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Related Experiment Video

Updated: Oct 4, 2025

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Pediatric central venous access devices: practice, performance, and costs.

Amanda J Ullman1,2,3, Victoria Gibson4,5, Mari D Takashima5

  • 1School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, QLD, Australia. a.ullman@uq.edu.au.

Pediatric Research
|February 9, 2022
PubMed
Summary

Pediatric central venous access device (CVAD) complications and failures are common, impacting children and healthcare systems significantly. Improving adherence to best practices in CVAD use is crucial for reducing harm and costs.

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Area of Science:

  • Pediatric healthcare
  • Medical devices
  • Patient safety

Background:

  • Central venous access devices (CVADs) are essential for healthcare delivery.
  • Limited knowledge exists regarding the burden of harm associated with pediatric CVAD use.

Purpose of the Study:

  • To investigate the incidence, complications, and costs associated with pediatric CVADs.
  • To identify areas for improvement in CVAD care and practice.

Main Methods:

  • Prospective cohort study at a tertiary pediatric hospital in Australia.
  • Recruitment of children (<18 years) undergoing CVAD insertion.
  • Bi-weekly assessments for up to 3 months, monitoring CVAD failure, complications, and costs.

Main Results:

  • 200 CVADs in 163 patients were followed; 20% experienced CVAD failure and 43% had complications.
  • High incidence rates for CVAD failure (5.72/1000 catheter days) and complications (12.29/1000 catheter days).
  • Inconsistent use of ultrasound guidance, suboptimal tip-positioning, and device selection were noted.

Conclusions:

  • Pediatric CVAD complications and failures impose substantial burdens on patients and healthcare.
  • Current surveillance likely underestimates the true burden.
  • Focusing on consistent implementation of best practices is essential for mitigating harm.