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Journal articles on the topic 'Neonatal catheter'

Author: Grafiati

Published: 4 June 2021

Last updated: 15 February 2022

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1

Amer, Aya, Roland S. Broadbent, Liza Edmonds, and Benjamin J. Wheeler. "Central Venous Catheter-Related Tachycardia in the Newborn: Case Report and Literature Review." Case Reports in Medicine 2016 (2016): 1–4. http://dx.doi.org/10.1155/2016/6206358.

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Central venous access is an important aspect of neonatal intensive care management. Malpositioned central catheters have been reported to induce cardiac tachyarrhythmia in adult populations and there are case reports within the neonatal population. We present a case of a preterm neonate with a preexisting umbilical venous catheter (UVC), who then developed a supraventricular tachycardia (SVT). This was initially treated with intravenous adenosine with transient reversion. Catheter migration was subsequently detected, with the UVC tip located within the heart. Upon withdrawal of the UVC and a f

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2

Shannon, Dorothy. "Central Venous Catheter-Induced Pericardial Effusion in a Neonate: A Case Study and Recommendations for Practice." Neonatal Network 33, no. 6 (2014): 341–48. http://dx.doi.org/10.1891/0730-0832.33.6.341.

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ABSTRACTPericardial effusion (PCE) and tamponade as a complication of central venous catheters (CVCs) continues to occur in the neonatal population. It is imperative that clinicians managing neonates with CVCs practice vigilance regarding proper catheter tip location. Furthermore, it is of equal importance that clinicians have a high index of suspicion regarding the catheter tip location any time a neonate with a CVC has a clinical deterioration. It is clear that the ultimate outcome of PCE depends on rapid identification and a quick response when pericardial tamponade occurs. PCE can occur an

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3

Trotter, Carol. "Why Are We Trimming Peripherally Inserted Central Venous Catheters?" Neonatal Network 23, no. 3 (2004): 82–83. http://dx.doi.org/10.1891/0730-0832.23.3.82.

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PERIPHERALLY INSERTED CENTRAL venous catheters (PICCs) are used as the standard of care for longterm intravenous access in neonates treated in neonatal intensive care units. Little evidence supports many of the practices associated with PICC lines, however. Some practices needing more evidence include catheter tip placement in very low birth weight neonates, the catheter insertion site, the catheter material, insertion site dressings, and mechanisms to prevent catheter-related sepsis. Of particular concern is the practice of trimming the excess length off the distal end of the catheter prior t

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Sharpe, Elizabeth. "Letters." Neonatal Network 28, no. 2 (2009): 123–24. http://dx.doi.org/10.1891/0730-0832.28.2.123.

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Ms. Shirland raises a valid concern regarding safe securement of the neonatal PICC catheter and its role in preventing catheter fracture and catheter embolism. Ms. Paulson and Ms. Miller’s response is appreciated [see the author’s response in Neonatal Network, November/December 2008, p. 427]. In Dislodgement Rates and Impact of Securement Methods for Peripherally Inserted Central Catheters (PICCs) in Children, Frey and Schears report methods of PICC securement include transparent dressings, skin closure strips, sutures, and catheter-specific securement devices.1 However, a specific procedure f

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5

Marshall, Michelle, and Carol Trotter. "Radiographic Assessment of Umbilical Venous and Arterial Catheter Tip Location." Neonatal Network 33, no. 4 (2014): 208–16. http://dx.doi.org/10.1891/0730-0832.33.4.208.

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Umbilical venous and arterial catheters are routinely used in the care of critically ill patients in neonatal intensive care settings. Providers caring for these vulnerable patients have a role in ensuring that catheter tips remain in an appropriate position. The ideal anatomic tip location for both types of umbilical catheters is reviewed, and the evaluation of this position via radiographic study is discussed. Umbilical venous catheters (UVCs) and umbilical arterial catheters (UACs) have their own different complications. Complications of a malpositioned catheter of either type can be life t

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6

Gilbert, Ruth, Michaela Brown, Rita Faria, et al. "Antimicrobial-impregnated central venous catheters for preventing neonatal bloodstream infection: the PREVAIL RCT." Health Technology Assessment 24, no. 57 (2020): 1–190. http://dx.doi.org/10.3310/hta24570.

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Background Clinical trials show that antimicrobial-impregnated central venous catheters reduce catheter-related bloodstream infection in adults and children receiving intensive care, but there is insufficient evidence for use in newborn babies. Objectives The objectives were (1) to determine clinical effectiveness by conducting a randomised controlled trial comparing antimicrobial-impregnated peripherally inserted central venous catheters with standard peripherally inserted central venous catheters for reducing bloodstream or cerebrospinal fluid infections (referred to as bloodstream infection

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7

Konstantinidi, Aikaterini, Rozeta Sokou, Polytimi Panagiotounakou, et al. "Umbilical Venous Catheters and Peripherally Inserted Central Catheters: Are They Equally Safe in VLBW Infants? A Non-Randomized Single Center Study." Medicina 55, no. 8 (2019): 442. http://dx.doi.org/10.3390/medicina55080442.

