Peripherally inserted central catheters optimize nutrient intake in moderately preterm infants

Smazal, Anne L.; Kavars, Anne B.; Carlson, Susan; Colaizy, Tarah T.; Dagle, John M.

doi:10.1038/pr.2016.73

Cited by 14 publications

(10 citation statements)

References 25 publications

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“…Previous observational reports show wide variation in clinical practice between countries and centres reflecting the lack of evidence in the nutritional management of this population [ 10 , 11 , 28 – 30 ]. Delivery of parenteral nutrition using a central line is common in some centers [ 29 , 31 ] and has been reported to improve nutrient intake and postnatal growth [ 31 ]. Central lines allow infusion of high osmolarity parenteral nutrition however their use is not without clinical risk, for e.g., sepsis, haemorrhage, thrombosis, air leak syndromes [ 13 , 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

The efficacy and safety of peripheral intravenous parenteral nutrition vs 10% glucose in preterm infants born 30 to 33 weeks’ gestation: a randomised controlled trial

et al. 2020

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Background: Preterm infants born 30 to 33 weeks' gestation often require early support with intravenous fluids because of respiratory distress, hypoglycemia or feed intolerance. When full feeds are anticipated to be reached within the first week, risks associated with intravenous delivery mode and type must be carefully considered. Recommendations are for parenteral nutrition to be infused via central venous lines (because of the high osmolarity), however, given the risks associated with central lines, clinicians may opt for 10% glucose via peripheral venous catheter when the need is short-term. We therefore compare a low osmolarity peripheral intravenous parenteral nutrition (P-PN) solution with peripheral intravenous 10% glucose on growth rate in preterm infants born 30 to 33 weeks' gestation. Methods: In this parallel group, single centre, superiority, non-blinded, randomised controlled trial, 92 (P-PN 42, control 50) infants born 30 + 0 to 33 + 6 weeks' gestation, were randomised within 24 h of age, to receive either P-PN (8% glucose, 30 g/L amino acids, 500 IU/L heparin and SMOFlipid®) or a control of peripheral intravenous 10% glucose. Both groups received enteral feeds according to hospital protocol. The primary outcome was rate of weight gain from birth to 21 days of age.

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Section: Discussionmentioning

confidence: 99%

The efficacy and safety of peripheral intravenous parenteral nutrition vs 10% glucose in preterm infants born 30 to 33 weeks’ gestation: a randomised controlled trial

et al. 2020

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“…Los aportes recomendados son 3,0 g/kg/ día en recién nacidos pretérmino (18) . Al respecto, un estudio reportó un crecimiento superior en las primeras dos semanas de vida de los bebés que recibieron nutrición a través de la línea PICC (19) . En cuanto a la antibioticoterapia intravenosa implica la infusión repetitiva entre 7 a 10 días de diversos antibióticos altamente irritantes que ocasionan flebitis, dolor en la vena, endurecimiento, tromboflebitis e incluso necrosis de las túnicas venosas.…”

Section: Discussionunclassified

Práctica De Enfermería en La Inserción Y Mantenimiento Del Catéter Percutáneo en Neonatos De Un Hospital Público, Callao, 2010-2015

