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Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran

BACKGROUND: Peripherally Inserted Central Catheter (PICC), which is inserted through peripheral veins into the superior or inferior vena cava, is used to inject medications or parenteral nutrition in neonates with long-term hospitalization in the intensive care unit. In this study, we assessed the c...

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Autores principales: Moradi, Raheleh, Shariat, Mamak, Farrokhzad, Nahid, Abroon, Ameneh, Kafi, Soheila, Hamidpoor, Azadeh, Hassani, Elaheh, Charousaei, Hasti, Nayeri, Fatemeh Sadat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881549/
https://www.ncbi.nlm.nih.gov/pubmed/36712301
http://dx.doi.org/10.4103/ijnmr.ijnmr_20_21
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author Moradi, Raheleh
Shariat, Mamak
Farrokhzad, Nahid
Abroon, Ameneh
Kafi, Soheila
Hamidpoor, Azadeh
Hassani, Elaheh
Charousaei, Hasti
Nayeri, Fatemeh Sadat
author_facet Moradi, Raheleh
Shariat, Mamak
Farrokhzad, Nahid
Abroon, Ameneh
Kafi, Soheila
Hamidpoor, Azadeh
Hassani, Elaheh
Charousaei, Hasti
Nayeri, Fatemeh Sadat
author_sort Moradi, Raheleh
collection PubMed
description BACKGROUND: Peripherally Inserted Central Catheter (PICC), which is inserted through peripheral veins into the superior or inferior vena cava, is used to inject medications or parenteral nutrition in neonates with long-term hospitalization in the intensive care unit. In this study, we assessed the complications of PICC in neonates admitted to the intensive care unit in hospital. MATERIALS AND METHODS: In the present retrospective cohort, neonates admitted to the Neonatal Intensive Care Unit (NICU) of Valiasr Hospital during 2015-2018 had been divided into two groups with PICC and without it. Data included the occurrence of septicemia, tachycardia, perforation of large veins, pulmonary hypertension, cardiac tamponade, pericardial effusion, catheter site necrosis, hemorrhage, anemia, pleural effusion, ascites, phlebitis of catheter track and neonatal death, which were collected, using the comprehensive neonatal registry of Valiasr Hospital. Data analysis was performed with regression, mantel-haenszel and independent t-test. RESULTS: Data from 174 neonates with PICC were compared to 207 infants with classic IV-Line. In the exposure group, the gestational age and birth weight were lower. Based on the results of the double logistic regression test, septicemia and hemorrhage in the injection site, independent of other variables, were related to the use of PICC and the risk of septicemia or hemorrhage in the injection site was significantly reduced if PCIC was used (p < 0.01). CONCLUSIONS: Using the PICC as a therapeutic procedure in hospitalized neonates in the NICU is a safe method. By improving its replacement skills among physicians and nurses, its side effects are minor and negligible.
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spelling pubmed-98815492023-01-28 Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran Moradi, Raheleh Shariat, Mamak Farrokhzad, Nahid Abroon, Ameneh Kafi, Soheila Hamidpoor, Azadeh Hassani, Elaheh Charousaei, Hasti Nayeri, Fatemeh Sadat Iran J Nurs Midwifery Res Original Article BACKGROUND: Peripherally Inserted Central Catheter (PICC), which is inserted through peripheral veins into the superior or inferior vena cava, is used to inject medications or parenteral nutrition in neonates with long-term hospitalization in the intensive care unit. In this study, we assessed the complications of PICC in neonates admitted to the intensive care unit in hospital. MATERIALS AND METHODS: In the present retrospective cohort, neonates admitted to the Neonatal Intensive Care Unit (NICU) of Valiasr Hospital during 2015-2018 had been divided into two groups with PICC and without it. Data included the occurrence of septicemia, tachycardia, perforation of large veins, pulmonary hypertension, cardiac tamponade, pericardial effusion, catheter site necrosis, hemorrhage, anemia, pleural effusion, ascites, phlebitis of catheter track and neonatal death, which were collected, using the comprehensive neonatal registry of Valiasr Hospital. Data analysis was performed with regression, mantel-haenszel and independent t-test. RESULTS: Data from 174 neonates with PICC were compared to 207 infants with classic IV-Line. In the exposure group, the gestational age and birth weight were lower. Based on the results of the double logistic regression test, septicemia and hemorrhage in the injection site, independent of other variables, were related to the use of PICC and the risk of septicemia or hemorrhage in the injection site was significantly reduced if PCIC was used (p < 0.01). CONCLUSIONS: Using the PICC as a therapeutic procedure in hospitalized neonates in the NICU is a safe method. By improving its replacement skills among physicians and nurses, its side effects are minor and negligible. Wolters Kluwer - Medknow 2022-11-18 /pmc/articles/PMC9881549/ /pubmed/36712301 http://dx.doi.org/10.4103/ijnmr.ijnmr_20_21 Text en Copyright: © 2022 Iranian Journal of Nursing and Midwifery Research https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Moradi, Raheleh
Shariat, Mamak
Farrokhzad, Nahid
Abroon, Ameneh
Kafi, Soheila
Hamidpoor, Azadeh
Hassani, Elaheh
Charousaei, Hasti
Nayeri, Fatemeh Sadat
Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran
title Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran
title_full Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran
title_fullStr Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran
title_full_unstemmed Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran
title_short Assessment of the Complications of Peripherally Inserted Central Catheter in Neonates Admitted to the Intensive Care Unit: A Center's Experience in Iran
title_sort assessment of the complications of peripherally inserted central catheter in neonates admitted to the intensive care unit: a center's experience in iran
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9881549/
https://www.ncbi.nlm.nih.gov/pubmed/36712301
http://dx.doi.org/10.4103/ijnmr.ijnmr_20_21
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