Clinical Application of Ultrasound-guided Peripherally Inserted Central Venous Catheter in Neonates with Vascular Access Difficulties

Libo ZHU; Yanhua XU; Jinfen LI; Xue HU; Chunyan LU; Kun LU; Liuyan DUAN; Huanyi LI

doi:10.12259/j.issn.2095-610X.S20230415

Volume 44 Issue 4

Apr. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(4): 117-122

Libo ZHU, Yanhua XU, Jinfen LI, Xue HU, Chunyan LU, Kun LU, Liuyan DUAN, Huanyi LI. Clinical Application of Ultrasound-guided Peripherally Inserted Central Venous Catheter in Neonates with Vascular Access Difficulties[J]. Journal of Kunming Medical University, 2023, 44(4): 117-122. doi: 10.12259/j.issn.2095-610X.S20230415

Citation:

Libo ZHU, Yanhua XU, Jinfen LI, Xue HU, Chunyan LU, Kun LU, Liuyan DUAN, Huanyi LI. Clinical Application of Ultrasound-guided Peripherally Inserted Central Venous Catheter in Neonates with Vascular Access Difficulties[J]. Journal of Kunming Medical University, 2023, 44(4): 117-122. doi: 10.12259/j.issn.2095-610X.S20230415

Citation:

Libo ZHU, Yanhua XU, Jinfen LI, Xue HU, Chunyan LU, Kun LU, Liuyan DUAN, Huanyi LI. Clinical Application of Ultrasound-guided Peripherally Inserted Central Venous Catheter in Neonates with Vascular Access Difficulties[J]. Journal of Kunming Medical University, 2023, 44(4): 117-122. doi: 10.12259/j.issn.2095-610X.S20230415

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Clinical Application of Ultrasound-guided Peripherally Inserted Central Venous Catheter in Neonates with Vascular Access Difficulties

doi: 10.12259/j.issn.2095-610X.S20230415

Dept. of Neonatology，Kunming Children’s Hospital，Kunming Yunnan 650288，China

Received Date: 2022-10-21
Available Online: 2023-04-24
Publish Date: 2023-04-25

Abstract

Abstract

Objective To investigate the clinical application of peripherally inserted central catheter （PICC） guided by ultrasound in neonates with vascular access difficulties. Methods From January 2019 to April 2021, 104 neonates with vascular access difficulties identified by the PICC management team in the Department of Neonatology of Kunming Children’s Hospital were selected as the research subjects. They were randomly divided into observation group and control group, 52 neonates in each group. The control group received traditional catheterization, while the observation group was treated with ultrasound-guided catheterization. The differences in inserting times, indwelling time, one-time insertion success rate, one-time catheterization success rate, and indwelling time between the two groups were compared. Results The average inserting times and catheterization time of the observation group were less than those of the control group. The success rate of one-time puncture and one-time catheterization in the observation group were higher than those in the control group. The indwelling time in the observation group was longer than that in the control group, and the differences were statistically significant （P < 0.05）. The incidence of peripheral tissue injury and percutaneous oxygen saturation decline during puncture in the observation group were lower than those in the control group. The total incidences of postoperative complications in the observation group were lower than that in the control group, the difference was statistically significant （P < 0.05）. Conclusion During PICC for neonates with difficult access, ultrasound guidance can effectively reduce the number of puncture and catheterization time, improve the success rate of one-time puncture and one-time catheterization, and increase the indwelling time, which is of clinical application value.
- Ultrasound,
- Neonates,
- Peripherally inserted central venous catheter,
- Vascular access,
- Puncture difficulty

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