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How fast is too fast? a practice change in umbilical arterial catheter blood sampling using the Iowa Model for

Myrna Gordon1, Lisa Bartruff, Sara Gordon

  • 1University of Iowa Children's Hospital, University of Iowa Hospitals and Clinics, Iowa, USA. myrna-gordon@uiowa.edu

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|August 12, 2008
PubMed

Insights

Implementing evidence-based practice for umbilical artery catheters in premature infants can improve care. Changing catheter practices may reduce risks like intraventricular hemorrhage and periventricular leukomalacia.

Area of Science:

  • Neonatal Medicine
  • Pediatric Critical Care
  • Evidence-Based Practice

Background:

  • Umbilical artery catheters (UACs) are crucial for monitoring very low birth-weight infants.
  • Rapid blood withdrawal or flushing of UACs can negatively impact cerebral blood flow.
  • Altered cerebral blood flow is linked to serious neonatal complications like intraventricular hemorrhage and periventricular leukomalacia.

Purpose of the Study:

  • To modify clinical practice regarding UAC blood withdrawal and flushing rates.
  • To enhance patient safety and outcomes for very low birth-weight infants.

Main Methods:

  • Utilized the Iowa Model of Evidence-Based Practice to Promote Quality Care.
  • Integrated current research on UAC effects on cerebral blood flow.
  • Incorporated expert opinion, scientific principles, and theories.
  • Developed and implemented a new standard of practice.
  • Provided staff education on the revised protocol.

Main Results:

  • A new standard of practice for UAC management was established.
  • Clinical staff were educated on the updated procedures.
  • The study aimed to reduce potential adverse events associated with UAC manipulation.

Conclusions:

  • Evidence-based practice is a viable framework for improving neonatal care protocols.
  • Modifying UAC practices can mitigate risks of cerebral blood flow alterations.
  • This initiative sought to decrease morbidity and mortality in vulnerable premature infants.

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