Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey
Abstract Background Venous access during neonatal emergencies in the delivery room (DR) can be accomplished through an umbilical venous catheter (UVC) or an intraosseous (IO) access. Preference of one over the other is unclear. We wanted to evaluate practioners’ views. Methods An anonymous online qu...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-020-02294-4 |
| _version_ | 1819072274417844224 |
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| author | Bianca Haase Laila Springer Christian Friedrich Poets |
| author_facet | Bianca Haase Laila Springer Christian Friedrich Poets |
| author_sort | Bianca Haase |
| collection | DOAJ |
| description | Abstract Background Venous access during neonatal emergencies in the delivery room (DR) can be accomplished through an umbilical venous catheter (UVC) or an intraosseous (IO) access. Preference of one over the other is unclear. We wanted to evaluate practioners’ views. Methods An anonymous online questionnaire was circulated to healthcare professionals with different background and experience, all working in neonatal intensive care units in Germany. The web-based survey consisted of 13 questions and data collection was performed using an online tool. Results We received 502 completed questionnaires, 152 (30%) were from neonatologists, the remainder from residents, fellows and neonatal nurses. For resuscitation of term newborns in the DR 61% of neonatologists vs. 53% of non-neonatologists were in favour of UVC instead of an IO as an emergency access. UVC placement was rated (very) difficult to impossible by 60% of neonatologists and 90% of non-neonatologists (p < 0.05). All respondents cited lack of experience as the main reason for feeling reluctant to place an UVC or IO access, the latter only being taken into consideration in term infants. Conclusions UVC placement in the DR is rated more often difficult to use by non-neonatologists than by neonatologists, apparently related to lack of experience. IO access was only considered for resuscitating term infants due to lacking practice and missing approval for birth weights < 3000 g. Frequent training might improve these clinical skills. |
| first_indexed | 2024-12-21T17:35:07Z |
| format | Article |
| id | doaj.art-541b48727ebd481da9312f5e09f5adae |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-21T17:35:07Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-541b48727ebd481da9312f5e09f5adae2022-12-21T18:55:48ZengBMCBMC Pediatrics1471-24312020-08-012011710.1186/s12887-020-02294-4Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national surveyBianca Haase0Laila Springer1Christian Friedrich Poets2Department of Neonatology, University Children’s Hospital TuebingenDepartment of Neonatology, University Children’s Hospital TuebingenDepartment of Neonatology, University Children’s Hospital TuebingenAbstract Background Venous access during neonatal emergencies in the delivery room (DR) can be accomplished through an umbilical venous catheter (UVC) or an intraosseous (IO) access. Preference of one over the other is unclear. We wanted to evaluate practioners’ views. Methods An anonymous online questionnaire was circulated to healthcare professionals with different background and experience, all working in neonatal intensive care units in Germany. The web-based survey consisted of 13 questions and data collection was performed using an online tool. Results We received 502 completed questionnaires, 152 (30%) were from neonatologists, the remainder from residents, fellows and neonatal nurses. For resuscitation of term newborns in the DR 61% of neonatologists vs. 53% of non-neonatologists were in favour of UVC instead of an IO as an emergency access. UVC placement was rated (very) difficult to impossible by 60% of neonatologists and 90% of non-neonatologists (p < 0.05). All respondents cited lack of experience as the main reason for feeling reluctant to place an UVC or IO access, the latter only being taken into consideration in term infants. Conclusions UVC placement in the DR is rated more often difficult to use by non-neonatologists than by neonatologists, apparently related to lack of experience. IO access was only considered for resuscitating term infants due to lacking practice and missing approval for birth weights < 3000 g. Frequent training might improve these clinical skills.http://link.springer.com/article/10.1186/s12887-020-02294-4Delivery roomResuscitationUVC placementIntraosseous accessVenous access |
| spellingShingle | Bianca Haase Laila Springer Christian Friedrich Poets Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey BMC Pediatrics Delivery room Resuscitation UVC placement Intraosseous access Venous access |
| title | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
| title_full | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
| title_fullStr | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
| title_full_unstemmed | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
| title_short | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
| title_sort | evaluating practioners preferences regarding vascular emergency access in newborn infants in the delivery room a national survey |
| topic | Delivery room Resuscitation UVC placement Intraosseous access Venous access |
| url | http://link.springer.com/article/10.1186/s12887-020-02294-4 |
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