Interest of Peripheral Venous Catheter Insertion Using a Micro-guide in Neonatology
Comparison of Two Techniques of Peripheral Venous Catheterization in Newborns : Insertion on Micro-guide Versus Conventional Insertion, Without Micro-guide
University Hospital, Montpellier
116 participants
Dec 8, 2021
INTERVENTIONAL
Conditions
Summary
Peripheral venous catheterization represents the preferential option for term or preterm infant care in order to start drug treatment or hydration, or perform anesthesia. However, the peripheral venous access is associated in approximately 50% of cases with a failure of the insertion on the first attempt in an emergency context. Using a micro-guide may facilitate the peripheral venous catheterization in newborns, by guiding the catheter in the vein and, thereby reduce the risk of transfixion of the vascular lumen.
Eligibility
Inclusion Criteria1
- Newborn admitted in the department of neonatal medicine and pediatric intensive care, at Montpellier University Hospital
Exclusion Criteria4
- Term neonate \> 28 days
- Premature neonate \> 41 weeks of corrected gestational age
- Exclusive requirement for an umbilical venous catheter, in the context of neonatal resuscitation
- Exclusive requirement for an epicutaneous-cava catheter, in the context of prolonged parenteral nutrition.
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Interventions
After antisepsis, the vein is punctured using a needle. Then the micro-guide is inserted to the first landmark, which indicates the passage of the micro-guide beyond the end of the needle. After the needle removed, the peripheral venous catheter is placed on the micro-guide. The guide is then removed, the peripheral venous catheter can be used.
After antisepsis, the catheter is introduced into the vein by a needle which is subsequently removed while the catheter remains in place.
Locations(1)
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NCT04984967