Search

Abstract:

Objective: This study aims to determine the frequency that umbilical venous catheters (UVCs) and peripherally inserted central catheters (PICCs) migrate into the cardiothymic silhouette after initial verification of correct placement.

[ctt tweet=”ReTweet if useful… Migration of central venous catheters in neonates http://ctt.ec/gy1Gz+ @ivteam #ivteam” coverup=”gy1Gz”]

Study Design: This is a single-center, retrospective study in neonates in whom a PICC or UVC was placed. The frequency of catheter tip migration into the cardiothymic silhouette requiring catheter manipulation was determined radiographically at 1 and 24 hours, respectively, after insertion.

Results: At 1 and 24 hours, 36 and 23% of UVCs (n = 41) migrated into the cardiothymic silhouette, respectively. At 1 and 24 hours, 23 and 11% of PICCs (n = 63) migrated into the cardiothymic silhouette, respectively. Migration was not associated with birth weight, weight at insertion, or postnatal age at insertion.

Conclusion: UVCs and PICCs frequently migrate into the cardiothymic silhouette increase the risk for development of a pericardial effusion. Serial radiographic assessment of catheter tip location is needed to assess catheter migration within the first 24 hours of line placement.

Reference:

Gupta, R., Drendel, A.L., Hoffmann, R.G., Quijano, C.V. and Uhing, M.R. (2016) Migration of Central Venous Catheters in Neonates: A Radiographic Assessment. American Journal of Perinatology. January 5th. [epub ahead of print].

Thank you to our partners for supporting IVTEAM
[slideshow_deploy id=’23788’]