What is it about?
A large body of evidence has demonstrated that using ultrasound technology to guide vascular access improves patient care, promotes success, enhances safety, and reduces complications. This article will empower NICU clinicians to improve outcomes for neonates and their families by advancing knowledge and provide superior patient care. The article will: -Describe ultrasound guided PICC insertion in two ELBW infants -Highlight the advantages of using a dynamic, real-time US-guided technique -Identify barriers to integrating the dynamic US guided PICC insertion technique into clinical practice -Discuss strategies to foster implementation of US-guided PICC placement in the neonatal setting
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Why is it important?
US-guided PICC insertion is a standard of care for pediatrics and adults, yet its use in the neonatal setting has not been integrated into practice. US-guided PICC placement is a safe and effective technique that improves patient health outcomes by fewer first-time/overall attempts, needle punctures, reduced complications i.e. infection and thrombosis, decreased procedure time/pain and lower cost. US guided PICC placement performed by a skilled, experienced clinician further improves outcomes and reduces the risk of complications.
Read the Original
This page is a summary of: Ultrasound-Guided Peripherally Inserted Central Catheter Placement in Extremely Low Birth Weight Neonates, Neonatal Network The Journal of Neonatal Nursing, January 2022, Springer Publishing Company, DOI: 10.1891/11-t-733.
You can read the full text:
Ultrasound Guided PICC Placement in 505 gram ELBW
Placement of a 1Fr polyurethane catheter using US guided technology and a 26G introducer in left basilic vein on a 505 gram infant. US lined up in front of practitioner, technician assisting to stabilize infant’s arm, tissue and skin to improve first time success rate. Confirm that the orientation of the probe marker is located to the left and corresponding with the dot located on upper left corner of the US screen. Hold the transducer in the nondominant hand and the needle in the dominant hand.
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