Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative technique
BackgroundEpicutaneo-cava catheter (ECC) is an ideal venous access for very low birth weight (VLBW) infants. However, because veins of VLBW infants are thin, ECC catheter is difficult to insert, and the success rate of puncture is low. This study aimed to use ECC with 24G indwelling needles to impro...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1172164/full |
| _version_ | 1797820527666003968 |
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| author | Qin Wang Feixiang Luo Xiaoyan Fan Xiaoying Cheng Xiaolu Ma Liping Shi Pei Zhang |
| author_facet | Qin Wang Feixiang Luo Xiaoyan Fan Xiaoying Cheng Xiaolu Ma Liping Shi Pei Zhang |
| author_sort | Qin Wang |
| collection | DOAJ |
| description | BackgroundEpicutaneo-cava catheter (ECC) is an ideal venous access for very low birth weight (VLBW) infants. However, because veins of VLBW infants are thin, ECC catheter is difficult to insert, and the success rate of puncture is low. This study aimed to use ECC with 24G indwelling needles to improve the outcomes of VLBW infants.MethodsThis retrospective study enrolled 121 VLBW infants (birthweight <1,500 g) who required ECC catheterization and were admitted to the Neonatal Intensive Care Unit of the Children's Hospital of Zhejiang University School of Medicine between January 2021 and December 2021. The patients were divided into the indwelling needle group and the conventional technique group according to the technique of ECC. The demographic and treatment data of the two groups were collected, and the success rate of first attempt cannulation of ECC and catheter-related complications of the two groups were analyzed and compared.ResultsThere were no significant differences in gender, age, and body weight between the two groups on the day of ECC insertion and venipuncture site. It can be seen through model analysis that the success rate of first-attempt cannulation of ECC in the indwelling needle group was significantly higher than in the conventional technique group. In contrast, average catheterization time and catheterization-related bleeding risk in the indwelling needle group were significantly lower than in the conventional technique group (p = 0.00,and 0.00, respectively). Infection during catheter placement, indwelling catheter duration and catheter-related infection between the two groups (p > 0.05).ConclusionApplication of ECC with 24G indwelling needles in VLBW infants can improve the success rate of first attempt cannulation of ECC, reduce the time of catheterization and the risk of bleeding, which may be popularized for widespread application. |
| first_indexed | 2024-03-13T09:39:43Z |
| format | Article |
| id | doaj.art-9a4bcef4f3d44d0091aafd047da3ee81 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-13T09:39:43Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-9a4bcef4f3d44d0091aafd047da3ee812023-05-25T04:44:09ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-05-011110.3389/fped.2023.11721641172164Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative techniqueQin Wang0Feixiang Luo1Xiaoyan Fan2Xiaoying Cheng3Xiaolu Ma4Liping Shi5Pei Zhang6NICU, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNICU, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNICU, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaQuality Management Office, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNICU, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNICU, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaNICU, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaBackgroundEpicutaneo-cava catheter (ECC) is an ideal venous access for very low birth weight (VLBW) infants. However, because veins of VLBW infants are thin, ECC catheter is difficult to insert, and the success rate of puncture is low. This study aimed to use ECC with 24G indwelling needles to improve the outcomes of VLBW infants.MethodsThis retrospective study enrolled 121 VLBW infants (birthweight <1,500 g) who required ECC catheterization and were admitted to the Neonatal Intensive Care Unit of the Children's Hospital of Zhejiang University School of Medicine between January 2021 and December 2021. The patients were divided into the indwelling needle group and the conventional technique group according to the technique of ECC. The demographic and treatment data of the two groups were collected, and the success rate of first attempt cannulation of ECC and catheter-related complications of the two groups were analyzed and compared.ResultsThere were no significant differences in gender, age, and body weight between the two groups on the day of ECC insertion and venipuncture site. It can be seen through model analysis that the success rate of first-attempt cannulation of ECC in the indwelling needle group was significantly higher than in the conventional technique group. In contrast, average catheterization time and catheterization-related bleeding risk in the indwelling needle group were significantly lower than in the conventional technique group (p = 0.00,and 0.00, respectively). Infection during catheter placement, indwelling catheter duration and catheter-related infection between the two groups (p > 0.05).ConclusionApplication of ECC with 24G indwelling needles in VLBW infants can improve the success rate of first attempt cannulation of ECC, reduce the time of catheterization and the risk of bleeding, which may be popularized for widespread application.https://www.frontiersin.org/articles/10.3389/fped.2023.1172164/fullECCVLBW24G indwelling needleconventional insertioncatheter |
| spellingShingle | Qin Wang Feixiang Luo Xiaoyan Fan Xiaoying Cheng Xiaolu Ma Liping Shi Pei Zhang Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative technique Frontiers in Pediatrics ECC VLBW 24G indwelling needle conventional insertion catheter |
| title | Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative technique |
| title_full | Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative technique |
| title_fullStr | Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative technique |
| title_full_unstemmed | Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative technique |
| title_short | Application of epicutaneo-cava catheters with 24G indwelling needles in very low birth weight infants: a safe and simple innovative technique |
| title_sort | application of epicutaneo cava catheters with 24g indwelling needles in very low birth weight infants a safe and simple innovative technique |
| topic | ECC VLBW 24G indwelling needle conventional insertion catheter |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1172164/full |
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