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Peripheral intravenous cannulae in neonates: To splint or not?
- Source :
- The Journal of Vascular Access. 23:398-402
- Publication Year :
- 2021
- Publisher :
- SAGE Publications, 2021.
-
Abstract
- Objective: To determine the effect of splint on the dwell time of peripheral intravenous cannula in neonates. Setting: Level II Neonatal Intensive Care Unit (NICU). Patients: Consecutive babies with presumed need of peripheral intravenous access of at least 24 h. Methods: Enrolled subjects were randomized to “splint” or “splint-less” group. Insertion site was cleaned with Isopropyl alcohol and 2% Chlorhexidine and peripheral intravenous catheter was inserted under strict asepsis. Insertion sites was examined regularly for occurrence of complication which necessitated removal of the catheter. Results: Out of 159 neonates, 80 were allotted to splint group and the rest to splint-less group. Mean dwell time of intravenous line in splint group was 27.68 ± 13.03 h which was significantly less than in splint-less group (32.87 ± 15.79 h, mean difference: 5.11 h, p value: 0.03). Subgroup analysis in preterms showed mean dwell time of 28.54 ± 14.86 h in splint group which was less than that of splint-less group (35.10 ± 16.24 h) ( p value: 0.03). No such difference was noted in the term neonates. Subgroup analysis for catheters put across joints does not show difference in mean dwell times between splint and splint-less groups. Multivariate regression analysis did not identify any variable which independently affected the outcome. Conclusion: Use of splint does not prolong the dwell time of the catheter and is probably harmful in some neonates.
- Subjects :
- Neonatal intensive care unit
business.industry
Peripheral intravenous
medicine.medical_treatment
Infant, Newborn
Cannula
03 medical and health sciences
0302 clinical medicine
Splints
Nephrology
Intensive Care Units, Neonatal
030225 pediatrics
Anesthesia
Catheterization, Peripheral
Humans
Medicine
Surgery
030212 general & internal medicine
Level ii
Infusions, Intravenous
business
Splint (medicine)
Subjects
Details
- ISSN :
- 17246032 and 11297298
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- The Journal of Vascular Access
- Accession number :
- edsair.doi.dedup.....cd78a7fb29cd86778118a68e020444fd