The Extended Dwell Peripheral Intravenous Catheter Is an Alternative Method of NICU Intravenous Access

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
Kimberlee B ChenowethBelinda Chan

Abstract

Establishing vascular access is a common neonatal intensive care unit procedure. The extended dwell peripheral intravenous (EPIV) catheter is a 6-cm and 8-cm silicone catheter for peripheral vein insertion, which is a newer vascular access device than peripherally inserted central catheters (PICCs) and peripheral intravenous (PIV) catheter. Extended dwell peripheral intravenous catheters have been widely used in adults but evidence in neonates is lacking. To explore indwell time, success rate, catheter-associated complications, and cost among EPIV catheters, PICCs, and PIV catheters in neonates. We retrospectively compare patient demographics, indwell time, success rate, and catheter-associated complications, and analyze the rate of hyaluronidase-treated intravenous (IV) fluid extravasation on neonates who had an EPIV catheter, a PICC, or a PIV catheter in a level III neonatal intensive care unit. We also estimate the insertion cost of these 3 vascular access devices on the basis of our hospital charges. Extended dwell peripheral intravenous catheters were inserted in 432 neonates with an indwell time of 4.0 ± 2.3 (mean ± SD) days. Peripherally inserted central catheters were inserted in 202 neonates with an average indwell tim...Continue Reading

References

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Citations

Dec 30, 2020·Critical Care Medicine·Sandeep TripathiShubhi Kaushik
Dec 1, 2018·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
Nov 4, 2020·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Jennie Ong, Ruth Van Gerpen
Feb 24, 2021·The Journal of Vascular Access·Tiroumourougane Serane VBhuvaneswari Kothendaraman
Nov 19, 2021·The Journal of Vascular Access·Maria Grazia RomittiFrancesco Maria Risso
Jun 24, 2021·Deutsches Ärzteblatt International·Roslind HackenbergKristian Welle

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