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Background and Objective: Peripherally inserted central catheters (PICC) and umbilical venous catheters (UVC) are frequently used for vascular access in neonatal intensive care units (NICUs). While there is a significant need for these devices for critically ill neonates, there are many complications associated with their use. We aimed at investigating the incidence of UVC and PICC complications in very low birth weight (VLBW) infants. Materials and Methods: This is an observational study performed with neonates of the tertiary General Hospital of Piraeus, Greece, during an 18 month-period. Se

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8

Shirland, Lee. "Letters." Neonatal Network 27, no. 6 (2008): 427. http://dx.doi.org/10.1891/0730-0832.27.6.427.

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I am writing concerning an article titled “Neonatal Peripherally Inserted Central Catheters: Recommendations for Prevention of Insertion and Postinsertion Complications,” published in Vol. 27, No. 4 (July/August 2008), pages 245– 257. Of concern are Figures 3 and 4 on page 253 titled securing the catheter with adhesive skin closure strips and looping the catheter. The instructions and pictures demonstrate how to secure the catheter using skin closure strips and show the strips placed over the catheter. This is of great concern. The manufacturer’s recommendations on BD L-Cath System state the f

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9

Elboraee, Mohamed, Jennifer Toye, Xiang Ye, Prakesh Shah, and Khalid Aziz. "Association between Umbilical Catheters and Neonatal Outcomes in Extremely Preterm Infants." American Journal of Perinatology 35, no. 03 (2017): 233–41. http://dx.doi.org/10.1055/s-0037-1606607.

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Objective The objective of this study was to examine the association between umbilical catheters and a composite outcome of mortality or major neonatal morbidity in extremely preterm infants. Study Design Data were abstracted from the Canadian Neonatal Network database for infants born at <29 weeks' gestational age and admitted to 29 neonatal intensive care units between January 2010 and December 2012. Four groups were identified: those with no umbilical catheters, umbilical venous catheters (UVCs), umbilical artery catheters (UACs), and those with both UVCs and UACs. The outcomes were comp

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10

Said, MM, O. Rivera, GT Mikesell, and K. Rais-Bahrami. "Evaluation of the new generation dual-lumen catheter for neonatal ECMO." Perfusion 28, no. 1 (2012): 26–30. http://dx.doi.org/10.1177/0267659112458136.

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Objectives: The purpose of this study was to compare the newly designed dual-lumen venovenous catheter (VR13, OriGen Biomedical, Austin, TX) with the current dual-lumen catheter (VV12, OriGen Biomedical). Methods: Five newborn lambs, 1 to 5 days old and weighing 4.2 ± 0.5 kg, were cannulated with the VV13 OriGen catheter and placed on extracorporeal membrane oxygenation (ECMO). ECMO flows were increased from 200 to 600 ml/min, with measurements taken after the changes. The experiment was then repeated using the VV12 catheter. Results: Recirculation values were equal for both catheters. The pre

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11

Canci Tavares, Filomena, Maria AlBandari, and John Donnellan. "Peripherally Inserted Central Catheters in Children: A Prospective Single-Center Analysis of Associated Complications." Journal of the Association for Vascular Access 26, no. 3 (2021): 38–47. http://dx.doi.org/10.2309/java-d-20-00036.

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Highlights Abstract Objective: To assess performance of peripherally inserted central catheters (PICCs) in pediatric patients Design: Prospective observational study Setting: Academic pediatric tertiary referral center Study Population: Children aged less than 18 years with PICCs inserted in Interventional Radiology from January 2019 to June 2019 Outcome Measures: Number of catheters remaining in situ until completion of intended therapy; and for those removed prematurely, the type and rate of complications Results: A total of 88 PICCs (40 uncuffed, 48 cuffed) were inserted in 77 children. Ove

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Clark, Roberta. "Neonatal Thrombosis." Neonatal Network 23, no. 3 (2004): 57–68. http://dx.doi.org/10.1891/0730-0832.23.3.57.

