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  • Long Peripheral...

Long Peripheral Catheters first-line device for for Multiday IV Therapy in kids: Study

MD BureauBy MD BureauPublished On 2021-01-31T19:00:39+05:30  |  Updated On 2021-01-31T19:05:49+05:30
Long Peripheral Catheters first-line device for for Multiday IV Therapy in kids: Study

Establishment of functioning peripheral intravenous (IV) access is a vital step to provide care in the emergency and inpatient settings. A recent study suggests that Long Peripheral Catheters (LPCs) reduces catheter failure and total catheters in children and recommend the use of LPCs as the first-line device for peripheral access. The study findings were published in the journal PEDIATRICS...

Establishment of functioning peripheral intravenous (IV) access is a vital step to provide care in the emergency and inpatient settings. A recent study suggests that Long Peripheral Catheters (LPCs) reduces catheter failure and total catheters in children and recommend the use of LPCs as the first-line device for peripheral access. The study findings were published in the journal PEDIATRICS on January 14, 2021.

Patients with a medical history of obesity, IV drug abuse (IVDA), end-stage renal disease (ESRD), and/or sickle cell disease have been shown to have Difficult Vascular Access (DVA) using the traditional technique. Once cannulated, the survival time of IV catheters is problematic, with early failure a common complication. In children, intravenous therapy (IVT) is generally administered via peripheral intravenous catheters (PIVCs) (2–6 cm in length). However, a previous study suggests that PIVCs are unreliable after 2 days. Long peripheral catheters (LPCs) (6–15 cm in length) could improve the delivery of IVT, but the data available are limited. Therefore, researchers of Melbourne, Australia, conducted a study to determine if LPCs could decrease catheter failure and the number of catheters in children receiving multiday IVT.

It was an open-label randomized controlled trial conducted at Monash Children's Hospital in Melbourne, Australia. Researchers included 72 participants of age1 to 17 years, undergoing surgery and requiring >48 hours of postoperative IVT. They randomly assigned them to receive either 2.5-cm 22G PIVCs (n=36) or 8-cm 22G LPCs (n=36).

Key findings of the study were:

• Upon analysis, researchers have found a similar median duration of IVT of 5.1 days between the groups.

• They also found that the catheter failure was higher for PIVCs than LPCs (66.7% vs 19.4% or 187.9 vs 41.0 failures per 1000 catheter-days).

• They noted that the infiltration was the most common reason for PIVC failure (33.3% vs 2.8%).

• They found that LPCs exhibited superior life span (4.7 vs 3.5 days) and children with LPCs were twice as likely to complete therapy with a single catheter (80.6% vs 38.9%).

The authors concluded, "LPCs reduce catheter failure and total catheters in children. They should be considered as the first-line device for peripheral access in any child receiving prolonged IVT".

For further information:

https://pediatrics.aappublications.org/content/early/2021/01/13/peds.2020-000877


Long Peripheral Catheters Multiday IV Therapy peripheral intravenous catheters PEDIATRICS Difficult Vascular Access 
Article Source :  Â PEDIATRICS
MD Bureau
MD Bureau

    Medical Dialogues Bureau consists of a team of passionate medical/scientific writers, led by doctors and healthcare researchers.  Our team efforts to bring you updated and timely news about the important happenings of the medical and healthcare sector. Our editorial team can be reached at editorial@medicaldialogues.in.

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