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ABSTRACT: Purpose
This study aimed to describe a peripherally inserted central catheterisation (PICC) for paediatric patients with inaccessible access and a high risk of general anaesthesia (GA).Methods
This was a retrospective observational study involving all paediatric inpatients who performed the PICC via an EJV approach without GA between September 2014 and September 2021 in a provincial key clinical speciality.Results
A total of 290 EJV line placement attempts were performed, and 29 were excluded due to missing placement results, resulting in a sample size of 261. The anatomical localisation, punctures, and catheterisation success rates for this practice were 100%, 100%, and 90.04%, respectively. The placement success rate in children younger than one year was 93.75% (45/48). The median line duration of use was 19 days, with a median length of catheter insertion of 13 cm. The most common complications were catheter malposition (n = 20) and dislodgement (n = 7).Conclusion
The PICC via an EJV approach without GA is a feasible and safe practice with acceptable success and complication rates, and low costs. It might be an attractive alternative for obtaining central vascular access for paediatric patients.
SUBMITTER: Zhang P
PROVIDER: S-EPMC10657000 | biostudies-literature | 2023 Nov
REPOSITORIES: biostudies-literature
Zhang Ping P Jia Miao M Li Wan-Yuan WY Li Juan J Niu Jin-Lei JL Ding Hong H Zhou Wang-Mei WM
BMC pediatrics 20231118 1
<h4>Purpose</h4>This study aimed to describe a peripherally inserted central catheterisation (PICC) for paediatric patients with inaccessible access and a high risk of general anaesthesia (GA).<h4>Methods</h4>This was a retrospective observational study involving all paediatric inpatients who performed the PICC via an EJV approach without GA between September 2014 and September 2021 in a provincial key clinical speciality.<h4>Results</h4>A total of 290 EJV line placement attempts were performed, ...[more]