Correlation study of the unplanned extubation caused by peripherally inserted central catheter in neonates with different tip postions

VernacularTitle:新生儿经外周中心静脉置管导管末端位置与非计划性拔管相关性研究
Author: Liling LI ; Xiaojing HU
Keywords: Infant; newborn; Catheterization; peripheral; Tip
From: Chinese Journal of Practical Nursing 2017;33(9):675-678
CountryChina
Language:Chinese
Abstract: Objective To investigate the incidence of the peripherally inserted central catheter (PICC) complications in neonates. Methods A retrospective analysis of PICC in 201 cases in our neonatal intensive care unit (NICU) from January 2015 to October 2016, who were divided into the central group and non-central group according to the position of the catheter tip. Compare unplanned extubation rate, catheter-related bloodstream infection rate, catheter indwelling time of PICC catheter and removing reasons between these two groups. Results One hundred and sixty-five cases in central group and thirty-six cases in non-central group. The unplanned extubation rate of the central group was 18.2% (30/165) while 22.2% (8/36) of non-central group, the difference wasnot statistically significant (χ2=0.315, P=0.639). The difference of the catheter-related bloodstream infection rate (P=0.471), the catheter indwelling time and removing reasons between these two groups were not statistically significant(P>0.05). Conclusions Even if the position of PICC tip is not in superior or inferior vena, it still can be used in neonatal population, but should pay attention to safe medical care.