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Positioning of Vascular Access in Pediatric Patients: An Observational Study Focusing on Adherence to Current

Chiara Moreal1, Rosanna I Comoretto1, Sara Buchini2

  • 1Unit of Biostatistics, Department of Cardiac Thoracic Vascular Sciences and Public Health, Epidemiology and Public Health, University of Padova, 35131 Padova, Italy.

Journal of Clinical Medicine
|July 2, 2021
PubMed

Insights

Adhering to guidelines for pediatric venous access device (VAD) placement is crucial. Following these guidelines significantly reduces the risk of complications in children requiring VADs.

Area of Science:

  • Pediatric Medicine
  • Vascular Access
  • Infection Control

Background:

  • Venous access devices (VADs) are essential in pediatric care.
  • Pediatric VAD placement presents unique challenges, including patient cooperation and vascular access limitations.
  • Existing guidelines offer general recommendations, but specific pediatric data are limited.

Purpose of the Study:

  • To evaluate adherence to VAD placement guidelines in a pediatric setting.
  • To identify factors associated with VAD complications in children.
  • To determine the protective role of guideline adherence in preventing VAD-related issues.

Main Methods:

  • Retrospective observational study design.
  • Data collected from pediatric hospital admissions (January 1-December 31, 2019).
  • Analysis of 251 pediatric subjects and 367 VADs, focusing on clinical documentation.

Main Results:

  • Longer device indwelling time and intravenous therapy administration correlated with higher complication rates.
  • Adherence to placement guidelines emerged as a significant protective factor against complications.
  • Guideline adherence was an independent positive predictor for complication prevention.

Conclusions:

  • Strict adherence to VAD placement guidelines is vital for pediatric patient safety.
  • Implementing and monitoring guideline adherence can minimize VAD-related complications in children.
  • Further research should focus on optimizing pediatric VAD care protocols based on guideline compliance.

Keywords:
adherence to guidelinescomplicationsnursingpediatric patientsvascular access

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