Causes of non-elective removal of percutaneously inserted central venous catheters in premature infants

VernacularTitle:早产儿应用经外周静脉置人中心静脉导管非正常拔管的原因
Author: Huili LIU ; Tongyan HAN ; Yueyin ZHENG
Publication Type:Journal Article
Keywords: Premature infants; Peripherally inserted central catheter; Catheter removal
From: Chinese Journal of Clinical Nutrition 2009;17(2):117-119
CountryChina
Language:Chinese
Abstract: Objective To analyze the causes of non-elective removal of pereutaneously inserted central venous catheters (PICC) in premature infants. Methods We retrospectively collected the clinical data of 104 premature infants and analyzed the causes of non-elective removal of PICC. Results PICC was removed when the treatment was finished (n = 93, elective removal group) or due to complications ( n = 7, non-elective removal group). In non-elective removal group, the percentage of catheter tip located in the subclavian jugular was signifi-cantly higher in non-elective removal group than in the elective removal group (X2 = 24.931, P = 0. 000 ). The length of inserted catheter was ( 8.4 + 2.2 ) cm in the non-elective removal group and ( ( 10.2:1:1.6) cm in the elective removal group ( t = 3. 391, P = 0. 001 ). Conclusion The main cause of non-elective removal of cathe-ters in premature infants may be that catheter tip fails to reach the vena cava.