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The ECHOTIP protocol in the neonate by Dr. G. Barone, Infermi Hospital Rimini – Italy
During the 7th World Congress of Vascular Access 2022 ( WoCoVA ) in Greece, Dr. Barone gave an interesting presentation about tip location for CVAD insertion in NICU based on several studies.
He presented the Neo-ECHOTIP protocol who is based on evidences from many published clinical studies.
Find the study here : https://neonat.org/2022/06/15/neo-echotip-a-structured-protocol-for-ultrasound-based-tip-navigation-and-tip-location-during-placement-of-central-venous-access-devices-in-neonates/
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Experimental investigation on the mechanical behaviour of polyurethane PICCs after long-term conservation in in vivo-like conditions
In a previous paper, the authors investigated the mechanical behaviour of several commercial polyurethane peripherally inserted central venous catheters (PICCs) in their ‘brand new’ condition. The present study represents a second step of the research activity and aims to investigate possible modifications of the PICC mechanical response, induced by long-term conservation in vivo-like conditions, particularly when used to introduce oncologic drugs.
Authors: Francesca Di Puccio 1, Giuseppe Gallone 1, Andrea Baù 1, Emanuele M Calabrò 1, Simona Mainardi 1, Paolo Poli 2, Antonella Scocca 2
1 Department of Civil and Industrial Engineering, University of Pisa, Pisa – Italy.
2 Pain Therapy Unit, S. Chiara Hospital, Pisa – Italy.J Vasc Access. 2017 Nov 17;18(6):522-529. doi: 10.5301/jva.5000772. Epub 2017 Aug 24.
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A comparative study on the mechanical behavior of polyurethane PICCs
This study describes a comparative analysis of eight commercial polyurethane, single-lumen peripherally inserted central venous catheters (PICCs) from different vendors. The aim was to investigate the mechanical response of the catheters providing objective and quantitative data to support a comparison among them. Such data could help nurses and physicians to select a central venous catheter (CVC) not only on the basis of the expected dwell duration or of the assessment of the vessels at the desired insertion site but also of the chemical and mechanical properties of the CVC and of the projected response of the body to these properties.
This study provides useful information that can help identifying and facilitate the choice of a PICC.
Authors: Paolo Poli 1, Antonella Scocca 1, Francesca Di Puccio 2, Giuseppe Gallone 2, Lorenza Angelini 2, Emanuele Maria Calabrò 2
1 Pain Therapy Unit, S. Chiara Hospital, Pisa – Italy.
2 Department of Civil and Industrial Engineering, University of Pisa, Pisa – Italy.J Vasc Access. 2016 Mar-Apr;17(2):175-81.
Epub 2015 Sep 7To consult the study -
Retrospective evaluation of 599 brachiocephalic vein cannulations in neonates and preterm infants
Ultrasound guidance permits the placement of relatively large bore central venous catheters (2–4 French) into the brachiocephalic vein in very small infants.
These catheters also enable haemodynamic monitoring, blood sampling, and high-flow infusions. The aim of this retrospective analysis was to confirm the clinical feasibility of supraclavicular ultrasound-guided (USG) cannulation of the brachiocephalic vein in neonates weighing <3.5 kg and the implications of increasing experience with this cannulation technique.
This study is published last month, one of the authors is Dr. Breschan, active member of the NEVAT!Authors: Christian Breschan1, *, Gudrun Graf1 , Christoph Arneitz2 , Haro Stettner3, Stefan Neuwersch1 , Christian Stadik4 , Markus Koestenberger1 , Sandra Holasek5 and Rudolf Likar1
1 Department of Anaesthesia, Klinikum Klagenfurt, Klagenfurt, Austria,
2 Department of Pediatric Surgery, Klinikum Klagenfurt, Klagenfurt, Austria,
3 Department of Statistics, University of Klagenfurt, Klagenfurt, Austria,
4 Department of Neurorehabilitation, Krankenhaus Hermagor, Klagenfurt, Austria and
5 Institute of Pathophysiology, Medical University of Graz, Graz, Austria*Corresponding author. E-mail: christian.breschan@kabeg.at
BJA British Journal of Anaesthesia
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NEW: Peripherally Inserted Central Catheters: Guideline for Practice, 4th Edition
As the use of peripherally inserted central catheters in infants continues to proliferate, guidelines are essential to support nursing practice and promote the safety of this vulnerable population. Peripherally Inserted Central Catheters: Guideline for Practice, 4th edition, provides evidence-based and graded practice recommendations for PICC insertion and management.
This updated fourth edition of Peripherally Inserted Central Catheters: Guideline for Practice provides essential information for healthcare providers in the NICU, whether they are placing PICC lines or caring for infants who have a PICC. The authors draw on 281 referenced sources—including publications from 2022—to create evidence-based recommendations for PICC placement, complication prevention, PICC management, and incorporation of the latest technology. Neonatal care experts current and best practices are described in detail. This NANN guideline provides a foundation for development of nursing care and management protocols, policies, and procedures to guide facilities that place and manage PICCs in infants. The publication takes advantage of its digital format to provide 11 large illustrations to help providers visualize infants’ vascular anatomy, PICC access sites, and more.
Authors:
Elizabeth Li Sharpe, DNP NNP-BC VA-BC APRN FAANP FAAN
Sabra Curry, MSN NNP-BC APRN
Mary Mason Wyckoff, PhD ACNP-BC FNP-BC NNP-BC CCNS CCRN-K FAANPNational Association of Neonatal Nurses -
Comparison of Ultrasound Guided and Conventional Techniques for Peripheral Venous Catheter Insertion in Pediatric Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Ultrasound guided cannulation for peripheral venous insertion is a well-established methodology. However, there has never been a systematic review completed to synthesize evidence within the pediatric population. The current systematic review and meta-analysis was completed to compare the efficacy and safety profile of ultrasound guided peripheral cannulation against the conventional palpation technique within pediatric patients.
