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

Qian, Sarah; Horn, Matthias; Barnes, Richard; Armstrong, David

doi:10.5301/jva.5000274

Cited by 14 publications

(41 citation statements)

References 4 publications

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“…The mean duration of the catheters was similar to our experience (mean 9.5 days±5.0 SD), but the reported rates of local complications were high without serious adverse outcomes. 20 …”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided placement of long peripheral cannulas in children over the age of 10 years admitted to the emergency department: a pilot study

Paladini

Chiaretti

Sellasie

et al. 2018

bmjpo

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ObjectivesMost children admitted to the emergency department (ED) require peripheral venous access (PVA), which is often difficult to perform or is unsuccessful. Ultrasound guidance helps with the placement of peripheral short cannulas (SC), but it has a limited cannula duration and a high risk of developing complications. The aim of this study was to compare success rates, dwell times and complications of peripheral venous long cannulas (LCs) inserted under ultrasound guidance with those of SCs in children.MethodsWe prospectively studied all children older than 10 years of age admitted to our paediatric ED requiring PVA for an expected therapy of more than 5 days. In children with difficult intravenous access (DIVA), after two unsuccessful attempts of ‘blind’ placement of SCs, LCs (20 G, 8 cm) were inserted in the deep veins of arms using ultrasound guidance and the direct Seldinger technique.ResultsLC placement (n=20) was successful in 100% of the cases. LC dwell time was 9.2±6.0 days, and most catheters were electively removed because they were no longer indicated. SC (n=20) placement showed a shorter dwell time duration, 3.2±2.1 days (p<0.0001), with complications occurring in 70% of the cases compared with 25% of cases in patients with LC (p=0.002). No local or major infectious complications were reported with LC placement.ConclusionsUltrasound-guided placement of LC was associated with a low risk of catheter failure and complications compared with the ‘blind’ placement of SC. LC placement may be considered a valid option in patients with DIVA requiring PVA in paediatric ED or in children who are candidates for infusion therapy expected to last longer than 5 days.

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“…The mean duration of the catheters was similar to our experience (mean 9.5 days±5.0 SD), but the reported rates of local complications were high without serious adverse outcomes. 20 …”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided placement of long peripheral cannulas in children over the age of 10 years admitted to the emergency department: a pilot study

Paladini

Chiaretti

Sellasie

et al. 2018

bmjpo

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“…PIVCs had higher success rates when inserted in the cephalic vein in the proximal forearm under USG techniques or the antecubital fossa 109,123 and a longer life span when inserted into the arm compared to scalp, hand, or leg insertion sites. 33 CVAD insertion via the axillary vein using USG techniques resulted in fewer insertion attempts and significantly shorter time to guidewire insertion and time to cannulation.…”

Section: Recommendations For Insertion Insertion Locationsmentioning

confidence: 96%

“…Despite the heterogeneity of reported populations, vessel preservation and complication prevention were the common themes when comparing PICC, short-and long-catheter PIVC, midline, tunneledcuffed CVAD, and totally implantable venous device indications. 16,32,90,109 Long-term PN Infusates CLABSI, occlusion, and thrombosis were common complications of longterm PN therapy across all VADs. 16,32 Peripheral devices (PIVCs and midlines) are unsafe for delivering PN because of the risk of venous damage 50,62,66 ; however, they may be indicated for limited time periods in hospitalized patients with restricted dextrose and protein concentrations (,10% and/or 5%, respectively).…”

Section: Congenital Cardiac Conditionsmentioning

confidence: 99%

“…Specifically, except for in one CPG, all peripheral devices (PIVCs and midlines) were regarded as inappropriate for longterm-dependent non-PN therapies, especially in patients with chronic renal failure. 56,62,66,76,109 Tunneled CVADs and totally implantable venous devices were instead preferred for non-PN therapies required for continuous or intermittent and extended durations, respectively. 56,62,66,76,103,109 Difficult Venous Access…”

Section: Congenital Cardiac Conditionsmentioning

confidence: 99%

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Selection and Insertion of Vascular Access Devices in Pediatrics: A Systematic Review

et al. 2020

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OBJECTIVE: To critically review the evidence for the selection and insertion of pediatric vascular access devices (VADs). DATA SOURCES: Data were sourced from the US National Library of Medicine, Cumulative Index to Nursing and Allied Health, the Cochrane Library databases, Embase, and international clinical trial databases. STUDY SELECTION: Clinical practice guidelines, systematic reviews, cohort designs, randomized control trials (RCTs), quasi RCTs, before-after trials, or case-control studies that reported on complications and/or risk as well as reliability of VADs in patients aged 0 to 18 years were included. DATA EXTRACTION: Articles were independently reviewed to extract and summarize details on the number of patients and catheters, population, age of participants, VAD type, study method, indication, comparators, and the frequency of VAD failure or complications. RESULTS: VAD selection and insertion decision-making in general hospitalized and some specialized patient populations were well evidenced. The use of single-lumen devices and ultrasound-guided techniques was also broadly supported. There was a lack of RCTs, and for neonates, cardiac patients, patients with difficult venous access, midline catheters, catheter-tovein ratio, and near-infrared devices, the lack of evidence necessitated broadening the review scope. LIMITATIONS: Limitations include the lack of formal assessment of the quality of evidence and the lack of RCTs and systematic reviews. Consequently, clinical decision-making in certain pediatric populations is not guided by strong, evidence-based recommendations. CONCLUSIONS: This is the first synthesis of available evidence for the selection and insertion of VADs in pediatric patients and is important for determining the appropriateness of VADs in pediatric patients. WHAT'S KNOWN ON THIS SUBJECT: Individual studies, systematic reviews, and focused clinical practice guidelines that evaluate vascular access devices (VADs) in various pediatric populations are available. However, to date, no systematic review examining the appropriateness, and inappropriateness, of VADs across common pediatric clinical scenarios exists. WHAT THIS STUDY ADDS: There is strong evidence to support and facilitate appropriate clinical decision-making in some pediatric indications. However, certain populations, device types and characteristics, and insertion procedures are poorly evidenced, necessitating the application of clinical judgment for VAD decision-making.

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“…These catheters may be inserted in the upper or lower extremities 8 and have been also called by other names: Scoppettuolo et al 9 define these vascular devices as 'short' midline devices and noted that they are also named 'midlines', without further differentiation. Although LPCs are routinely used in adults, there is little experience in children 8,10 and, to the best of our knowledge, there are no studies that have reported their use in paediatric surgery. Our aim was to clarify whether LPCs provide reliable medium-term venous access in children undergoing surgery avoiding repeat peripheral IV cannulas insertion and/or the need for PICC insertion.…”

mentioning

confidence: 99%

Use of 8-cm 22G-long peripheral cannulas in pediatric patients

2018

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

Abstract: Although limited by a small sample size, the results from this study are promising and suggest that 8 cm long catheters are a safe, effective and economical alternative to peripherally inserted central catheters (PICCs) in treating pulmonary exacerbations in children with CF.

Cited by 14 publications

References 4 publications

Ultrasound-guided placement of long peripheral cannulas in children over the age of 10 years admitted to the emergency department: a pilot study

Ultrasound-guided placement of long peripheral cannulas in children over the age of 10 years admitted to the emergency department: a pilot study

Selection and Insertion of Vascular Access Devices in Pediatrics: A Systematic Review

Use of 8-cm 22G-long peripheral cannulas in pediatric patients

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