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Broviac catheter insertion: operating room or neonatal intensive care unit
K P Lally1, W D Hardin, M Boettcher
1Division of Pediatric Surgery, Childrens Hospital of Los Angeles, CA 90027.
Journal of Pediatric Surgery
|September 1, 1987
Summary
Broviac catheter insertion in the neonatal intensive care unit (NICU) is safe and effective for infants. Performing this procedure in the NICU reduces costs and avoids transporting vulnerable neonates to the operating room.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Medical Devices
Background:
- Broviac catheters are crucial for long-term intravenous access in neonates.
- Catheter insertion traditionally occurs in the operating room (OR), posing risks for critically ill infants.
Purpose of the Study:
- To evaluate the safety and efficacy of Broviac catheter insertion within the neonatal intensive care unit (NICU).
- To compare outcomes of NICU-inserted versus OR-inserted Broviac catheters.
Main Methods:
- Retrospective review of infant records (July 1984 - August 1985) undergoing Broviac catheter insertion.
- Comparison of catheter placement, complications (sepsis, occlusion), and dwell time between NICU and OR insertion groups.
Main Results:
- No significant difference in catheter-associated sepsis or occlusion rates between NICU and OR groups.
- NICU catheters had a slightly longer average lifespan (51 days vs. 46 days).
- Higher jugular vein placement success in OR (95%) versus NICU (68%).
Conclusions:
- Broviac catheter insertion can be safely performed in the NICU without increased morbidity.
- NICU insertion offers cost savings and avoids patient transport, enhancing neonate care.
- While jugular vein access was less frequent in the NICU, overall complication rates remained comparable.