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Evaluation of percutaneously inserted peripheral silicone catheters for parenteral nutrition in infants and children
Author(s) -
SHEPHERD ROSS,
ONG T. H.
Publication year - 1980
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1980.tb01291.x
Subject(s) - medicine , parenteral nutrition , venipuncture , extravasation , vein , surgery , percutaneous , catheter , complication , sepsis , silicone , peripherally inserted central catheter , peripheral , anesthesia , chemistry , organic chemistry , immunology
Delivery of long term parenteral nutrition (PN) to small infants and children by peripheral vein effectively reduces: he risk of serious cather‐related complications which may occur with central vein delivery, but provides the practical difficulties of repeated vein puncture, limited vein access and the problems of phlebitis and extravasation. This study evaluates the use of percutaneous peripheral indwelling fine silicone catheters, compared with conventional methods of delivery in 20 patients (median age 0.2 years) requiring PN for 521 patient‐days (average, 26). These catheters compared favourably with other peripheral insertions in terms of mean indwelling time (12,6 ± 2.0 vs 1.3 ± 0.2 days, p<0.001), frequency of insertions required (7.9 vs 75 insertions per 100 patient‐days) and local complications (2.6 episodes per 100 days — mild phlebitis only — vs 65 per 100 days). Fewer serious complications were encountered than with the centrally placed catheters, the major complication rate of 0.3 per 100 patient‐days being due to a single possible episode of sepsis. We conclude that this technique offers significant practical advantages over conventional PN delivery for small infants and children, by reducing the frequency of venipuncture, prolonging vein life and vein access, reducing work load, and eliminating extravasation, with a minimum of serious complications.