Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety
BackgroundCurrent European Guideline for resuscitation recommends a centrally positioned umbilical venous catheter as the best option for administering necessary drugs. Especially in preterm infants, a frequently used alternative is the peripheral venous catheter.MethodsTwo randomized controlled stu...
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| Format: | Article |
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Frontiers Media S.A.
2017-08-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fped.2017.00171/full |
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| author | Nariae Baik-Schneditz Nariae Baik-Schneditz Gerhard Pichler Gerhard Pichler Bernhard Schwaberger Bernhard Schwaberger Lukas Mileder Lukas Mileder Alexander Avian Berndt Urlesberger Berndt Urlesberger |
| author_facet | Nariae Baik-Schneditz Nariae Baik-Schneditz Gerhard Pichler Gerhard Pichler Bernhard Schwaberger Bernhard Schwaberger Lukas Mileder Lukas Mileder Alexander Avian Berndt Urlesberger Berndt Urlesberger |
| author_sort | Nariae Baik-Schneditz |
| collection | DOAJ |
| description | BackgroundCurrent European Guideline for resuscitation recommends a centrally positioned umbilical venous catheter as the best option for administering necessary drugs. Especially in preterm infants, a frequently used alternative is the peripheral venous catheter.MethodsTwo randomized controlled studies were conducted at the Division of Neonatology, Medical University of Graz. During neonatal resuscitation, a standardized protocol was filled out by an uninvolved observer including time points after birth of all attempts of venous puncture, time point of successful venous puncture, and total number of needed attempts. Arterial oxygen saturation (SpO2) and heart rate (HR) were measured using pulse oximetry at the right hand/wrist. In each neonate, either NIRO 200NX (Hamamatsu, Japan) or INVOS 5100C (Covidien-Medtronic, USA) were used to measure cerebral tissue oxygenation index (cTOI) and cerebral regional oxygen saturation (crSO2), respectively. SpO2, HR, and cTOI/crSO2 during and 1 min before and after successful venous punctures were analyzed.Results70 protocols were reviewed. Data of 61 preterm neonates were analyzed. Mean gestational age was 31.5 ± 2.2 weeks, and the mean birth weight was 1,527 ± 541 g. In median, it needed one attempt [interquartile range (IQR) 1–2] to establish a peripheral venous catheter. In median, intravenous (IV) catheterization was successfully established 5 (IQR 4–9) min after birth. SpO2 and cTOI/crSO2 rose significantly following the percentiles during the first 10 min after the birth. HR did not change significantly.ConclusionPeripheral IV catheterization during postnatal stabilization of preterm infants is feasible and successful in most of the cases at first attempt. |
| first_indexed | 2024-12-11T03:25:48Z |
| format | Article |
| id | doaj.art-b0d280d8baeb4c07ad154535a073ca66 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-11T03:25:48Z |
| publishDate | 2017-08-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Pediatrics |
| spelling | doaj.art-b0d280d8baeb4c07ad154535a073ca662022-12-22T01:22:32ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602017-08-01510.3389/fped.2017.00171272178Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and SafetyNariae Baik-Schneditz0Nariae Baik-Schneditz1Gerhard Pichler2Gerhard Pichler3Bernhard Schwaberger4Bernhard Schwaberger5Lukas Mileder6Lukas Mileder7Alexander Avian8Berndt Urlesberger9Berndt Urlesberger10Division of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaResearch Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaDivision of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaResearch Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaDivision of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaResearch Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaDivision of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaResearch Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Styria, AustriaDivision of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaResearch Unit for Neonatal Micro- and Macrocirculation, Department of Paediatrics, Medical University of Graz, Graz, Styria, AustriaBackgroundCurrent European Guideline for resuscitation recommends a centrally positioned umbilical venous catheter as the best option for administering necessary drugs. Especially in preterm infants, a frequently used alternative is the peripheral venous catheter.MethodsTwo randomized controlled studies were conducted at the Division of Neonatology, Medical University of Graz. During neonatal resuscitation, a standardized protocol was filled out by an uninvolved observer including time points after birth of all attempts of venous puncture, time point of successful venous puncture, and total number of needed attempts. Arterial oxygen saturation (SpO2) and heart rate (HR) were measured using pulse oximetry at the right hand/wrist. In each neonate, either NIRO 200NX (Hamamatsu, Japan) or INVOS 5100C (Covidien-Medtronic, USA) were used to measure cerebral tissue oxygenation index (cTOI) and cerebral regional oxygen saturation (crSO2), respectively. SpO2, HR, and cTOI/crSO2 during and 1 min before and after successful venous punctures were analyzed.Results70 protocols were reviewed. Data of 61 preterm neonates were analyzed. Mean gestational age was 31.5 ± 2.2 weeks, and the mean birth weight was 1,527 ± 541 g. In median, it needed one attempt [interquartile range (IQR) 1–2] to establish a peripheral venous catheter. In median, intravenous (IV) catheterization was successfully established 5 (IQR 4–9) min after birth. SpO2 and cTOI/crSO2 rose significantly following the percentiles during the first 10 min after the birth. HR did not change significantly.ConclusionPeripheral IV catheterization during postnatal stabilization of preterm infants is feasible and successful in most of the cases at first attempt.http://journal.frontiersin.org/article/10.3389/fped.2017.00171/fullpreterm neonatesintravenous accesspostnatal stabilizationarterial oxygen saturationcerebral oxygenation |
| spellingShingle | Nariae Baik-Schneditz Nariae Baik-Schneditz Gerhard Pichler Gerhard Pichler Bernhard Schwaberger Bernhard Schwaberger Lukas Mileder Lukas Mileder Alexander Avian Berndt Urlesberger Berndt Urlesberger Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety Frontiers in Pediatrics preterm neonates intravenous access postnatal stabilization arterial oxygen saturation cerebral oxygenation |
| title | Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety |
| title_full | Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety |
| title_fullStr | Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety |
| title_full_unstemmed | Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety |
| title_short | Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety |
| title_sort | peripheral intravenous access in preterm neonates during postnatal stabilization feasibility and safety |
| topic | preterm neonates intravenous access postnatal stabilization arterial oxygen saturation cerebral oxygenation |
| url | http://journal.frontiersin.org/article/10.3389/fped.2017.00171/full |
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