Authors:
Xiulan Ye and Ming LiDepartment of Pediatric, The Hospital Subordinate to Qin Hai University, Xi Ning, China
Journal of Perinatology
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A comparison of bacterial colonization between nasogastric and orogastric enteral feeding tubes in infants in the neonatal intensive care unit
Enteral feeding tubes are commonly used in the Neonatal Intensive Care Unit (NICU). This study aimed to refine understanding of differences in bacterial colonization between nasogastric and orogastric enteral feeding tubes in hospitalized infants.
In this study, they focused on the pharyngeal segments of the feeding tubes to compare colonization based on tube insertion site (nasal vs oral) and to explore how clinical factors influence colonization.Authors: Kannikar Vongbhavit1,2, Lauren K. Salinero3, Karen M. Kalanetra3, Chad Masarweh3, Alice Yu3, Diana H. Taft3, David A. Mills3 and Mark A. Underwood2
1 Department of Pediatrics, HRH Princess Maha Chakri Sirindhorn Medical Center, Srinakharinwirot University, Nakornayok, Thailand.
2 Division of Neonatology, Department of Pediatrics, University of California Davis, Sacramento, CA, USA.
3 Department of Food Science and Technology, University of California Davis, Davis, CA, USA. email: munderwood@ucdavis.eduJournal of Perinatology
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Insertion of a tunnelled PICC through the brachiocephalic vein as a long-term venous access in a small infant: Thinking outside the box
The insertion of a long-term central venous catheter(CVC) for parenteral nutrition in neonates and small in-fants is problematic. Ideally, a cuffed CVC such as theHickmanâ/Broviacâcatheter is used for this purpose. However, neonatal-sized cuffed CVCs are expensive and not readily available in most institutions What can be an alternative?
Authors:
Ignacio Oulego-Erroz; Gloria López-Blanco; Roger Benavent-Torres; Sandra Terroba-SearaCorresponding author. Complejo Asistencial Universitario de León, C/Altos de Nava sn. CP: 24008, León, Spain. E-mail address: Ignacio.oulego@gmail.com (I. OulegoErroz)
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Experimental study on the chemico-physical interaction between a two-component cyanoacrylate glue and the material of PICCs
The use of cyanoacrylate glue as sealant on the exit site of peripherally inserted central catheters (PICCs) may offer some important clinical advantages. However, concerns exist about the potential interaction between cyanoacrylate and the material of the catheter itself. The aim of this study was to investigate the pos-sibility of damage to the catheter secondary to a long-term contact with a two-component skin glue (N-butyl + octyl cyanoacrylate).
Authors:
Francesca Di Puccio1, Daniela Giacomarro1, Lorenza Mattei1, Mauro Pittiruti2, Giancarlo Scoppettuolo21 Dipartimento di Ingegneria Civile e Industriale, Università di Pisa, Pisa – Italy
2 Fondazione Policlinico Universitario “A. Gemelli”, Roma – ItalyCorresponding author: Francesca Di PuccioDepartment of Civil and Industrial Engineering Largo Lazzarino56126 Pisa, Italydipuccio@ing.unipi.it
Journal of Vascular Access 2018, Vol. 19(1) 58 –62©
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Should central venous catheter be systematically removed in patients with suspected catheter related infection?
The conclusion of this study is that in patients with suspected CRI, immediate CVC removal may be unnecessary if the patient does not have a transplanted organ, intravascular foreign body, haemodynamic instability, immunosuppressive disease or therapy, suppuration or inflammation at the insertion site, or bacteraemia or fungemia.
Other aspects should be taken into account in the decision-making, such as vascular accessibility, the risk of mechanical complications during new cannulation that may be life-threatening, and the possibility that the CVC may not be the origin of the suspected CRI.Authors:
Leonardo Lorente1*, María M Martín2 , Pablo Vidal3 , Sergio Rebollo4 , María I Ostabal5 , Jordi Solé-Violán6 and Working Group on Catheter Related Infection Suspicion Management of GTEIS/SEMICYUC1 Intensive Care Unit, Hospital Universitario de Canarias, Ofra s/n, La Laguna, Santa Cruz de Tenerife 38320, Spain.
2 Intensive Care Unit, Hospital Universitario Nuestra Señora Candelaria, Carretera Rosario s/n, Santa Cruz Tenerife 38010, Spain.
3 Intensive Care Unit, Complexo Hospitalario Universitario de Ourense, C/ Ramon Puga Noguerol n°54, Ourense 32005, Spain.
4 Intensive Care Unit, Hospital General Universitario Santa Lucía, C/ Mezquita s/n, Paraje Los Arcos, Cartagena, Murcia 30202, Spain.
5 Intensive Care Unit, Hospital Miguel Servet, Paseo Isabel la Catolica n° 1-3, Zaragoza 50009, Spain.
6 Intensive Care Unit, Hospital Universitario Dr. Negrín, CIBERES, Barranco de la Ballena s/n, Las Palmas de Gran Canaria 35010, Spain.Correspondence: lorentemartin@msn.com
Cite this article as: Lorente et al.: Should central venous catheter be systematically removed in patients with suspected catheter related infection? Critical Care 2014 18:564.
