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Related Experiment Videos

Which central venous catheter for neonatal use?

J A Rushforth1, C Wood, M W Quinn

  • 1Department of Paediatrics and Child Health, Clarendon Wing, The General Infirmary at Leeds, Belmont Grove, Leeds LS2 9NS, UK.

Clinical Nutrition (Edinburgh, Scotland)
|December 1, 1992
PubMed
Summary

Percutaneous central venous catheters are safe for parenteral nutrition in preterm infants. This study found no significant difference in complication rates between two catheter types, highlighting their suitability for extended use.

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Area of Science:

  • Neonatal Medicine
  • Pediatric Surgery
  • Medical Device Technology

Background:

  • Parenteral nutrition is crucial for preterm infants requiring extended nutritional support.
  • Central venous catheters are essential for delivering parenteral nutrition but carry risks.
  • Evaluating catheter safety and efficacy in neonates is vital for patient outcomes.

Purpose of the Study:

  • To prospectively monitor complications associated with percutaneous central venous catheters in neonates.
  • To compare the performance and complication rates of two specific catheter types: Vygon Epicutaneous and Dow Corning silastic tubing.
  • To assess the overall safety and suitability of percutaneous central venous catheters for long-term parenteral nutrition in preterm infants.

Main Methods:

  • Prospective monitoring of 100 percutaneous central venous catheters in a neonatal unit.

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  • Random allocation of infants to receive either Vygon Epicutaneous or Dow Corning silastic catheters.
  • Documentation and analysis of all catheter-related complications, including sepsis and mechanical issues.

    • Main Results:

    • The majority of catheters (63) were removed electively after completion of parenteral feeding.
    • Catheter sepsis was the most common serious complication, leading to 11 removals, with full patient recovery.
    • Minor mechanical complications occurred in 17 catheters.
    • No significant difference in performance or complication rates was observed between the two catheter types.

    Conclusions:

    • Percutaneous central venous catheters are a suitable and safe method for administering parenteral nutrition to preterm infants.
    • Both Vygon Epicutaneous and Dow Corning silastic catheters demonstrated comparable safety and efficacy profiles.
    • These catheters can be used reliably for extended periods in neonatal intensive care settings.