Recommendations for Peripherally Inserted Central Catheter Insertion Depths in Neonates.

IF 2.6 3区医学 Q1 PEDIATRICS

Neonatology Pub Date : 2023-01-01 Epub Date: 2023-01-03 DOI:10.1159/000528076

Alexandra Luister, Neda Khostwal, Philipp Deindl, Jochen Herrmann, Dominique Singer, Chinedu Ulrich Ebenebe

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引用次数: 0

Abstract

Objective: Malposition of peripherally inserted central catheters (PICCs) is common. Recommendations for PICC insertion depths are scarce and comprise complex equations. This study aimed to develop diagrams and tables for the recommendation of PICC insertion depths in neonates based on anthropometric parameters.

Study design: In this retrospective single-center study, the individual optimal PICC insertion depths were correlated with body weight, length, and head circumference. Using linear regression analysis, line charts and tables for the recommendation of PICC insertion depth were generated and compared with previously published recommendations.

Result: PICC insertion depths of 204 infants (gestational age at PICC installation: 24.0-44.9 weeks) with 131 (64%) PICC in the upper extremities and 73 (36%) in the lower extremities were analyzed. Linear logistic regression models revealed R2 values between 0.387 and 0.884.

Conclusion: The charts and table developed in this study enable a fast and accurate determination of recommended PICC insertion depths in neonates.

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关于新生儿外周置入中心导管插入深度的建议。

目的：外周置入中心导管（PICC）错位很常见。有关 PICC 插入深度的建议很少，而且包含复杂的方程。本研究旨在根据人体测量参数，为新生儿 PICC 插入深度的建议制定图表：在这项回顾性单中心研究中，各个最佳 PICC 插入深度与体重、身长和头围相关。通过线性回归分析，生成了 PICC 插入深度建议的折线图和表格，并与之前公布的建议进行了比较：结果：分析了 204 名婴儿（安装 PICC 时的胎龄：24.0-44.9 周）的 PICC 插入深度，其中 131 人（64%）的 PICC 插入上肢，73 人（36%）的 PICC 插入下肢。线性逻辑回归模型显示 R2 值介于 0.387 和 0.884 之间：本研究开发的图表和表格能够快速准确地确定新生儿的推荐 PICC 插入深度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neonatology 医学-小儿科

CiteScore

0.60

自引率

4.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This highly respected and frequently cited journal is a prime source of information in the area of fetal and neonatal research. Original papers present research on all aspects of neonatology, fetal medicine and developmental biology. These papers encompass both basic science and clinical research including randomized trials, observational studies and epidemiology. Basic science research covers molecular biology, molecular genetics, physiology, biochemistry and pharmacology in fetal and neonatal life. In addition to the classic features the journal accepts papers for the sections Research Briefings and Sources of Neonatal Medicine (historical pieces). Papers reporting results of animal studies should be based upon hypotheses that relate to developmental processes or disorders in the human fetus or neonate.