluated. 7,8,[10][11][12][13][14][15] In this pilot study, we evaluated the feasibility of a new LPC program at a large academic pediatric center in an effort to reduce inappropriate use of PICCs and their related complications.…”

The use of 8-cm 22G Seldinger Catheters for Intravenous access in Children with Cystic Fibrosis

“…Data regarding IV access in the paediatric CF population have shown that long catheters are easy to insert and comfortable to use (3–5). Millar-Jones highlighted these as important factors in compliance and the reduction of trauma experienced by children (3).…”

“…Data regarding IV access in the paediatric CF population have shown that long catheters are easy to insert and comfortable to use (3–5). Millar-Jones highlighted these as important factors in compliance and the reduction of trauma experienced by children (3). Although several studies have been conducted using long catheters of 20-30 cm (3,5), a recent study showed that an 8-cm long catheter was easier to insert, less painful and had the same duration of use as a 30-cm catheter (4).…”