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NEONATAL VASCULAR THROMBOSIS is rare; however, it is emerging as a more frequent problem in tertiary neonatal care.1Both the incidence and severity of thromboembolic events are increasing in children, with newborns being the largest group affected.2A 1995 Canadian study estimated that the incidence of clinically diagnosed cases of neonatal thrombosis was 2.4 per 1,000 admissions.3A two-year study published in Germany in 1997 reported 5.1 per 100,000 births.4The first study reported that thrombotic disease diagnosed in neonates is most commonly associated with the presence of an indwelling intr

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Curry, Sabra, Michele Honeycutt, Gail Goins, and Craig Gilliam. "Catheter-Associated Bloodstream Infections in the NICU: Getting to Zero." Neonatal Network 28, no. 3 (2009): 151–55. http://dx.doi.org/10.1891/0730-0832.28.3.151.

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The neonatal population is at a particularly high risk for catheter-associated bloodstream infections (CABSI). Chlorhexidine for skin antisepsis is well documented to effectively decrease the incidence of bloodstream infections associated with central venous catheters in other populations. The project described in this article demonstrates that chlorhexidine for central venous catheter insertion and line maintenance in the neonatal population safely and effectively reduces CABSI.

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14

Gopalan, Kavitha, Kamalarathnam C. N., and Ramya S. "Open versus closed peripheral intravenous catheters in neonates: a prospective comparative study." International Journal of Contemporary Pediatrics 6, no. 5 (2019): 1823. http://dx.doi.org/10.18203/2349-3291.ijcp20193097.

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Background: Open peripheral intravenous (IV) catheters have been routinely used in neonates. Closed catheters have resulted in a longer indwelling time and reduction in catheter related complications such as phlebitis in adults. However, there is paucity of data in neonates.Methods: We conducted this pilot study in a pre-post study design. Open catheters were used in the first phase and closed catheters in the second phase. Hundred babies requiring intravenous fluid therapy for at least 24 hours in this neonatal intensive care unit were included in each group. Indwelling time and the complicat

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15

Kotinatot, Suresh, Shiva Shankar, Muhammad Eyad Ba'Ath, and Munira Mahmoud Almaazmi. "Unexplained abdominal distention in a neonate: culprit femoral central venous line extravasation." BMJ Case Reports 12, no. 12 (2019): e232537. http://dx.doi.org/10.1136/bcr-2019-232537.

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Central venous lines are an essential part of neonatal intensive care and are used for infusion of medications and parenteral nutrition (PN). PN is usually given via either peripherally inserted central lines or umbilical venous lines. Occasionally, central venous catheters (CVCs) are inserted in the femoral veins. Extravasation of femoral venous catheter leading to ascites is a rare entity. This report describes the case of a neonate with a femoral CVC, who developed ascites as a result of extravasation of PN. Ascites resolved following the removal of the catheter.

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Ting, Joseph Y., Vicki SK Goh, and Horacio Osiovich. "Reduction of Central Line-Associated Bloodstream Infection Rates in a Neonatal Intensive Care Unit after Implementation of a Multidisciplinary Evidence-Based Quality Improvement Collaborative: A Four-Year Surveillance." Canadian Journal of Infectious Diseases and Medical Microbiology 24, no. 4 (2013): 185–90. http://dx.doi.org/10.1155/2013/781690.

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BACKGROUND: The use of central venous catheters has permitted lifesaving treatment for critically ill neonates; however, the attributable mortality rate for central line-associated bloodstream infections (CLABSIs) has been estimated to be between 4% and 20%. In 2006/2007, the authors’ neonatal intensive care unit (NICU) had a CLABSI rate that was nearly twofold higher than that reported by other Canadian NICUs.OBJECTIVE: To implement a quality improvement collaborative to reduce the incidence of neonatal CLABSI.METHODS: A retrospective observational study was performed to compare CLABSI in neo

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17

Taylor, Laura, Carlos S. Mamani-García, Alexandra Gutiérrez-Pingo, et al. "Infección metastásica por Staphylococcus aureus en neonatos: a propósito de un caso." Bionatura 3, no. 3 (2021): 2038–42. http://dx.doi.org/10.21931/rb/2021.06.03.25.

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Metastatic infection as an infrequent complication of Staphylococcus aureus bacteremia in neonates is challenging due to the limited literature. To report the clinical case of a premature neonate who developed a metastatic infection as a complication of S. aureus bacteremia. We present the case of a premature neonate admitted to the Neonatal Intensive Care Unit, diagnosed with bacterial sepsis, neonatal respiratory distress syndrome, and involvement by premature rupture of the membrane. A patch catheter was inserted, and he was successfully treated for E. coli bacteremia. He was re-admitted fo

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18

Corzine, Marie, and Lynne Willett. "Neonatal PICC: One Unit’s Six-Year Experience with Limiting Catheter Complications." Neonatal Network 29, no. 3 (2010): 161–73. http://dx.doi.org/10.1891/0730-0832.29.3.161.

