Evaluation of neonatal peripherally inserted central catheter tip movement in a consistent upper extremity position.

Abstract

OBJECTIVE To compare the effect of standardized upper extremity position versus varied upper extremity positions on neonatal peripherally inserted central catheter (PICC) tip placement and movement. Secondary outcomes assessed were compliance with education, implementation, and complication rates. STUDY DESIGN Tip movement was analyzed between 136 post-PICC insertion x-ray pairs from 72 infants in the 6 months before and after standardization of upper extremity position. Tip movement was regressed over days between x-ray pairs, respiratory support, absolute weight change, and insertion vein. RESULTS There was no difference in PICC tip movement among varied analysis pairs or when standard position pairs were compared with pairs that were in a same nonstandard position. Days between x-rays, respiratory support, absolute weight change, and insertion vein did not predict tip movement. Attendance at education sessions was 100%. Compliance with the new standard was 73%. Complication rates were not significantly different. CONCLUSION Standardization of upper extremity position during neonatal PICC confirmation x-rays did not alter PICC tip movement.

DOI: 10.1097/ANC.0000000000000036

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Cite this paper

@article{Newberry2014EvaluationON, title={Evaluation of neonatal peripherally inserted central catheter tip movement in a consistent upper extremity position.}, author={Desi M Newberry and Thomas E. Young and Tracey Robertson and Janet A Levy and Debra H Brandon}, journal={Advances in neonatal care : official journal of the National Association of Neonatal Nurses}, year={2014}, volume={14 1}, pages={61-8} }