A Study of Morbidity and Cost of Peripheral Venous Cannulation in Neonates Admitted to Paediatric Surgical Intensive Care Unit
Introduction: Peripheral venous access in sick neonates is indicated for administration of fluids, drugs or nutrients. Aim: We conducted an audit of peripheral venous access in neonates admitted to paediatric surgical intensive care unit to study the morbidity, time spent on cannulation and cost...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/9570/23600_CE[Ra1]_F(DK)_PF1(SG_SYGH)_PFA(RK)_PF2(P_NESY).pdf |
| Summary: | Introduction: Peripheral venous access in sick neonates is
indicated for administration of fluids, drugs or nutrients.
Aim: We conducted an audit of peripheral venous access in
neonates admitted to paediatric surgical intensive care unit to
study the morbidity, time spent on cannulation and cost with
its use.
Materials and Methods: One hundred consecutive neonates
requiring hospital admission to paediatric surgical intensive care
unit in a period of one year were included in the study. Peripheral
venous access was secured in all patients. We conducted an
audit for the number of venipuncture sites, wastage of cannulae,
cost, time spent on cannulation and morbidity with its use.
Neonates were divided into three groups depending on their
surgical intervention. Namely, Group A (thoracic procedures),
Group B (bowel surgery) and Group C (other surgery and nonoperative cases).
Results: In Group A, mean venepuncture sites were 10.66,
used cannulae were 5.6, wasted cannulae were 4.3, total cost
of cannulation was 870 rupees and 93.78 minutes were spent
in cannulation per neonate. In Group B, mean venepuncture
sites were 7.58, used cannulae were 4.35, wasted cannulae
were 2.59, total cost of cannulation was 603 rupees and 59.85
minutes were spent in cannulation per neonate. In Group C
mean venepuncture sites were 2.78, used cannulae were 2.9,
wasted cannulae were 0.57, total cost of cannulation was
232 rupees and 26.51 minutes were spent in cannulation per
neonate. Thrombophlebitis severity was greater in neonates
who had longer ICU stay and ventilator dependent days.
Conclusion: Peripheral venous cannulation of longer duration
is costly, time consuming, and associated with significant
neonatal morbidity. It may be worthwhile to consider alternative
vascular devices such as peripherally inserted central catheters
or central venous catheters in such situations. |
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| ISSN: | 2249-782X 0973-709X |