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The superiority of point of care ultrasound in localizing central venous line tip position over time
In this study, the aim was to examine agreement between X-rays and POC-US for checking CVL tip position (correct position/malposition), with a secondary aim to examine malposition rates by POC-US during the first 6 days of CVL placement.
They found that POC-US has a good agreement with X-rays for the detection of malpositioned CVL tip. Ultrasound appears to be a superior method to X-rays for routine verification of the CVL tip position in neonates. Further, it can be used to monitor UVC tip migration over time, especially in the first 48 h post-line insertion.Authors:
Nahla Zaghloul1,2,3,Laura Watkins4, Jennie Choi-Rosen5, Shahana Perveen1 & Dalibor Kurepa11 Department of Pediatrics, Division of Neonatology, Cohen Children’s Medical Center, New Hyde Park, NY, USA
2 Feinstein Institute for Medical Research, Manhasset, NY, USA
3 Hofstra University School of Medicine, Hempstead, NY, USA
4 Department of Pediatrics, Pediatric Critical Care Division, Cohen Children’s Medical Center, New Hyde Park, NY, USA
5 Department of Pediatrics, Pediatric Radiology Department, Cohen Children’s Medical Center, New Hyde Park, NY, USA
To consult the study European Journal of Pediatrics(2019) 178:173-179
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Ultrasound-guided subclavian vein cannulation in infants and children: a novel approach
This US-guided approach for SCV catheterization offers a new possibility for central venous access in infants to paediatric anaesthesiologists. It shows a view of the underlying anatomy, its variations, and its possible pathologies (thrombosis). The technique seems promising for children less than 10 kg.
Authors: T. Pirotte* and F. Veyckemans
*Department of Anaesthesia, Universite´ Catholique de Louvain, Cliniques universitaires St-Luc, Avenue Hippocrate 10-1821, 1200 Brussels, Belgium.
E-mail: thierry.pirotte@clin.ucl.ac.beTo consult the study British Journal of Anaesthesia 98 (4): 509–14 (2007)
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Ten years of clinical experience with cyanoacrylate glue for venous access in a 1300-bed university hospital
The key points of this study are :
Glue is effective for securement only for short peripheral cannulas and PUR epicutaneo-cava catheters and when used with a transparent semipermeable membrane. It is not on neonatal silicone catheters.
At all central venous access devices, glue is effective in minimising local bleeding and is cost-effective as it reduces unscheduled dressing changes.
Glue is probably effective in minimising bacterial contamination for all central venous access devices but should be used only in the first week as replacing it every week may be harmful.
To close skin incisions, glue is effective and cost-effective for all venous access procedures.Authors: Mauro Pittiruti 1, Maria Giuseppina Annetta 2, Bruno Marche 3, Vito D’Andrea 4, Giancarlo Scoppettuolo 5
Affiliations
1 Vascular Access Specialist and Vascular Access Team Member, Department of Surgery, Fondazione Policlinico Universitario A Gemelli, Catholic University, Rome Italy.
2 Vascular Access Specialist and Vascular Access Team Member, Department of Anesthesia and Intensive Care, Fondazione Policlinico Universitario A Gemelli, Catholic University, Rome Italy.
3 Vascular Access Specialist and Vascular Access Team Member, Department of Hematology, Fondazione Policlinico Universitario A Gemelli, Catholic University, Rome Italy.
4 Neonatologist, Neonatal Intensive Care Unit, Fondazione Policlinico Universitario A Gemelli, Catholic University, Rome Italy.
5 Infectious Disease Specialist, and Consultant for the Vascular Access Team, Department of Infectious Disease, Fondazione Policlinico Universitario A Gemelli, Catholic University, Rome Italy.
To consult the study British Journal of Nursing VOL. 31, NO. 8 | Venous Access Securement
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Infusion Therapy Standards of Practice published by the Infusion Nurses Society (INS) 2021
New INS standards are published every five years to promote consistency in-patient care for clinicians and caretakers who specialize in the practice of infusion therapy.
In the INS standards, 8th edition 2021, there are some changes especially for neonates.
- VASCULAR ACCESS DEVICE ASSESSMENT, CARE, AND DRESSING CHANGES
Practice Recommendations/ F. changing of transparant dressing /S119
In neonatal patients, perform dressing change as needed per patient or clinical indications due to risk of catheter dislodgement, patient discomfort, or skin injury.