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Safe dressing techniques for neonatal peripherally inserted central catheters (PICCs) remain controversial in the literature. This article describes one unit’s experience with the placement and management of 491 PICCs during a six-year period with more than 5,600 catheter days. The dressing technique described in this article differs from that seen in the literature with the addition of a protective base layer. Catheter complication rates are low, and catheter dressing changes are minimized with this dressing technique.

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Lambert, Isabella, Sergey Tarima, Michael Uhing, and Susan Cohen. "Risk Factors Linked to Central Catheter-Associated Thrombosis in Critically Ill Infants in the Neonatal Intensive Care Unit." American Journal of Perinatology 36, no. 03 (2018): 291–95. http://dx.doi.org/10.1055/s-0038-1667377.

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Objective Our study identified risk factors for the development of clinically identifiable catheter-associated thrombosis (CT). Study Design We performed a retrospective cohort study of neonates in whom a central catheter was present. A total of 1,475 catheters were identified in 766 patients during a 36-month study period. The odds ratio (OR) of thrombi formation in catheterized neonates was modeled using simple (single predictor) and multiple (multiple predictors) logistic regressions as well as simple and multiple Cox's proportional hazard models. Result The incidence of CT was 1.17 per 100

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Watkin, S. L., and T. J. Stephenson. "Embolization of a Percutaneous Central Venous Catheter." Clinical Pediatrics 33, no. 2 (1994): 126–27. http://dx.doi.org/10.1177/000992289403300215.

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Percutaneous central venous catheters are widely used in both pediatric and neonatal practice. Complications previously reported with these lines include sepsis, occlusion, limb swelling, catheter retention, and rupture on attempted removal. 1-4 We describe a case in which the catheter ruptured during routine use, with embolization of the distal part into the child's central venous system.

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21

Garland, Jeffery S., Colleen P. Alex, Jackie M. Sevallius, et al. "Cohort Study of the Pathogenesis and Molecular Epidemiology of Catheter-Related Bloodstream Infection in Neonates With Peripherally Inserted Central Venous Catheters." Infection Control & Hospital Epidemiology 29, no. 3 (2008): 243–49. http://dx.doi.org/10.1086/526439.

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Objective.To better define the pathogenesis of catheter-related bloodstream infection (BSI) in neonates with peripherally inserted central venous catheters (PICCs) to guide the development of more effective strategies for prevention.Design.Prospective nested cohort study.Setting.Level III neonatal intensive care unit in a community hospital.Methods.During a randomized trial to assess the safety and efficacy of a prophylactic vancomycin-heparin catheter-lock solution for the prevention of catheter-related BSI in neonates with PICCs, we performed cultures of peripheral and catheter-drawn blood s

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Paulson, Pamela, and Kellee Miller. "Neonatal Peripherally Inserted Central Catheters: Recommendations for Prevention of Insertion and Postinsertion Complications." Neonatal Network 27, no. 4 (2008): 245–57. http://dx.doi.org/10.1891/0730-0832.27.4.245.

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Peripherally inserted central catheters (PICCs) continue to be necessary in neonatal care. They benefit many premature infants and those needing long-term intravenous access. An experienced inserter, early recognition of PICC candidates, early PICC placement, knowledge of anatomy, and correct choice of vein all increase placement success. As with any invasive procedure, there are risks. These include pain, difficulty advancing the catheter, damage to vessels, catheter malposition, and bleeding. Utilizing assessment skills, following the product manufacturer’s instructions, and carefully placin

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Malde, Triya. "Neonatal Peripherally Inserted Central Catheters (PICCs): Complication Rates & Average Duration of Stay Related Catheter Tip Location." Pediatric Education and Research 8, no. 1 (2020): 19–24. http://dx.doi.org/10.21088/per.2321.1644.8120.3.

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Mahieu, Ludo M., Jozef J. De Dooy, Aimé O. De Muynck, Guillaume Van Melckebeke, Margareta M. Ieven, and Patrick J. Van Reempts. "Microbiology and Risk Factors for Catheter Exit-Site and -Hub Colonization in Neonatal Intensive Care Unit Patients." Infection Control & Hospital Epidemiology 22, no. 6 (2001): 357–62. http://dx.doi.org/10.1086/501913.

