Complications in tunneled CVL versus PICC lines in very low birth weight infants

被引：26
作者：
Foo R. [1 ]
Fujii A. [1 ,2 ]
Harris J.-A. [1 ,2 ]
LaMorte W. [1 ,3 ]
Moulton S. [1 ,3 ]
机构：
[1] Boston University School of Medicine, Boston
[2] Department of Pediatrics, Boston University School of Medicine, Boston
[3] Department of Surgery, Boston University School of Medicine, Boston
来源：
Journal of Perinatology | 2001年 / 21卷 / 8期
关键词：
D O I：
10.1038/sj.jp.7210562
中图分类号：
学科分类号：
摘要：
Objective: Comparison of complications associated with tunneled central venous lines (TCVLs) versus peripherally inserted central catheters (PICCs) in infants < 1500 g. Study design: A retrospective cohort study at a university medical center. A total of 96 catheters were placed in 60 infants between 4/94 and 3/99. A retrospective review of these infants' medical record was done to review associated complications of catheter placement. Results: Both groups had similar weights and gestational ages. The duration of catheterization was 28 days in TCVLs and 11 days in PICCs (p<0.05). Total, infectious, and mechanical complications between the two groups were similar. Survival function estimates showed no difference between the two groups up to the 15th day of catheterization. Conclusion: There is no difference in efficacy or associated complications between the two groups. If one could anticipate needing a catheter longer than 15 days, then a TCVL might be the better choice.
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页码：525 / 530
页数：5
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共 24 条
  • [11] Mollitt D.L., Golladay E.S., Complications of TPN catheter-induced caval thrombosis in children less than one year of age, J Pediatr Surg, 18, pp. 462-467, (1983)
  • [12] Sadiq H.F., Devaskar S., Keenan W.J., Wever T.R., Broviac catheterization in low birth weight infants: Incidence and treatment of associated complications, Crit Care Med, 15, pp. 47-50, (1987)
  • [13] Goutail-Flaud M.F., Sfez M., Berg A., Et al., Central venous catheter-related complications in newborns and infants: A 587-case study, J Pediatr Surg, 26, pp. 645-650, (1991)
  • [14] Stenzel J.P., Green T.P., Fuhrman B.P., Et al., Percutaneous femoral venous catheterisations: A prospective study of complications, J Pediatr, 114, (1989)
  • [15] Neubauer A.P., Percutaneous central iv access in the neonate: Experience with 535 silastic catheters, Acta Paediatr, 84, pp. 756-760, (1995)
  • [16] Cairns P.A., Wilson D.C., McClure B.G., Halliday H.L., McReid M., Percutaneous central venous catheter use in the very low birth weight neonate, Eur J Pediatr, 154, pp. 145-147, (1995)
  • [17] Trotter C.W., Percutaneous central venous cather-related sepsis in the neonate: An analysis of the literature from 1990 to 1994, Neonat Network, 15, pp. 15-28, (1996)
  • [18] National Nosocomial Infections Surveillance (NNIS) semiannual report, May 1995, Am J Infect Control, 23, pp. 377-385, (1995)
  • [19] Mullet M.D., Cook E.F., Gallagher R., Nosocomial sepsis in the neonatal intensive care unit, J Perinatol, 18, pp. 112-115, (1998)
  • [20] Schmidt B., Andrew M., Neonatal thrombosis: A report of a prospective Canadian and International registry, Pediatrics, 96, pp. 939-943, (1995)
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