Alternative Measurement for Inserting Peripherally Inserted Central Catheters in NeonatesCE

Eny Dorea; Karina Rangel da Silva Garcia; Rayhelle Cristiny Arantes de Moura; Clisangela Lago Santos; Elisa da Conceição Rodrigues; Maria Estela Diniz Machado; Adriana Teixeira Reis; Luciana Rodrigues da Silva,

doi:10.2309/JAVA-D-24-00017

Article Contents

Highlights
Abstract
Introduction
Aim
Methods
Results
Discussion
Conclusion
References

Editorial Type:

Article Category: Research Article

Online Publication Date: 17 Dec 2024

Alternative Measurement for Inserting Peripherally Inserted Central Catheters in Neonates^CE

PhD, MScN, RN,

MScN, RN,

PhD, MScN, RN,

PhD, MScN, RN, and

PhD, MScN, RN

Page Range: 33 – 38

DOI: 10.2309/JAVA-D-24-00017

Save

Download PDF

Highlights

PICCs are vital for newborns in NICUs, offering vascular access and life support.
Newborn PICC measurement may be inaccurate; alternative landmarks can enhance accuracy.
This study compared PICC traction using conventional and alternative measurement methods.
Conventional PICC measurement is correlated with the need for traction (P = 0.012).
Alternative measurement studies are needed to confirm and update neonatal care practices.

Abstract

Purpose:

To compare the conventional measurement with an alternative measurement for inserting peripherally inserted central catheters (PICCs) in neonates.

Basic Procedures:

Observational study, comparative cohort, with 24 neonates. Data analysis was performed using descriptive and inferential statistical calculations. The study was approved by the Research Ethics Committee.

Main Findings:

It was found that, in 91.7% of cases, the conventional measurement was greater than the alternative. Dislodgement occurred in 75.0% of the inserted catheters, with the length of dislodgement being between 1 cm (33.3%) and 2 cm (25.0%). Dislodgement was not associated with the weight and age of the neonate. Most catheters were silicone (54.2%), inserted in the right upper limb (62.5%), and with the catheter tip in the third intercostal space (58.3%).

Conclusions:

The alternative measurement suggests a decrease in the number of catheter dislodgements for repositioning its tip, mitigating complications arising from the use of the device. Therefore, it is recommended that the proposed alternative measure for PICC insertion in newborns be further investigated in new studies to establish robust scientific evidence aimed at modifying current practice and improving the quality of care for neonatal patients.

Keywords: catheterization; central venous; peripheral; intensive care units; neonatal; infant; newborn; neonatal nursing

Figure.

Anatomical pictures representing the venous network with catheter insertion measurements. Zone A corresponds to the lower third of the superior vena cava and the area of the cavoatrial junction; Zone B corresponds to the superior vena cava and its junction with the brachiocephalic trunk; and Zone C corresponds to the left brachiocephalic vein. Source: Adapted from Stonelake et al.7

Contributor Notes

Correspondence concerning this article should be addressed to eny.dorea@tcu.edu

CE indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article and completing the test available at https://www.avainfo.org/store/. It is free to AVA members and available to nonmembers for $25 USD. Please use the same link and create a guest account.