Luister A.a· Khostwal N.a· Deindl P.a· Herrmann J.b· Singer D.a· Ebenebe C.U.a

Author affiliations

aDivision of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Martinistreet, Hamburg, Germany
bDivision of Pediatric Radiology, Department of Interventional and Diagnostic Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Martinistreet, Hamburg, Germany

Log in to MyKarger to check if you already have access to this content.

Buy FullText & PDF Unlimited re-access via MyKarger Unrestricted printing, no saving restrictions for personal use read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.

Save over 20% compared to the individual article price.

Learn more

Access via DeepDyve Unlimited fulltext viewing of this article Organize, annotate And mark up articles Printing And downloading restrictions apply

Select

Subscribe Access to all articles of the subscribed year(s) guaranteed for 5 years Unlimited re-access via Subscriber Login or MyKarger Unrestricted printing, no saving restrictions for personal use read more

Subcription rates

Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview

Received: September 13, 2022
Accepted: November 04, 2022
Published online: January 03, 2023

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 1661-7800 (Print)
eISSN: 1661-7819 (Online)

For additional information: https://www.karger.com/NEO

Abstract

Objective: Malposition of peripherally inserted central catheters (PICCs) is common. Recommendations for PICC insertion depths are scarce and comprise complex equations. This study aimed to develop diagrams and tables for the recommendation of PICC insertion depths in neonates based on anthropometric parameters. Study Design: In this retrospective single-center study, the individual optimal PICC insertion depths were correlated with body weight, length, and head circumference. Using linear regression analysis, line charts and tables for the recommendation of PICC insertion depth were generated and compared with previously published recommendations. Result: PICC insertion depths of 204 infants (gestational age at PICC installation: 24.0–44.9 weeks) with 131 (64%) PICC in the upper extremities and 73 (36%) in the lower extremities were analyzed. Linear logistic regression models revealed R2 values between 0.387 and 0.884. Conclusion: The charts and table developed in this study enable a fast and accurate determination of recommended PICC insertion depths in neonates.

© 2023 S. Karger AG, Basel

References McCay AS, Elliott EC, Walden M. PICC placement in the neonate. N Engl J Med. 2014;370(11):e17. Kearns PJ, Coleman S, Wehner JH. Complications of long arm-catheters: a randomized trial of central vs peripheral tip location. JPEN J Parenter Enteral Nutr. 1996;20(1):20–4. Menon G. Neonatal long lines. Arch Dis Child Fetal Neonatal Ed. 2003;88(4):F260–2. Racadio JM, Doellman DA, Johnson ND, Bean JA, Jacobs BR. Pediatric peripherally inserted central catheters: complication rates related to catheter tip location. Pediatrics. 2001;107(2):E28. Yang L, Bing X, Song L, Na C, Minghong D, Annuo L. Intracavitary electrocardiogram guidance for placement of peripherally inserted central catheters in premature infants. Medicine. 2019;98(50):e18368. Sharma D, Farahbakhsh N, Tabatabaii SA. Role of ultrasound for central catheter tip localization in neonates: a review of the current evidence. J Matern Fetal Neonatal Med. 2019;32(14):2429–37. Fricke BL, Racadio JM, Duckworth T, Donnelly LF, Tamer RM, Johnson ND. Placement of peripherally inserted central catheters without fluoroscopy in children: initial catheter tip position. Radiology. 2005;234(3):887–92. Chen IL, Ou-Yang MC, Chen FS, Chung MY, Chen CC, Liu YC, et al. The equations of the inserted length of percutaneous central venous catheters on neonates in NICU. Pediatr Neonatal. 2019;60(3):305–10. Armbruster D, Slaughter J, Stenger M, Warren P. Neonatal anthropometric measures and peripherally inserted central catheter depth. Adv Neonatal Care. 2021;21(4):314–21. Kim DY, Park HR. Estimating the insertion depth of a peripherally inserted central catheter in newborns using weight and gestational age measurements. J Perinat Neonatal Nurs. 2021;35(4):362–8. Albrecht K, Breitmeier D, Panning B, Troger HD, Nave H. The carina as a landmark for central venous catheter placement in small children. Eur J Pediatr. 2006;165(4):264–6. Article / Publication Details

First-Page Preview

Received: September 13, 2022
Accepted: November 04, 2022
Published online: January 03, 2023

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 1661-7800 (Print)
eISSN: 1661-7819 (Online)

For additional information: https://www.karger.com/NEO

Copyright / Drug Dosage / Disclaimer Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.