This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Nakamura, K. T. Articles by Erenberg, A. Search for Related Content PubMed PubMed Citation Articles by Nakamura, K. T. Articles by Erenberg, A. Social Bookmarking                         What's this?

Evaluation of a Percutaneously Placed 27-Gauge Central Venous Catheter in Neonates Weighing <1200 Grams

Departments of Pediatrics and Radiology, University of lowa. lowa City Iowa

Yutaka Sato, M.D.

Departments of Pediatrics and Radiology, University of lowa. lowa City Iowa

Allen Erenberg, M.D.

Departments of Pediatrics and Radiology, University of lowa. lowa City Iowa

A percutaneous 27-gauge OD central venous catheter was inserted at 4 ± 3 (SD) days of age and left in place for up to 2 weeks in 20 neonates with birth weights <1200 g and >24 h of age. Parenteral nutritional solutions and medications were administered through these catheters. Twenty neonates matched for birth weight and gestational age served as paired controls.

In vitro studies demonstrate that the maximum infusion rate for parenteral nutrition solutions is about 20 ml/hr. Packed red blood cells could not be infused through these catheters. In vivo results demonstrate a significant (p < 0.05) reduction in number of peripheral iv catheters inserted during study (2 ± 1 us 7 ± 4, SD) with no difference in cost per day of iv access ($79.42 ± 113.51 vs $43.91 ± 15.99. SD). Two-dimensional ultrasound assessment of catheter thrombosis was unsuccessful. Moreover, there was no correlation between angiographic and electron microscopic evaluation of catheter tip thrombosis. Electron microscopy of catheter tips revealed 33% with complete, partial and no occlusion, respectively, and 39% with sheath thrombosis. In summary, percutaneous insertion of a 27-gauge OD Vialon central venous catheter is a feasible alternative in providing venous access in very low birth weight infants. (Journal of Parenteral and Enteral Nutritiun 14:295-299, 1990)

Journal of Parenteral and Enteral Nutrition, Vol. 14, No. 3, 295-299 (1990)
DOI: 10.1177/0148607190014003295


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				V. Hoang, J. Sills, M. Chandler, E. Busalani, R. Clifton-Koeppel, and H. D. Modanlou Percutaneously Inserted Central Catheter for Total Parenteral Nutrition in Neonates: Complications Rates Related to Upper Versus Lower Extremity Insertion Pediatrics, May 1, 2008; 121(5): e1152 - e1159. [Abstract] [Full Text] [PDF]

				P. S. Shah, A. Kalyn, P. Satodia, M. S. Dunn, B. Parvez, A. Daneman, S. Salem, P. Glanc, A. Ohlsson, and V. Shah A Randomized, Controlled Trial of Heparin Versus Placebo Infusion to Prolong the Usability of Peripherally Placed Percutaneous Central Venous Catheters (PCVCs) in Neonates: The HIP (Heparin Infusion for PCVC) Study Pediatrics, January 1, 2007; 119(1): e284 - e291. [Abstract] [Full Text] [PDF]

				M. Butler-O'Hara, C. J. Buzzard, L. Reubens, M. P. McDermott, W. DiGrazio, and C. T. D'Angio A Randomized Trial Comparing Long-term and Short-term Use of Umbilical Venous Catheters in Premature Infants With Birth Weights of Less Than 1251 Grams Pediatrics, July 1, 2006; 118(1): e25 - e35. [Abstract] [Full Text] [PDF]

				N. Safdar and D. G. Maki Risk of Catheter-Related Bloodstream Infection With Peripherally Inserted Central Venous Catheters Used in Hospitalized Patients Chest, August 1, 2005; 128(2): 489 - 495. [Abstract] [Full Text] [PDF]