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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Peripherally inserted central catheters in children: a survey of practice patterns
Marianne Knue1, Darcy Doellman, Brian R Jacobs
1Cincinnati Children's Hospital Medical Center, OH 45229, USA.
Summary
Standards for pediatric peripherally inserted central catheter (PICC) use are highly variable. This study highlights the need for standardized practices in PICC placement, use, and maintenance for children.
Area of Science:
- Pediatric Nursing
- Vascular Access Devices
- Intravenous Therapy
Background:
- Limited published data exists on current standards for pediatric peripherally inserted central catheter (PICC) devices.
- Existing practices in PICC placement, use, and maintenance lack comprehensive documentation.
Purpose of the Study:
- To investigate and describe current standards of practice for peripherally inserted central catheter (PICC) devices in pediatric patients.
- To identify variations in PICC management among different healthcare institutions.
Main Methods:
- A web-based survey was distributed to intravenous therapy nurses across 72 hospitals.
- Complete responses were obtained from 72 nurses, predominantly from institutions with lower monthly PICC insertion volumes (≤40/month).
Main Results:
- Practices for maintaining PICC patency varied, with equal distribution between 0.9% sodium chloride (saline) and heparinized saline flushes.
- A significant majority (76%) of respondents utilized PICC devices for blood sampling.
- No correlation was found between flushing or blood sampling practices and catheter occlusion rates.
Conclusions:
- Current standards of practice for 3-French PICC devices, commonly used in children, demonstrate considerable variability.
- There is a clear need to develop and implement standardized protocols for PICC management in the pediatric population.
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