Abstract:
Objective: To investigate the clinical effects of various catheterization pathways to guide vein selection in neonates.
Methods: In this retrospective study, a total of 40 newborns admitted to the Neonatal Surgery Department of Nanjing Children’s Hospital who were hospitalized for gastrointestinal diseases and required intravenous nutrition from March 2020 to December 2020 were included. The patients were divided into a control group (basilic vein and superficial temporal vein) and an observation group (femoral vein of the lower extremity) according to the puncture site of the vein. Blood loss, incidences of phlebitis, incidences of catheter dislocation, frequency of dressing replacement, catheter-related blood infection rate, the satisfaction of family members and bacteriological test results of the catheter tip (1-2 cm) after catheter removal were compared between the two groups.
Results: The incidence of phlebitis and catheter dislocation was lower while the satisfaction rate of family members was higher in the observation group as compared with those in the control group (all P<0.05).
Conclusions: PICC insertion through the femoral vein can effectively reduce catheter-related complications, shorten the days of hospitalization and improve the comfort of children and the satisfaction of their families.
Reference:Gai M, Wang Y, Chen J, Tang W, Jiang W, Li W, Li H, Zhou J. Effect of femoral PICC line insertion in neonates with digestive tract disease. Am J Transl Res. 2022 Oct 15;14(10):7487-7493. PMID: 36398222; PMCID: PMC9641437.