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AbstractObjective:To identify risk factors and describe the microbiology of catheter exit-site and hub colonization in neonates.Design:During a period of 2 years, we prospectively investigated 14 risk factors for catheter exit-site and hub colonization in 862 central venous catheters in a cohort of 441 neonates. Cultures of the catheter exit-site and hub were obtained using semiquantitative techniques at time of catheter removal.Setting:A neonatal intensive care unit at a university hospital.Results:Catheter exit-site colonization was found in 7.2% and hub colonization in 5.3%. Coagulase-negat

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devrim, İlker, Ferit Kulalı, İlknur Çağlar, et al. "582. Impact of Central Line Bundle for Prevention of Umbilical Vein Catheter-Related Bloodstream Infections in a Neonatal Intensive Care Unit." Open Forum Infectious Diseases 6, Supplement_2 (2019): S275. http://dx.doi.org/10.1093/ofid/ofz360.651.

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Abstract Background Umbilical vein catheters (UVC) are one of the most common types of vascular access device in the neonatal intensive care units. Central line-associated bloodstream infections were reported to be in the first place of healthcare-associated infections in preterm infants. In this study, we aimed to evaluate the effectiveness of the bundle applications in the prevention of umbilical vein catheter-associated bloodstream infections in neonates including premature infants. Methods This 40 months cross-sectional study included two periods, including pre-bundle period (from August 1

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Pettit, Janet. "Trimming of Peripherally Inserted Central Catheters: The End Result." Journal of the Association for Vascular Access 11, no. 4 (2006): 209–14. http://dx.doi.org/10.2309/java.11-4-13.

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Abstract A debate surfaced in the neonatal literature over two years ago questioning the safety and efficacy of trimming peripherally inserted central catheters (PICCs) prior to insertion. An investigation was undertaken to define the risks and benefits of doing so and evaluate the methods of trimming PICCs. When trimmed by 1 of 3 methods, conclusive evidence revealed that the method of catheter trimming affects the integrity of the catheter tip. Additional study is required to determine whether catheter tip alteration impacts patient outcomes.

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Park, Christina K., Bosco A. Paes, Kim Nagel, Anthony K. Chan, and Prashanth Murthy. "Neonatal central venous catheter thrombosis." Blood Coagulation & Fibrinolysis 25, no. 2 (2014): 97–106. http://dx.doi.org/10.1097/mbc.0b013e328364f9b0.

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Franceschi, Alessandra Tomazi, and Maria Luzia Chollopetz da Cunha. "Adverse Events Related to the Use of Central Venous Catheters in Hospitalized Newborns." Revista Latino-Americana de Enfermagem 18, no. 2 (2010): 196–202. http://dx.doi.org/10.1590/s0104-11692010000200009.

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This study identifies the adverse events related to the use of central venous catheters (CVC) in newborns admitted to a neonatal care unit. This is a quantitative, descriptive and retrospective study. The population consisted of 167 newborns admitted in the neonatal unit of the Hospital de Clínicas at Porto Alegre, RS, Brazil which used CVCs inserted through percutaneous puncture (PICC) and surgical insertion, totaling 241 catheters. There was a higher prevalence of mechanical adverse events in the PICC line insertions, with a preponderance of catheter occlusions (19.44%) and ruptures (8.8%).

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Tsai, Ming-Horng, Shih-Ming Chu, Reyin Lien, et al. "Complications Associated with 2 Different Types of Percutaneously Inserted Central Venous Catheters in Very Low Birth Weight Infants." Infection Control & Hospital Epidemiology 32, no. 3 (2011): 258–66. http://dx.doi.org/10.1086/658335.

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Objective.To identify the prevalence and risk factors for complications associated with percutaneously inserted central venous catheters (PICCs) and evaluate the effect of different catheter types and their indwelling time on catheter-related complications.Design.Retrospective cohort study.Setting.A 49-bed neonatal intensive-care teaching hospital in Taiwan.Patients.Between 2004 and 2007, 518 single-lumen PICCs (defined as “old type”) and 290 PICCs with a stiffening stylet and a thicker introducer (“new type”) were inserted in a total of 534 neonates with a birth body weight of 1,500 g or less

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Reyes Rueda, Elida Yesica, Melvis Arteaga de Vizcaino, Jorge Armando García Maldonado, Tania Diciana Arévalo-Córdova, and Diego Orlando Lanchi Zúñiga. "FLEBITIS EN NEONATOS EN UN HOSPITAL DE LA PROVINCIA DE EL ORO. MACHALA-ECUADOR." Enfermería Investiga 6, no. 4 (2021): 30. http://dx.doi.org/10.31243/ei.uta.v6i4.1201.2021.