Authors:
Lisa A. Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN Lynn Hadaway, MEd, RN, NPD-BC, CRNI® Mary E. Hagle, PhD, RN-BC, FAAN Daphne Broadhurst, MN, RN, CVAA(C) Simon Clare, MRes, BA, RGN Tricia Kleidon, MNSc (Nurs. Prac), BNSc, RN Britt M. Meyer, PhD, RN, CRNI®, VA-BC, NE-BC Barb Nickel, APRN-CNS, CCRN, CRNI® Stephen Rowley, MSc, BSc (Hons), RGN, RSCN Elizabeth Sharpe, DNP, APRN-CNP, NNP-BC, VA-BC, FNAP, FAANP, FAAN Mary Alexander, MA, RN, CRNI®, CAE, FAAN 8TH EDITION REVISED 2021 One Edgewater Drive, Norwood, MA 02062 http://www.ins1.org Infusion Therapy Standards of Practice Lisa Gorski, MS, RN, HHCNS-BC, CRNI®, FAAN Lynn Hadaway Mary E. Hagle, PhD, RN-BC, FAAN Daphne Broadhurst, MN, RN, CVAA(C) Simon Clare Tricia Kleidon, MNSc (Nurs. Prac), BNSc, RN Britt Meyer, PhD, RN, CRNI®, VA-BC, NE-BC Barbara Nickel Stephen Rowley, MSc, BSc (Hons), RGN, RSCN Elizabeth Sharpe, DNP, APRN-CNP, NNP-BC, VA-BC, FNAP, FAANP Mary Alexander, MA, RN, CRNI®, CAE, FAAN
The revised Standards, 8th edition, was peer-reviewed by a panel of individuals across health care specialties from 17 countries around the globe.
To consult the guideline -
Ultrasound-guided cannulation of the brachiocephalic vein in newborns
A novel approach with a supraclavicular view for tip navigation and tip location. Is this safe and feasible?
A study enrolled in 40 newborns (1–28 days of postnatal age or correct age lower than 42weeks), who underwent CICC in right or left BCVAuthor:
Ferdinando Spagnuolo and Teresa VacchianoCorresponding author:
Ferdinando Spagnuolo, Neonatal Intensive Care Unit, University of Study “L. Vanvitelli” Naples, Largo Madonna delle Grazie,1, Napoli 80138, Italy.
Email: ferdinandospagnuolo33@gmail.comThe Journal of Vascular Access 1–9
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Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training
The umbilical venous catheter (UVC) is one of the most commonly used central lines in neonates. It can be easily inserted soon after birth. Resident training is crucial. This review article is an overview of the current knowledge and evidence available in the literature about UVCs. The aim is to provide precise and updated recommendations on the use of this central line.
Vito D’Andrea1*, Giorgia Prontera1, Serena Antonia Rubortone1, Lucilla Pezza1,Giovanni Pinna1, Giovanni Barone2, Mauro Pittiruti3 and Giovanni Vento1
1Division of Neonatology, Department of Woman and Child Health and Public Health, University Hospital Fondazione Policlinico Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy,
2Neonatal Intensive Care Unit,Infermi Hospital, Rimini, Italy,
3Department of Surgery, University Hospital Fondazione Policlinico Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy
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Executive summary: Diagnosis and Treatment of Catheter-Related Bloodstream Infection: Clinical Guidelines of the Spanish Society of Clinical Microbiology and Infectious Diseases (SEIMC) and the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC)
Catheter-related bloodstream infections (CRBSI) constitute an important cause of hospital-acquired infection associated with morbidity, mortality and cost. The aim of these guidelines is to provide updated recommendations for the diagnosis and management of CRBSI in adults. Prevention of CRBSI is excluded. The panel identified 39 key topics that were formulated in accordance with the PICO format.
