Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants

Objective Preterm babies are followed in neonatal intensive care units (NICU)  for long times, so they need long-term vascular access. For long-term vascular access umbilical vein catheters, central venous catheters and peripherally inserted central catheters (PICC) are used. In present study we aim...

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Main Authors: Naci Ceviz, Kadir Tekgündüz, Mustafa Kara
Format: Article
Language:English
Published: Sakarya University 2019-09-01
Series:Sakarya Tıp Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/807361
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author Naci Ceviz
Kadir Tekgündüz
Mustafa Kara
author_facet Naci Ceviz
Kadir Tekgündüz
Mustafa Kara
author_sort Naci Ceviz
collection DOAJ
description Objective Preterm babies are followed in neonatal intensive care units (NICU)  for long times, so they need long-term vascular access. For long-term vascular access umbilical vein catheters, central venous catheters and peripherally inserted central catheters (PICC) are used. In present study we aimed to evaluate the clinical features of newborn infants in whom PICC was inserted.Materials and Methods The medical records of the newborn infants in whom PICC had been inserted from June 2016 to June 2019 are evaluated retrospectively. Demographic features of the patients, reasons for PICC insertion, clinical features of the infants during PICC insertion, and complications of the application are recorded.Results The data of 151 PICC that were inserted in 129 newborn infants were collected. Antibiotic treatment was needed because of infections in 134 (88.7%) PICCs. In 72 (47.6%) of them sepsis was present before PICC insertion, and in 17 (11.2%) after PICC insertion.  No statistical difference was found in terms of the frequency of occlusion, leak and/or thrombophlebitis between patients in whom PICCs were inserted via the upper body veins and lower body veins, and right veins and left veins (p gt;0.05). Conclusion Our results indicate that the PICC application significantly decreases the number of peripheral vascular access attempts in newborn infants, long-term total parenteral nutrition (TPN) and antibiotic administration becomes possible and insertion from upper or lower extremity veins and right or left side veins does not affect the frequency of complications.
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spelling doaj.art-f880e05db3a94c749a270255137a37612024-01-21T07:40:13ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2019-09-019352252710.31832/smj.59827828Our Experiences with Peripherally Inserted Central Catheters in Newborn InfantsNaci Ceviz0Kadir Tekgündüz1Mustafa Kara2Atatürk University, Medicine FacultyAtatürk University, Medicine FacultyAtatürk University, Medicine FacultyObjective Preterm babies are followed in neonatal intensive care units (NICU)  for long times, so they need long-term vascular access. For long-term vascular access umbilical vein catheters, central venous catheters and peripherally inserted central catheters (PICC) are used. In present study we aimed to evaluate the clinical features of newborn infants in whom PICC was inserted.Materials and Methods The medical records of the newborn infants in whom PICC had been inserted from June 2016 to June 2019 are evaluated retrospectively. Demographic features of the patients, reasons for PICC insertion, clinical features of the infants during PICC insertion, and complications of the application are recorded.Results The data of 151 PICC that were inserted in 129 newborn infants were collected. Antibiotic treatment was needed because of infections in 134 (88.7%) PICCs. In 72 (47.6%) of them sepsis was present before PICC insertion, and in 17 (11.2%) after PICC insertion.  No statistical difference was found in terms of the frequency of occlusion, leak and/or thrombophlebitis between patients in whom PICCs were inserted via the upper body veins and lower body veins, and right veins and left veins (p gt;0.05). Conclusion Our results indicate that the PICC application significantly decreases the number of peripheral vascular access attempts in newborn infants, long-term total parenteral nutrition (TPN) and antibiotic administration becomes possible and insertion from upper or lower extremity veins and right or left side veins does not affect the frequency of complications.https://dergipark.org.tr/tr/download/article-file/807361periferden yerleştrilen santral kateterinfantyenidoğanyenidoğan yoğunbakım ünitesinicupiccperipherally inserted central catheterinfantneonatal intensive care unitnicupicc
spellingShingle Naci Ceviz
Kadir Tekgündüz
Mustafa Kara
Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants
Sakarya Tıp Dergisi
periferden yerleştrilen santral kateter
infant
yenidoğan
yenidoğan yoğunbakım ünitesi
nicu
picc
peripherally inserted central catheter
infant
neonatal intensive care unit
nicu
picc
title Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants
title_full Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants
title_fullStr Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants
title_full_unstemmed Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants
title_short Our Experiences with Peripherally Inserted Central Catheters in Newborn Infants
title_sort our experiences with peripherally inserted central catheters in newborn infants
topic periferden yerleştrilen santral kateter
infant
yenidoğan
yenidoğan yoğunbakım ünitesi
nicu
picc
peripherally inserted central catheter
infant
neonatal intensive care unit
nicu
picc
url https://dergipark.org.tr/tr/download/article-file/807361
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AT mustafakara ourexperienceswithperipherallyinsertedcentralcathetersinnewborninfants