Cyanoacrylate glue as part of a new bundle to decrease neonatal PICC-related complications.

CLABSI Central venous catheter Glue NICU Neonate PICC Securement

Journal

European journal of pediatrics
ISSN: 1432-1076
Titre abrégé: Eur J Pediatr
Pays: Germany
ID NLM: 7603873

Informations de publication

Date de publication:
10 Oct 2023
Historique:
received: 27 07 2023
accepted: 02 10 2023
revised: 01 10 2023
medline: 11 10 2023
pubmed: 11 10 2023
entrez: 10 10 2023
Statut: aheadofprint

Résumé

A "bundle" is defined as a combination of evidence-based interventions that, if followed collectively and reliably, improve patient outcomes. The aim of this quasi-experimental study, conducted in a level-III NICU in Belgium, was to assess the impact of central line dressing and maintenance bundle implementation on the rate of catheter-related mechanical complications. We performed a quality improvement (QI) project. Prior to bundle implementation, neonatal PICC lines were secured by Steri-Strip The implementation of the new bundle to secure neonatal PICCs in our NICU was associated with a significant reduction in CLABSI and dislodgment rates, without glue-related complications. Active surveillance of CVC placement procedure, positioning, and management, as well as analysis of related complications is crucial for improving patient safety. Continuous implementation of up-to-date central line bundles based on best practice recommendations is a key for quality improvement in NICUs. • Stable vascular access is crucial in the NICU. Neonatal PICC securement issues can have serious consequences and are associated with device failure. • Catheter securement with tissue adhesive is safe and effective in reducing failure and complication rates in the neonatal population.

Identifiants

DOI: 10.1007/s00431-023-05253-0 PMID: 37816981
pubmed: 37816981
doi: 10.1007/s00431-023-05253-0
pii: 10.1007/s00431-023-05253-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

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Auteurs

Fiammetta Piersigilli (F)

Division of Neonatology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Brussels, Belgium. Fiammetta.piersigilli@saintluc.uclouvain.be.
ORCID: 0000-0002-6581-2822

Giulia Iacona (G)

Faculty of Medicine, Imperial College London, London, UK.

Sarah Yazami (S)

Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium.

Katherine Carkeek (K)

Division of Neonatology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Brussels, Belgium.

Catheline Hocq (C)

Division of Neonatology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Brussels, Belgium.

Cinzia Auriti (C)

Saint Camillus International, University of Health Sciences, Rome, Italy.

Olivier Danhaive (O)

Division of Neonatology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Avenue Hippocrate 10, 1200, Brussels, Brussels, Belgium.
Division of Neonatology, Benioff Children's Hospital, University of California San Francisco, San Francisco, CA, USA.

Classifications MeSH