LLenque

Carrillo²,

Jiménez³

et al. 2020

Ágora

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Objetivo: Analizar la práctica de enfermería en la inserción y mantenimiento del catéter central de inserción periférica en recién nacidos internados en la Unidad de Cuidados Intensivos Neonatales durante los años 2010 al 2015, en un hospital público del Callao, Perú. Material y métodos: Estudio descriptivo y retrospectivo. Se empleó la técnica del análisis documental de las historias clínicas y registros, empleando un instrumento se registraron variables sociodemográficas y clínicas de los RN a quienes se colocó el PICC en el periodo estudiado. La población estuvo constituida por 502 neonatos a los cuales se insertó 625 catéteres. El estudio fue aprobado por el Comité de Ética en Investigación Institucional. Resultados: El 52,6% fueron varones, el 47,4% tenía 28 a 32 semanas de edad gestacional, el 70,3% fueron RN prematuros con enfermedad de Membrana Hialina. El 61,8% requirió el PICC para la administración de nutrición parenteral y el 22,4% para antibioticoterapia. En el 52,6%, se logró la inserción en el primer intento, mayormente en las venas cefálica (35,8%) y basílica (21,4%). El 47,2% no presentó complicaciones durante la inserción del catéter, el 34,4% presentó sangrado. El 88,9% de los RN no presentó complicaciones durante la permanencia del PICC y el 4,5% se retiró por extravasación y flebitis. Conclusiones: Se reportan bajas tasas de complicaciones en la inserción y mantenimiento del PICC en RN debido a la experticia de las enfermeras de la UCI neonatal.

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“…Central venous access devices, which are devices that are inserted into a vein that leads directly to the superior vena cava, right atrium, or inferior vena cava, have been extensively used in premature and ill neonates, [1][2][3] because they provide long-term, stable venous access to infuse nutritional solutions, intravenous fluids, and medications in the neonatal intensive care unit (NICU). 4,5 Epicutaneo-caval catheters (ECCs) are central venous access devices, which are widely used in neonates, especially in preterm infants, and are inserted through superficial, palpable, and visible veins. 6 Neonates in the NICU who have had long periods of peripheral venous fluid infusion prior to catheterization may have difficult ECC access.…”

Section: Introductionmentioning

confidence: 99%

Distal superficial femoral vein versus axillary vein central catheter placement under ultrasound guidance for neonates with difficult access: A randomized clinical trial

Tan

Liu

et al. 2021

J Vasc Access

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Background: Epicutaneo-caval catheters (ECCs) are extensively used in premature and ill neonates. This prospective, randomized, observational study aimed to compare the outcomes of ECC placement in the distal superficial femoral and axillary veins in neonates with difficult ECC access. Methods: In a neonatal intensive care unit at a tertiary referral center, 60 neonates with difficult ECC access were randomized into two groups with catheters placed using the ultrasound-guided modified dynamic needle tip positioning (MDNTP) technique: distal superficial femoral vein (DSFV) and axillary vein (AV) groups. Results: The first attempt success rate was significantly higher in the DSFV group than in the AV group [23/30 (76.7%) vs 11/30 (36.7%), p = 0.001; odds ratio (OR), 0.176; 95% confidence interval (CI) 0.057–0.543]. The mean procedural duration was significantly shorter in the DSFV group than in the AV group [mean: 308.5 (standard deviation: 81.1) s vs 522.74 (134.8) s, t = −7.17, p < 0.001]. The incidence of complications was significantly lower in the DSFV group than in the AV group [4/30 (13.3%) vs 12/30 (40.0%), p = 0.019; OR, 4.333; 95% CI 1.203–15.604]. The number of attempts was significantly fewer in the DSFV group than in the AV group ( p = 0.012). Conclusions: The distal superficial femoral and axillary veins are two alternative and safe access points for ECC placement in premature neonates (weight < 2.5 kg) with difficult access. However, access through the distal superficial femoral vein was quicker, easier, and had fewer complications than through the axillary vein.

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Peripherally inserted central catheters optimize nutrient intake in moderately preterm infants

Cited by 14 publications

References 25 publications

The efficacy and safety of peripheral intravenous parenteral nutrition vs 10% glucose in preterm infants born 30 to 33 weeks’ gestation: a randomised controlled trial

The efficacy and safety of peripheral intravenous parenteral nutrition vs 10% glucose in preterm infants born 30 to 33 weeks’ gestation: a randomised controlled trial

Práctica De Enfermería en La Inserción Y Mantenimiento Del Catéter Percutáneo en Neonatos De Un Hospital Público, Callao, 2010-2015

Distal superficial femoral vein versus axillary vein central catheter placement under ultrasound guidance for neonates with difficult access: A randomized clinical trial

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