Document Detail


Use of peripheral intravenous cannulas in premature infants: a controlled study.
MedLine Citation:
PMID:  7050878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A randomized, controlled study was done to determine whether a 25-gauge steel needle or a 24-gauge Teflon catheter was preferable for the administration of peripheral intravenous fluids and medications to premature infants. A total of 58 cannulas--28 steel needles and 30 catheters--were used in 34 infants. The needles remained in place for 15.4 +/- 13.2 hours (mean +/- SD) and the Teflon catheters for 49.5 +/- 30.9 hours (mean +/- SD). All of the steel needles had to be removed because of infiltration whereas only 17/30 (57%) of the catheters infiltrated. A local inflammatory reaction, which was not related to infection, occurred with 11/30 (37%) of the Teflon catheters. Following removal, Staphylococcus epidermidis was grown from the culture of 1/19 steel needles and 1/25 catheters. In both instances this organism was thought to be a contaminant. Teflon catheters remain functional three times longer than steel needles with no apparent increase in complications. The use of these catheters, therefore, appears to be the preferred method for administering intravenous fluids to premature infants.
Authors:
D G Batton; M J Maisels; P Appelbaum
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Pediatrics     Volume:  70     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1982 Sep 
Date Detail:
Created Date:  1982-10-12     Completed Date:  1982-10-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  487-90     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Catheterization / adverse effects,  instrumentation,  methods*
Clinical Trials as Topic
Female
Humans
Infant, Newborn
Infant, Premature*
Infusions, Parenteral / adverse effects,  instrumentation,  methods*
Male
Needles
Polytetrafluoroethylene
Steel
Chemical
Reg. No./Substance:
12597-69-2/Steel; 9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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