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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
Cost-effective central venous line for infants in the developing world
1Department of Paediatric Surgery, Jordan University Hospital, PO Box 13546, Amman 11942, Jordan. mohomari@hotmail.com
Singapore Medical Journal
|June 5, 2009
Summary
Using recycled central venous catheters in infants is feasible and safe for short-term use. This cost-effective method shows comparable complication rates to new catheters in developing countries.
Area of Science:
- Medical Devices
- Pediatric Surgery
- Global Health
Background:
- Central venous catheters are essential for infant medical care.
- Developing countries face challenges with medical supply costs.
- Repurposing medical supplies can improve healthcare accessibility.
Purpose of the Study:
- To evaluate the feasibility, safety, efficacy, and cost-effectiveness of using remnant central venous catheters in infants.
- To compare outcomes between repurposed and conventional catheters in a developing country context.
Main Methods:
- A comparative study involving 96 neonates and infants requiring central venous access.
- Two groups were formed: short-to-medium term use with repurposed catheters (44 patients) and long-term use with conventional catheters (52 patients).
- Standard insertion techniques and postoperative care were applied, with complications meticulously recorded and analyzed.
Main Results:
- Successful treatment completion was observed in 72.7% of patients with repurposed catheters and 80.8% with conventional catheters.
- Complication rates for repurposed catheters included dislodgement (11.4%), thrombosis (6.8%), and infection (9.1%).
- Complication rates for conventional catheters included dislodgement (3.8%), thrombosis (7.7%), and infection (7.7%).
Conclusions:
- Repurposed central venous catheters are a feasible, cost-effective, and safe option for short- and medium-term use in selected infant patients.
- Complication rates associated with repurposed catheters are comparable to those of conventional catheters.
- This approach offers a viable solution for improving access to essential medical devices in resource-limited settings.
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