Securement of central venous catheters by subcutaneously anchored suturless devices in neonates.
Vito D'AndreaGiovanni BaroneLucilla PezzaGiorgia PronteraGiovanni VentoMauro PittirutiPublished in: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians (2021)
All neonates who required central venous catheters inserted via ultrasound-guided cannulation during 12 months of clinical practice in our NICU. We adopted SAS for securement of all central venous catheters inserted in neonates via ultrasound guided cannulation either of the brachio-cephalic vein (centrally inserted central catheters: CICC) or the femoral vein (femorally inserted central catheters: FICC). Results: seventy-two central catheters were inserted in 70 preterm and term neonates (3-4 Fr power injectable polyurethane catheters; 62 CICC + 10 FICC) and they were all secured with SAS. Mean postmenstrual age at the time of insertion was 31 weeks and mean weight was 1400 g. SAS was easy to place in all cases. The median duration of the line was 6 weeks. No accidental dislodgement of CICC or FICC was recorded. All SAS but one were left in place until elective removal of the catheter. In all patients, SAS removal was easy and uneventful, and it did not require any sedation or local anesthesia. Conclusions: SAS was effective in preventing accidental catheter dislodgement in 100% of cases. Complications during insertion, maintenance and removal were negligible.
Keyphrases
- ultrasound guided
- low birth weight
- preterm infants
- fine needle aspiration
- end stage renal disease
- gestational age
- clinical practice
- newly diagnosed
- extracorporeal membrane oxygenation
- ejection fraction
- chronic kidney disease
- weight loss
- intensive care unit
- peritoneal dialysis
- risk factors
- preterm birth
- patients undergoing
- prognostic factors
- body mass index
- body weight