Study on the Effects of IC-ECG Method in Neonatal PICC Catheterization
American Journal of Pediatrics
Volume 6, Issue 2, June 2020, Pages: 178-182
Received: Mar. 29, 2020; Accepted: Apr. 17, 2020; Published: Apr. 29, 2020
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Authors
Liu Yintian, Department of Cardiovascular Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Liao Qiuying, Department of Cardiovascular Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
He Jinai, Department of Nursing, The First Affiliated Hospital of Jinan University, Guangzhou, China
Lin Na, Department of Neonatal Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, China
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Abstract
Objective: To compare the effects of Intracavitary Electrocardiography (IC-ECG) method and in vitro measurement for positioning the tip of Peripherally Inserted Central Catheter (PICC) in neonates, and investigate the influence of these two methods on PICC complications. Methods: Neonates who received PICC in the neonate intensive care unit of the First Affiliated Hospital of Jinan University from January 2015 to August 2019 were analyzed retrospectively. Patients were divided into two groups: the observation group with both IC-ECG method and in vitro measurement and the control group only with in vitro measurement. Chest X-ray were taken for both groups after the catheterization to confirm the catheter tip position. Statistics about catheter tip position, final extubation rate and PICC-related complications were collected and compared. Results: A total of 348 patients were enrolled (181 observation group, 167 control group). Two groups were comparable in terms of gender, gestational age, birth weight, catheterized side and vein during catheterization with no statistical significance. In the observation group, 173 (95.6%) had P-wave amplitude changes, including 4 (2.2%) were positioned at the upper 1/3 of the superior vena cava (SVC), 28 (15.5%) at the middle 1/3 of SVC, 104 (57.5%) at lower 1/3 of SVC; 38 cases (21.0%) at the right atrium or right ventricle, 7 (3.9%) at other parts, and the proportion of above situations in control group were 7 (4.2%), 15 (9.0%), 33 (19.8%), 48 (28.7%), and 47 (38.3%), respectively. The final extubation rate in the observation group was 86.2% (n=156), and the complication-casued extubation rate was 13.8% (n=25) while that in control group was 67.1% (n=112) and 32.9% (n=55), respectively. The differences between two groups were statistically significant (P < 0.05). Conclusion: Application of IC-ECG-guided PICC in neonates can improve the accuracy of catheter tip position and final extubation rate, and reduce the incidence of catheter-related complications.
Keywords
Neonate, Intracavitary Electrocardiogram (IC-ECG), Peripherally Inserted Central Catheter (PICC), Catheter Tip Position
To cite this article
Liu Yintian, Liao Qiuying, He Jinai, Lin Na, Study on the Effects of IC-ECG Method in Neonatal PICC Catheterization, American Journal of Pediatrics. Vol. 6, No. 2, 2020, pp. 178-182. doi: 10.11648/j.ajp.20200602.31
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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