Central lines in a tertiary NICU its Indication & outcome– A descriptive study
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2018, Vol 5, Issue 7
Abstract
Introduction: Vascular access especially in critically ill and preterm neonates is a major life saving procedure. There is a need for a sustained access for medications and providing the essential nutrition in sick babies. Various techniques and sites are used for IV lines in the intensive care. There are also some known and associated complications with central lines. Objectives: To describe the indications for insertion, indication for removal, type of central line and outcome of central lines placed in neonates. Methodology: This is an audit of central lines inserted in a tertiary care neonatal ICU between January 2016 to December 2016. Results: A total of 284 central lines either as umbilical, central or PICC lines were inserted. 63% of the lines were inserted through the umbilical vein and 21% through the femoral route mostly in surgical neonates. The most common central line inserted was the umbilical catheter (66%). The medical team inserted 73% of the lines while the remaining 27% was by the surgical team. Central lines in our unit were associated with minimal complications with only 3 babies posing with prolonged bleeding from insertion site. The most common indication for insertion was for infusion of multiple medications (62.7%) and inotropes (9.9)%. Majority of the lines were removed when the indication for use ceased (66.2%). Conclusion: Umbilical line is the most common central line inserted in neonates followed by surgical long lines. Indications for use can be varied and complications are minimal if proper technique and care is followed.
Authors and Affiliations
Deepti Thandaveshwara, Kalasapura Chandrashekhar Sudhamshu
Keywords
Related Articles
- EP ID EP407321
- DOI 10.17511/ijpr.2018.7.06
- Views 147
- Downloads 0
Congenital adrenal hyperplasia in a male neonate presenting as unresponsive sepsis
Congenital Adrenal Hyperplasia (CAH) is a disease of Adrenal steroid synthesis. Classic congenital adrenal hyperplasia (CAH) due to 21 hydroxylase deficiency results in one of two clinical syndromes: a salt-losing form o...
Neonatal behavioral assessment among survivors of birth asphyxia using T.Berry Brazelton's NBAS
Introduction: This study aims at providing baby-specific prognosisfor the survivors of birth asphyxia,regarding their neurological impairment, based on their behaviour assessment using T. Berry Brazelton′s NBAS. Methods:...
Morbidity and mortality predictors of septic shock in children
Lactate is the most commonly used predictor in septic shock. High lactate levels are associated with increased mortality. Septic shock is the most common type of shock with around 50% mortality. Mortality increases by ne...
Over weight, obesity and metabolic syndrome in a semi urban adolescent population in Uyo, Nigeria
Background: Overweight and Obesity are becoming increasingly common in developing countries with the attendant health risks associated with these conditions including Metabolic syndrome. The aim of this study was to find...
Patterns of health care for children with asthma: A qualitative study
Background: Many children across the world, struggle with asthma, especially when the condition worsens due to lack of adherence to treatment strategies, the reason for which however may not be completely understood. Hen...