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Introducción: La flebitis es la inflamación del sistema venoso, con frecuencia ocurre por el uso de catéteres vasculares. Objetivo: Establecer la relación entre la flebitis por catéter venoso periférico y la hospitalización prolongada en los recién nacidos ingresados en el Servicio de Neonatología del Hospital General Teófilo Dávila. Métodos: Estudio observacional, descriptivo, transversal y prospectivo, realizado en el Hospital General Teófilo, Cantón Machala, Ecuador señalado, durante el 2018–2019. La muestra fue de 87 neonatos y la información recogida permitió la caracterización de neonato

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Geffers, Christine, Anne Gastmeier, Frank Schwab, Katrin Groneberg, Henning Rüden, and Petra Gastmeier. "Use of Central Venous Catheter and Peripheral Venous Catheter as Risk Factors for Nosocomial Bloodstream Infection in Very-Low-Birth-Weight Infants." Infection Control & Hospital Epidemiology 31, no. 4 (2010): 395–401. http://dx.doi.org/10.1086/651303.

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Objective.To describe the relationship between the use of central and peripheral venous catheters and the risk of nosocomial, primary, laboratory-confirmed bloodstream infection (BSI) for neonates with a birth weight less than 1,500 g (very-low-birth-weight [VLBW] infants).Methods.Cox proportional hazard regression analysis with time-dependent variable was used to determine the risk factors for the occurrence of BSI in a cohort of VLBW infants. We analyzed previously collected surveillance data from the German national nosocomial surveillance system for VLBW infants. All VLBW infants in 22 par

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Kitano, Masataka. "Essential Catheter Interventions in Neonatal Period." Pediatric Cardiology and Cardiac Surgery 31, no. 1-2 (2015): 9–19. http://dx.doi.org/10.9794/jspccs.31.9.

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Linck, Deborah A., Ann Donze, and Aaron Hamvas. "Neonatal Peripherally Inserted Central Catheter Team." Advances in Neonatal Care 7, no. 1 (2007): 22–29. http://dx.doi.org/10.1097/00149525-200702000-00009.

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Semelsberger, Carrie. "Educational Interventions to Reduce the Rate of Central Catheter–Related Bloodstream Infections in the NICU: A Review of the Research Literature." Neonatal Network 28, no. 6 (2009): 391–95. http://dx.doi.org/10.1891/0730-0832.28.6.391.

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Catheter–related bloodstream infections (CR-BSIs) are a significant cause of morbidity and mortality in the NICU, occurring at rates ranging from 11.3 per 1,000 catheter days in infants <1,000 g to 4 per 1,000 catheter days in infants >2,500 g. Cost-effective and successful educational interventions aimed at nurses have been shown to decrease CR-BSIs with adults, but no such studies address neonatal nurses. This literature review examined how educational interventions could help neonatal nurses reduce infection rates in patients with central venous catheters. Four databases were searched

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Yu, Xiaohe, Shaojie Yue, Mingjie Wang, et al. "Risk Factors Related to Peripherally Inserted Central Venous Catheter Nonselective Removal in Neonates." BioMed Research International 2018 (May 30, 2018): 1–6. http://dx.doi.org/10.1155/2018/3769376.

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We aimed to investigate the incidence and risk factors associated with nonselective removal of peripherally inserted central venous catheter (PICC) in neonates. In this prospective cohort study, neonates who underwent PICC placement at neonatal intensive care units (NICUs) in China from October 2012 to November 2015 were included. The patient demographics, catheter characteristics, catheter duration, PICC insertion site, indication for PICC insertion, infuscate composition, PICC tip location, and catheter complications were recorded in a computerized database. Risk factors for nonselective rem

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Revel-Vilk, Shoshana. "Neonatal haemostasis." Hämostaseologie 36, no. 04 (2016): 261–64. http://dx.doi.org/10.5482/hamo-15-11-0032.

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SummaryThe maturation and postnatal development of the human coagulation system results in significant and important differences in the coagulation and fibrinolysis of neonates and young children compared to older children and adults. Importantly, these differences, which mostly reflect the immaturity of the neonatal haemostasis system, are functionally balanced. Healthy neonates show no signs of easy bruising or other bleeding diathesis and no increased tendency to thrombosis for any given stimulus compared to adults.Systemic diseases may affect haemostasis, thus predisposing ill neonates to

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Capasso, Antonella, Rossella Mastroianni, Annalisa Passariello, et al. "The intracavitary electrocardiography method for positioning the tip of epicutaneous cava catheter in neonates: Pilot study." Journal of Vascular Access 19, no. 6 (2018): 542–47. http://dx.doi.org/10.1177/1129729818761292.

