Does the Use of a Vein Visualization Device for Peripheral Venous Catheter Placement Increase Success Rate in Pediatric Patients?

Objectives.To assess the appropriateness of using the indices developed by the Study on the Efficacy of Nosocomial Infection Control (SENIC) and the National Nosocomial Infections Surveillance (NNIS) project to determine risk factors for surgical site infection (SSI) in children and, if not appropriate, to explore the factors related to SSI in children so these factors could be used in a risk index for pediatric patients.Design.Cohort study during more than 4 years.Setting.La Paz University Hospital, a national reference center that serves Health Area 5 of Madrid, Spain, which has approximately 500,000 inhabitants.Patients.Convenience sample consisting of the 3,646 children admitted for surgery who had a postsurgical stay of more than 2 days.Results.A model with 8 predictive factors (degree of surgical contamination; duration of surgery; type of surgery; use of a peripheral venous catheter, central venous catheter, or urinary catheter; number of diagnoses; and SSI exposition time) was created. Its relation to the SSI rate was better than that of the SENIC or NNIS indices. Its sensitivity, specificity, and area under the receiver–operating characteristic curve were higher than that of the SENIC index.Conclusions.The model that we created seems to be more adequate for predicting SSI and evaluating pediatric patients' intrinsic risk than the SENIC and NNIS indices.

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Two different techniques of ultrasound-guided peripheral venous catheter placement versus the traditional approach in the pre-hospital emergency setting: a randomized study

Internal and Emergency Medicine ◽

10.1007/s11739-019-02226-w ◽

2019 ◽

Vol 15 (2) ◽

pp. 303-310 ◽

Cited By ~ 1

Author(s):

Roman Skulec ◽

Jitka Callerova ◽

Petr Vojtisek ◽

Vladimir Cerny

Keyword(s):

Traditional Approach ◽

Randomized Study ◽

Venous Catheter ◽

Catheter Placement ◽

Emergency Setting ◽

Ultrasound Guided ◽

Hospital Emergency ◽

Peripheral Venous Catheter

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Central venous catheter placement for intravenous digital subtraction angiography: an assessment of technical problems and success rate

British Journal of Radiology ◽

10.1259/0007-1285-64-758-183-c ◽

1991 ◽

Vol 64 (758) ◽

pp. 183-184

Author(s):

S. Sharma

Keyword(s):

Central Venous Catheter ◽

Success Rate ◽

Digital Subtraction Angiography ◽

Venous Catheter ◽

Catheter Placement ◽

Digital Subtraction ◽

Central Venous ◽

Central Venous Catheter Placement ◽

Technical Problems ◽

Intravenous Digital Subtraction Angiography

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Thoracic and Lumbar Epidural Analgesia via the Caudal Approach Using Electrical Stimulation Guidance in Pediatric Patients

Anesthesiology ◽

10.1097/00000542-200403000-00032 ◽

2004 ◽

Vol 100 (3) ◽

pp. 683-689 ◽

Cited By ~ 64

Author(s):

Ban C. H. Tsui ◽

Alese Wagner ◽

Dominic Cave ◽

Ramona Kearney

Keyword(s):

Epidural Analgesia ◽

Success Rate ◽

Respiratory Depression ◽

Pediatric Patients ◽

Systemic Infection ◽

Catheter Placement ◽

Older Children ◽

Technical Success Rate ◽

Significant Difference ◽

Caudal Approach

Background Nerve stimulation guidance (Tsui test) has been reported to be an effective alternative to radiographic imaging for proper catheter placement. The purpose of this study was to examine the success rate and complications of continuous caudal epidural analgesia since the implementation of routine use of the Tsui test at the authors' institution. Methods The authors examined prospectively collected data in their pediatric pain service database from 289 children who had attempted caudal placement of a lumbar or thoracic catheter between 1999 and 2002. Results In five patients (aged 5 months-1.6 yr), the catheter did not thread to the desired level and was abandoned in the operating room (technical success rate, 98.2%). Of the remaining 284 patients, the overall analgesic success rate of all caudal route epidural analgesia procedures was 84.9%. There was no significant difference in adequate pain control (success) in infants (aged 1 day-1 yr) versus older children (aged younger than 1 yr). The most common adverse effects were pruritus (26.1%) and nausea and vomiting (16.9%). Of the patients in our study, 57.7% had urinary catheters in situ; of those who did not have a catheter placed, 20.8% experienced urinary retention. The incidence of respiratory depression was 4.2%, but the administration of naloxone for severe respiratory depression was never necessary. Three percent of catheters were removed because of suspected contamination, but no epidural abscesses or systemic infection were noted. Conclusions The results of this study suggest that epidural catheter placement via the caudal approach using the Tsui test is an effective and reasonable alternative to direct lumbar and thoracic epidural analgesia in pediatric patients.

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