Document Detail


A model for a nurse-led programme of bedside placement of peripherally inserted central catheters in neonates and infants with congenital cardiac disease.
MedLine Citation:
PMID:  20346200     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Neonates and infants with congenital and acquired cardiac disease often require placement of central venous lines for extended intravenous therapy. It may be advantageous to avoid the larger venous vessels of the head and neck and lower extremities in order to preserve these for future interventions and therapies. We evaluated the results of a nursing led peripherally inserted central catheter team in our congenital cardiac centre. MATERIALS AND METHODS: Bedside peripherally inserted central catheter the insertion procedures were evaluated for success, complications, and completion of therapy. RESULTS: A total of 125 peripherally inserted central catheters were successfully placed in 105 patients. The mean age at the time of placement was 13.5 plus or minus 19.1 days; median age was 7 days; mean weight was 3.5 plus or minus 1.1 kilogram. Cyanotic cardiac disease accounted for 76% of the diagnoses. Central placement of these lines was successful in 78% of patients. Complications during insertions were limited to inadvertent arterial access in five (3%) infants and oxygen desaturations during sedation for the procedure in two (1%) patients. None of the infants suffered long-term compromise from arterial access; none required intubation for the desaturations. The team was able to respond to 90% of their requests within 24 hours. Median catheter dwell time was 14 days. CONCLUSION: In a population of infants with cardiac disease, a nursing staffed peripherally inserted central catheter team achieved an insertion rate of 78% with few complications and a rapid response time. Reliance on bedside insertion permits continuous critical care monitoring and may eliminate the need for fluoroscopy.
Authors:
Deborah S King; Eduardo da Cruz; Jon Kaufman
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-03-29
Journal Detail:
Title:  Cardiology in the young     Volume:  20     ISSN:  1467-1107     ISO Abbreviation:  Cardiol Young     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-12     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  302-7     Citation Subset:  IM    
Affiliation:
The Children's Hospital, Aurora, Colorado, United States of America.
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous / nursing*
Female
Follow-Up Studies
Heart Defects, Congenital / nursing*,  therapy
Humans
Infant
Infant, Newborn
Intensive Care Units, Neonatal*
Male
Nurse's Practice Patterns
Point-of-Care Systems*
Prospective Studies

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


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