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[Percutaneous microcatheters: experience in a neonatal pathology center]
M T Esque Ruiz1, E Alvarez, M C Ricart
1Departamento de Neonatología, Maternidad Provincial, Barcelona.
Anales Espanoles De Pediatria
|October 1, 1987
Summary
Percutaneous catheterization provides safe, long-term central venous access in newborns. This useful technique, requiring aseptic procedures and X-ray guidance, showed no significant complications in 87 infants.
Area of Science:
- Neonatal Medicine
- Pediatric Interventional Cardiology
- Vascular Access
Context:
- Neonatal intensive care units (NICUs) frequently require reliable vascular access for medication and fluid administration.
- Establishing long-term central venous access in newborns presents unique challenges due to their small size and delicate vasculature.
Purpose:
- To evaluate the safety and efficacy of percutaneous catheterization for achieving long-term central venous access in a neonatal population.
- To determine the success rate, optimal duration, and complication profile of this interventional technique in newborn infants.
Summary:
- A total of 113 percutaneous catheterizations were performed in 87 newborn infants, with central placement achieved in 60 cases (53%).
- Catheter dwell time was as desired in 69 cases (61%), with an average duration of 14.65 days.
- No significant complications were observed, highlighting the safety of the procedure.
Impact:
- Percutaneous catheterization offers a valuable method for establishing long-term circulatory access, including central venous lines, in neonates.
- The findings underscore the importance of aseptic technique and radiographic confirmation of catheter tip position for successful and safe implementation.