The Italian Group for Long Term Venous Access Devices (GAVeCeLT) has developed an insertion bundle for central venous catheterization in neonates, infants, and children, which includes seven evidence-based strategies: (1) preprocedural ultrasound evaluation, (2) appropriate aseptic technique, (3) ultrasound guided venipuncture, (4) intraprocedural tip location by non-radiological methods, (5) proper choice of the exit site by tunneling, (6) sutureless securement, and (7) protection of the exit site using glue and transparent membranes.
The results of this prospective study strongly validate the hypothesis that an insertion bundle is highly effective in optimizing the safety of the maneuver, reducing immediate, early, and late complications.
Authors:
Mauro Pittiruti1 , Davide Celentano2 , Giovanni Barone3 , Vito D’Andrea4 , Maria Giuseppina Annetta5 and Giorgio Conti2
1 Department of Surgery, University Hospital “A. Gemelli,” Rome, Italy
2 Pediatric Intensive Care Unit, University Hospital “A. Gemelli,” Rome, Italy
3 Neonatal Intensive Care Unit, “Infermi” Hospital, Rimini, Italy
4 Neonatal Intensive Care Unit, University Hospital “A. Gemelli,” Rome, Italy
5 Department of Anesthesia and Intensive Care, University Hospital “A. Gemelli,” Rome, Italy
Corresponding author: Mauro Pittiruti, Department of Surgery, University Hospital “A. Gemelli,” Largo Francesco Vito 1, Rome, Lazio 00168, Italy. Email: mauropittiruti@me.com
The Journal of Vascular Access 1–12