Authors: Fernando Chavesa, José Garnacho-Monterob, José Luis del Pozo (Coordinators)c,∗,
Emilio Bouzad, José Antonio Capdevilae, Marina de Cuetof, M.Ángeles Domínguezg, Jaime Estebanh, Nuria Fernández-Hidalgoi, Marta Fernández Sampedroj, Jesús Fortúnk, María Guembel, Leonardo Lorentem, Jose Ramón Pañon, Paula Ramírezo, Miguel Salavertp, Miguel Sánchezq, Jordi VallésEnfermedades infecciosas y microbiologia clinica (English ed.), Volume 36, Issue 2, February 2018, Pages 112-119
To consult the guideline -
Romagnoli et al : Italian guidelines for management and treatment of hyperbilirubinaemia of newborn infants ≥35 weeks’gestational age
Hyperbilirubinaemia is one of the most frequent problems in otherwise healthy newborn infants. Early discharge of the healthy newborn infants, particularly those in whom breastfeeding is not fully established, may be associated with delayed diagnosis of significant hyperbilirubinaemia that has the potential for causing severe neurological impairments. We present the shared Italian guidelines for management and treatment of jaundice established by the Task Force on hyperbilirubinaemia of the Italian Society of Neonatology.
The overall aim of the present guidelines is to provide an useful tool for neonatologists and family paediatricians for managing hyperbilirubinaemia.
Costantino Romagnoli1*, Giovanni Barone1, Simone Pratesi2, Francesco Raimondi3, Letizia Capasso3, Enrico Zecca1,and Carlo Dani2 on behalf of the Task Force for hyperbilirubinaemia of the Italian Society of Neonatology
1 Division of Neonatology, Department of Pediatrics, Catholic University S H,Largo A. Gemelli, 8, Rome 00168, Italy.
2 Section of Neonatology, Departmentof Surgical and Medical Critical Care, Careggi University, Hospital of Florence,Florence, Italy.
3 Department of Pediatrics, Federico II University of Naples,Corso Umberto I, 40, Napoli 80138, Italy.Journal of Pediatrics 201440:11
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Epicutaneo-caval catheters in neonates: New insights and new suggestions from the recent literature
Find out with this study the 10 recommendations that correspond to 10 novelties in the field of epicutaneo-caval catheter: some are already evidence-based and should be introduced in our daily practice now, while others are particularly interesting and deserve further clinical studies.
Authors:
Giovanni Barone1 and Mauro Pittiruti2
1Neonatal Intensive Care Unit, Infermi Hospital, Rimini, Italy
2Department of Surgery, Catholic University of Sacred Heart, Rome, Italy
Corresponding author:
Giovanni Barone, Neonatal Intensive Care Unit, Ospedale Infermi di Rimini, Viale Luigi Settembrini, 2, 47923 Rimini, Italy. Email: gbarone85@yahoo.it
The Journal of Vascular Access 2019
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Use of Meropenem and Other Antimicrobial Lock Therapy in the Treatment of Catheter-Related Blood Stream Infections in Neonates: A Retrospective Study
Fiammetta Piersigilli 1,* , Cinzia Auriti 2 , Andrea Dotta 2 , Bianca Maria Goffredo 3 , Sara Cairoli 3 , Immacolata Savarese 2 , Francesca Campi 2 , Tiziana Corsetti 4 and Iliana Bersani 2
1 Department of Neonatology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, 1200 Bruxelles, Belgium
2 Department of Medical and Surgical Neonatology, Bambino Gesù Children’s Hospital, 00165 Rome, Italy; cinzia.auriti@opbg.net (C.A.); andrea.dotta@opbg.net (A.D.); immacolata.savarese@opbg.net (I.S.); francesca.campi@opbg.net (F.C.); iliana.corsetti@opbg.net (I.B.)
3 Biochemistry Laboratory, Department of Specialist Pediatrics, Bambino Gesù Children’s Hospital, 00165 Rome, Italy; biancamaria.goffredo@opbg.net (B.M.G.); sara.cairoli@opbg.net (S.C.)
4 Unit of Clinical Pharmacy, Bambino Gesù Children’s Hospital, 00165 Rome, Italy; tiziana.corsetti@opbg.net*Correspondence: fiammetta.piersigilli@saintluc.uclouvain.be. Advisory board of the NEVAT
Central vascular catheters (CVC) are a major risk factor for hospital infection. There are a lot of strategies to prevent central line-associated blood stream infections (CLABSIs) and catheter-related bloodstream infections (CRBSIs). What are the options to save the catheter when it is impossible to replace? The so-called Antibiotic Lock Therapy (ALT) is an antimicrobial therapeutic strategy which seems to be promising in neonates when catheter removal is difficult due to critical conditions.
