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Peripheral Intravenous Access in Preterm Neonates during Postnatal Stabilization: Feasibility and Safety
Nariae Baik-Schneditz1,2, Gerhard Pichler1,2, Bernhard Schwaberger1,2
1Division of Neonatology, Department of Paediatrics, Medical University of Graz, Graz, Styria, Austria.
Frontiers in Pediatrics
|August 30, 2017
Summary
Peripheral intravenous (IV) catheterization is a feasible and successful method for drug administration in preterm infants during postnatal stabilization. This approach often requires only one attempt for successful venous access.
Area of Science:
- Neonatal Resuscitation
- Vascular Access
- Pediatric Critical Care
Background:
- European guidelines recommend umbilical venous catheters for neonatal resuscitation.
- Peripheral venous catheters are a common alternative, especially for preterm infants.
Purpose of the Study:
- To evaluate the feasibility and success rate of peripheral intravenous catheterization in preterm infants.
- To analyze physiological parameters during and after peripheral venous access procedures.
Main Methods:
- Two randomized controlled studies were conducted during neonatal resuscitation.
- Data on venous puncture attempts, success time, and physiological monitoring (SpO2, HR, cTOI/crSO2) were collected.
- 61 preterm neonates were analyzed, with a mean gestational age of 31.5 weeks.
Main Results:
- Peripheral IV catheterization was successful in a median of one attempt.
- Successful IV catheterization was achieved at a median of 5 minutes after birth.
- Arterial oxygen saturation and cerebral oxygenation significantly increased post-catheterization, while heart rate remained stable.
Conclusions:
- Peripheral IV catheterization is a feasible and successful first-attempt method for preterm infants.
- This technique supports effective drug administration during postnatal stabilization.
- The procedure is associated with improved oxygenation parameters in neonates.
Keywords:
arterial oxygen saturationcerebral oxygenationintravenous accesspostnatal stabilizationpreterm neonatesMore Related Videos
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