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Insertion technologies for neonatal venous access: a scoping review.

Stephanie Hall1,2, Deanne August3,4,5,6, Jennifer Hall4

  • 1School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, QLD, Australia. stephanie.hall2@health.qld.gov.au.

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Technology aids neonatal venous access catheter insertion, with ultrasound being most common. However, evidence is limited for widespread adoption, especially for peripheral catheters.

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Area of Science:

  • Neonatal Medicine
  • Medical Technology
  • Vascular Access

Background:

  • Venous access catheter insertion is a frequent invasive procedure in hospitalized neonates.
  • Evidence-based technologies support catheter insertion in other patient populations.
  • A gap exists in understanding technology's role in neonatal venous access.

Purpose of the Study:

  • To conduct a scoping review of literature on technology use in neonatal venous access catheter insertion.
  • To identify technologies utilized and their reported efficacy.
  • To assess the evidence base supporting technology use in this population.

Main Methods:

  • A comprehensive literature search was performed, yielding 7435 records.
  • 91 studies and 4 guidelines were included in the final analysis.
  • Data on technology type, catheter type, and comparison with X-ray were extracted.

Main Results:

  • Ultrasound (81%) was the most frequently reported technology, followed by intracavity electrocardiogram (14%).
  • Most studies focused on central venous access catheters (92%), with limited research on peripheral catheters (7%).
  • While guidelines encourage technology, they highlight a lack of high-level evidence and consensus on methods and outcomes.

Conclusions:

  • Ultrasound shows growing utility in neonatal central venous access, but standardization is lacking.
  • There is a need for more research on technology use for peripheral intravenous catheters, the most common type.
  • Further high-quality evidence is required to support the routine use of technology in neonatal venous access procedures.