Peripheral insertion of double-lumen central venous catheter using the Seldinger technique in newborns

Journal of Perinatology : Official Journal of the California Perinatal Association
T M BuenoJ Quero

Abstract

To report the experience of peripheral insertion of double-lumen central catheters (PIDLCC) in preterm and term newborn infants and to analyze the technical characteristics of the procedure and any observed complications. Retrospective review of 61 newborns that had a PIDLCC between 2003 and 2006. The study comprised clinical data analysis, anthropometrics, indications, duration, complications and reasons for withdrawal of the catheters. Weight of the patients was <1 kg in 10%, and >2 kg in 75%. Catheters tip placement was as aimed, mostly superior cava vein (SCV), in 65.5%, and subclavian vein in remaining 34.5% and average duration of catheterization was 13.5+/-9.6 and 8.9+/-5.8 days, respectively. Blood sampling through both lumens was possible especially when the tip was at SCV. Reasons for catheter withdrawal were end of indication (45.9%), phlebitis/edema (21.3%), suspected infection (3.2%), accidental withdrawal (3.2%) and rupture of proximal end (3.2%). In three (4.9%) patients, withdrawal was due to serious complications (two cases of pleural leakage of infusion fluid and one breakage of the metallic guide). About 16.3% of the patients died with the catheter still in situ. Infection findings were positive tip culture (...Continue Reading

References

Aug 23, 2001·Archives of Disease in Childhood. Fetal and Neonatal Edition·S P WardleN V Subhedar
Aug 9, 2003·Pediatric Surgery International·Michael D KleinPam Graham
Oct 23, 2004·Archives of Disease in Childhood. Fetal and Neonatal Edition·D W Cartwright
Feb 3, 2005·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Marianne KnueBrian R Jacobs
Apr 4, 2006·Médecine et maladies infectieuses·C LemariéB Branger
Jan 31, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·D WilsonK A Kennedy

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Citations

Oct 27, 2004·BMC Family Practice·Marje OonaHeidi-Ingrid Maaroos
Apr 13, 2013·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Priscila CostaAmélia Fumiko Kimura
Feb 16, 2016·British Journal of Nursing : BJN·Kevin Hugill
Oct 27, 2020·British Journal of Nursing : BJN·Kevin Hugill, Matheus van Rens

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