An Observational Study on the Use of Peripheral Intravenous Lines vs. Central Lines in a Neonatal Intensive Care Unit.
gestational age
head circumference
newborn infants
peripheral and central intravenous lines
weight
Journal
Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936
Informations de publication
Date de publication:
18 Sep 2022
18 Sep 2022
Historique:
received:
05
08
2022
revised:
01
09
2022
accepted:
03
09
2022
entrez:
23
9
2022
pubmed:
24
9
2022
medline:
24
9
2022
Statut:
epublish
Résumé
There is a debate regarding the preferred intravenous (IV) access for newborns. Our aim was to study practices regarding the choice of vascular access and outcomes. A seven-month prospective observational study on IV lines used in all newborns admitted to Bnai Zion Medical Center's neonatal intensive care unit (NICU). Of 120 infants followed, 94 required IV lines. Infants born at ≤32 weeks gestation, or with a head circumference ≤29 cm were more likely to require two or more IV lines or a central line for the administration of parenteral nutrition or medications for longer periods. However, central lines (umbilical or peripherally inserted central catheters (PICC)) were not associated with better nutritional status at discharge based on weight z-scores. Only one complication was noted-a central line-associated bloodstream infection in a PICC. Our data suggest preferring central IV access for preterm infants born at ≤32 weeks or with a head circumference ≤29 cm. We encourage other NICUs to study their own data and draw their practice guidelines for preferred IV access (central vs. peripheral) upon admission to the NICU.
Sections du résumé
BACKGROUND AND OBJECTIVES
OBJECTIVE
There is a debate regarding the preferred intravenous (IV) access for newborns. Our aim was to study practices regarding the choice of vascular access and outcomes.
METHODS
METHODS
A seven-month prospective observational study on IV lines used in all newborns admitted to Bnai Zion Medical Center's neonatal intensive care unit (NICU).
RESULTS
RESULTS
Of 120 infants followed, 94 required IV lines. Infants born at ≤32 weeks gestation, or with a head circumference ≤29 cm were more likely to require two or more IV lines or a central line for the administration of parenteral nutrition or medications for longer periods. However, central lines (umbilical or peripherally inserted central catheters (PICC)) were not associated with better nutritional status at discharge based on weight z-scores. Only one complication was noted-a central line-associated bloodstream infection in a PICC.
CONCLUSIONS
CONCLUSIONS
Our data suggest preferring central IV access for preterm infants born at ≤32 weeks or with a head circumference ≤29 cm. We encourage other NICUs to study their own data and draw their practice guidelines for preferred IV access (central vs. peripheral) upon admission to the NICU.
Identifiants
pubmed: 36138722
pii: children9091413
doi: 10.3390/children9091413
pmc: PMC9498162
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Pediatrics. 2009 May;123(5):1337-43
pubmed: 19403500
Eur J Clin Nutr. 2007 Dec;61(12):1380-5
pubmed: 17299469
Best Pract Res Clin Anaesthesiol. 2010 Sep;24(3):403-18
pubmed: 21033016
Medicina (Kaunas). 2019 Aug 06;55(8):
pubmed: 31390790
Pediatrics. 2017 Jun;139(6):
pubmed: 28562270
BMC Nurs. 2017 Jun 15;16:33
pubmed: 28638278
J Pediatr Health Care. 2010 May-Jun;24(3):184-8
pubmed: 20417890
Adv Neonatal Care. 2017 Jun;17(3):209-221
pubmed: 28045704
Adv Neonatal Care. 2011 Apr;11(2):122-8
pubmed: 21730901
J Microbiol Immunol Infect. 2016 Apr;49(2):230-6
pubmed: 25066708
J Trop Pediatr. 2017 Oct 1;63(5):374-379
pubmed: 28077611
Early Hum Dev. 2016 Mar;94:25-30
pubmed: 26894665
Cochrane Database Syst Rev. 2015 Oct 06;(10):CD004219
pubmed: 26439610
J Pediatr. 2016 Jun;173:108-15
pubmed: 27056450
Pediatrics. 2005 Jun;115(6):1513-8
pubmed: 15930211
J Patient Saf. 2019 Dec;15(4):293-295
pubmed: 26558650
JPEN J Parenter Enteral Nutr. 2013 Mar;37(2):223-8
pubmed: 22664861
J Pediatr. 2017 Feb;181:29-36.e1
pubmed: 27837953
J Pediatr Surg. 2000 Jul;35(7):1040-4
pubmed: 10917292
Pediatrics. 2006 Jul;118(1):e25-35
pubmed: 16785289
Nutrients. 2012 Oct 16;4(10):1490-503
pubmed: 23201767