Seldinger Technique as an Alternative Approach for Percutaneous Insertion of Hydrophilic Polyurethane Central Venous Catheters in Newborns

Abstract

The use of hydrophilic central venous catheters, percutaneously inserted by means of the Seldinger technique, was evaluated in this prospective study. Between 1988 and 1991, 138 catheters were inserted in newborns who were admitted to our neonatal intensive care unit. An adequate position of the tip, evaluated radiographically, was achieved in 130 (94.2%) of these insertions. The side effects associated with these 130 catheters and the duration of their use were recorded. Results were compared with those of percutaneously inserted Silastic catheters described in the literature. The rate of adequate catheter placement seems comparable. Because of a high rate of minor mechanical complications, the mean catheter duration was rather short (8.3 days). However, the incidence of serious complications, especially infectious complications, was low. (Journal of Parenteral and Enteral Nutrition 19:151–155, 1995)

Peripheral insertion of double-lumen central venous catheter using the Seldinger technique in newborns

“…The greater stiffness and size of these 3 FG polyurethane catheters probably explain the high incidence of mechanical complications (phlebitis/edema) similar to that reported by Valk et al, 5 and somewhat higher than that of silicone PICC. 11 Accidental dislodgment of the catheters occurred in 3.25% of the cases.…”

“…We have found only in Valk et al 5 in 1995 the reference of the insertion of PICC using the Seldinger technique in newborn infants, and none with PIDLCC. Since the introduction of a new catheter model in 1993, we considered of interest to report our initial experience with this procedure that offers a new alternative to the currently available methods for venous access.…”

“…5 Although peripheral insertion double-lumen central catheters (PIDLCC) have been used in children aged 1.7 to 13.8 years, 6 only since the end of 2003 have catheters with appropriate characteristics for neonatal use been available in our NICU.…”

Incidence of deep vein thrombosis related to peripherally inserted central catheters in children and adolescents

“…The risk of deep vein thrombosis related to peripherally inserted central catheters could be greater among children and adolescents than among adults, given the size of the veins. Several studies have published complications related to peripherally inserted central catheters, [12][13][14][15][16][17][18][19][20] but few focused on the pediatric population. [13][14][15][16][17][18][19][20][21] Furthermore, in all of these studies, screening for deep vein thrombosis was not systematic.…”

Displacement and extravascular position of a saphenous vein catheter: a serious complication

“…The rates of serious complications such as sepsis and thrombosis are low [5]. Recently malposition of a saphenous catheter into the spinal canal was seen in a preterm infant who presented with suspected septicaemia.…”