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Purpose: The neonatologists of Sant’Anna and San Sebastiano Hospital of Caserta have carried out a pilot study investigating the safety, feasibility, and accuracy of intracavitary electrocardiography for neonatal epicutaneous cava catheter tip positioning. Patients and methods: We enrolled 39 neonates (1–28 days of postnatal age or correct age lower than 41 weeks) requiring epicutaneous cava catheter in the district of superior vena cava (head–neck or upper limbs). Intracavitary electrocardiography was applicable in 38 neonates. Results: No significant complications related to intracavitary el

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Costa, Priscila, Amélia Fumiko Kimura, Debra Huffman Brandon, Eny Dorea Paiva, and Patricia Ponce de Camargo. "The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns." Revista Latino-Americana de Enfermagem 23, no. 3 (2015): 475–82. http://dx.doi.org/10.1590/0104-1169.0491.2578.

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OBJECTIVE: to develop a risk score for unplanned removal of peripherally inserted central catheter in newborns.METHOD: prospective cohort study conducted in a neonatal intensive care unit with newborn babies who underwent 524 catheter insertions. The clinical characteristics of the newborn, catheter insertion and intravenous therapy were tested as risk factors for the unplanned removal of catheters using bivariate analysis. The risk score was developed using logistic regression. Accuracy was internally validated based on the area under the Receiver Operating Characteristic curve.RESULTS: the r

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Patricia Catudal, J. "A Fragmented Catheter in a Neonatal Patient." Journal of Vascular Access Devices 7, no. 2 (2002): 42–43. http://dx.doi.org/10.2309/108300802775703568.

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Emmel, Mathias, Narayanswami Sreeram, and Konrad Brockmeier. "Radiofrequency catheter ablation of symptomatic neonatal rhabdomyoma." Cardiology in the Young 16, no. 1 (2006): 97–98. http://dx.doi.org/10.1017/s1047951105002209.

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Rushforth, J. A., C. Wood, M. W. Quinn, and J. W. L. Puntis. "Which central venous catheter for neonatal use?" Clinical Nutrition 11, no. 6 (1992): 365–67. http://dx.doi.org/10.1016/0261-5614(92)90088-8.

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Acun, C., A. Baker, L. S. Brown, K. A. Iglesia, and J. Sisman. "Peripherally inserted central cathether migration in neonates: Incidence, timing and risk factors." Journal of Neonatal-Perinatal Medicine 14, no. 3 (2021): 411–17. http://dx.doi.org/10.3233/npm-200684.

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BACKGROUND: PICC line use is a common practice in neonatal units, but it is associated with various complications. Catheter migration is the most common complication in neonates. Periodic imaging is recommended to monitor the tip position of the PICCs, but the optimal frequency is undetermined. The incidence, timing and risk factors that are associated with PICC migration have not been fully investigated beyond 24 hrs in neonates. The aim of the study was to determine the incidence, timing and risk factors that are associated with peripherally inserted central venous catheter (PICC) migration

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Smith, P. Brian, Daniel K. Benjamin, C. Michael Cotten, et al. "Is an Increased Dwell Time of a Peripherally Inserted Catheter Associated With an Increased Risk of Bloodstream Infection in Infants?" Infection Control & Hospital Epidemiology 29, no. 8 (2008): 749–53. http://dx.doi.org/10.1086/589905.

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Objective.To estimate the risk of bloodstream infection associated with catheter dwell time in infants.Design.Retrospective study.Setting.Duke University Medical Center neonatal intensive care unit, an academic, level 3 nursery in Durham, North Carolina.Methods.A case of catheter-associated bloodstream infection was defined as one that occurred in an infant whose culture-positive blood sample was collected more than 24 hours after catheter insertion or within 72 hours after catheter removal. We used multivariable logistic regression to control for the catheter's position and dwell time as well

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Safaee, Fariba, Mohammad Kazemian, Leili Borimnejad, and Marjan Rasouli. "Effects of a Care Package on the Shelf Life and Incidence of the Infection of Central Peripheral Venous Catheter in the Premature Infants Admitted to the NICU." Journal of Client-centered Nursing Care 6, no. 4 (2020): 231–38. http://dx.doi.org/10.32598/jccnc.6.4.169.7.

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Background: Neonates require continuous and reliable intravenous routes to receive fluids, intravenous nutrition, and medications; accordingly, repeated interventions are essential to implant these routes. Percutaneous catheterization is a technology used for this purpose. Considering that central line infections are a major concern in neonatal intensive care units (NICUs), the present study aimed to assess the effects of using a care package on the incidence of infections and shelf life of peripheral central catheterization in the premature infants admitted to the NICU. Methods: This quasi-ex

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Uygun, Ibrahim, Mehmet Hanifi Okur, Selcuk Otcu, and Hayrettin Ozturk. "Peripherally inserted central catheters in the neonatal period." Acta Cirurgica Brasileira 26, no. 5 (2011): 404–11. http://dx.doi.org/10.1590/s0102-86502011000500014.

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PURPOSE: Peripherally inserted central catheters (PICC) have been extensively used in neonates. However, insertion of these thinnest catheters is a very delicate procedure associated with a high failure rate. In our Neonatal Surgical Intensive Care Unit, we developed a very easy new PICC insertion and evaluated the neonates treated with PICCs which were inserted by using our technique as well as catheter features such as success rate, number of insertion attempts, reason for removal and complications. METHODS: Information was retrospectively collected on all 40 PICCs inserted at Kutahya Evliya

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Ratchagame, Vicknesh, and Vetriselvi Prabakaran. "Comparison of Risks from Central Venous Catheters and Peripheral Intravenous Lines among Term Neonates in a Tertiary Care Hospital, India." Journal of Caring Sciences 10, no. 2 (2021): 57–61. http://dx.doi.org/10.34172/jcs.2021.012.

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Abstract Introduction: Venous access in neonates is a basic yet critical component in neonatal intensive care unit (NICU). Central venous access and peripheral intravenous access are mostly preferred for delivering medications and intravenous fluids. This study aimed to compare the risks involved in central venous catheters and peripheral intravenous lines among term neonates. Methods: A prospective cohort study was carried out among 78 term neonates in the NICU of a tertiary care center in puducherry in India. Convenience sampling technique was used to enroll the neonates who met the inclusio

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Dirirsa, Dejene Edosa, Bekem Dibaba Degefa, and Alemayehu Dessale Gonfa. "Determinants of neonatal sepsis among neonates delivered in Southwest Ethiopia 2018: A case-control study." SAGE Open Medicine 9 (January 2021): 205031212110270. http://dx.doi.org/10.1177/20503121211027044.

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Introduction: Neonatal sepsis is one of the principal causes of neonatal morbidity and mortality. In spite of interventions with different preventive methods, the burden of neonatal sepsis is being reported in different parts of Ethiopia. For further interventions, identifying its determinants is found to be essential. Objective: The study aimed to assess the determinants of neonatal sepsis among neonates delivered in Southwest Ethiopia in 2018. Methods: A hospital-based case-control study was conducted in Southwest Ethiopia from May 2018 to August 2018. Systematic random sampling technique wa

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Weber, Mark D., Adam S. Himebauch, and Thomas Conlon. "Repositioning of malpositioned peripherally inserted central catheter lines with the use of intracavitary electrocardiogram: A pediatric case series." Journal of Vascular Access 21, no. 2 (2019): 259–64. http://dx.doi.org/10.1177/1129729819865812.

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Introduction: Peripherally inserted central catheter tip migration is an infrequent event that occurs in neonatal, pediatric, and adult patients. We discuss a novel technique of utilizing intracavitary electrocardiogram to help confirm proper peripherally inserted central catheter tip repositioning, thereby reducing the need for serial radiographs. Case presentation: A case series of four patients will be discussed. The first three patients had peripherally inserted central catheter tips that were initially appropriately positioned but had later peripherally inserted central catheter tip migra

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Clarke, Paul, Jean V. Craig, John Wain, et al. "Safety and efficacy of 2% chlorhexidine gluconate aqueous versus 2% chlorhexidine gluconate in 70% isopropyl alcohol for skin disinfection prior to percutaneous central venous catheter insertion in preterm neonates: the ARCTIC randomised-controlled feasibility trial protocol." BMJ Open 9, no. 2 (2019): e028022. http://dx.doi.org/10.1136/bmjopen-2018-028022.

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IntroductionCatheter-related sepsis is one of the most dangerous complications of neonatal intensive care and is associated with significant morbidity and mortality. Use of catheter-care ‘bundles’ has reduced the incidence of catheter-related sepsis, although individual components have not been well studied. Better evidence is needed to guide selection of the most appropriate antiseptic solution for skin disinfection in preterm neonates. This study will inform the feasibility and design of the first randomised controlled trial to examine the safety and efficacy of alcohol-based versus aqueous-

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Daly, Tara M., and Constance Girgenti. "Impacting Neonatal Patient Care: Reducing Needle Sticks, with an Extended Dwell Catheter." Journal of the Association for Vascular Access 26, no. 3 (2021): 12–18. http://dx.doi.org/10.2309/java-d-21-00008.

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Highlights Abstract Background: The use and efficacy of extended dwell peripheral intravenous catheters (EPIVs) has been extensively described at scientific conferences and in recent literature. The ramifications of repeated needle sticks include damage to vessels and ultimately the need for more invasive and costly access devices, which clearly support the need for reliable forms of vascular access. Methods: This quality improvement project spanned 4 years, 2017 through 2020, and included 128 patients who required a peripherally inserted catheter as their primary or secondary access site for

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