Increased risk of complications in lower versus upper limb peripheral intravenous cannulation in children with severe neurological impairment

IF 1.8 4区医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-03-26 DOI:10.1111/cch.13250

Eliza Kluckow, Sajini Perera, Isaac Clifford, Daniel Wilks, Monica S. Cooper

{"title":"Increased risk of complications in lower versus upper limb peripheral intravenous cannulation in children with severe neurological impairment","authors":"Eliza Kluckow, Sajini Perera, Isaac Clifford, Daniel Wilks, Monica S. Cooper","doi":"10.1111/cch.13250","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Obtaining peripheral intravenous catheter (PIVC) access in children with severe neurological impairment (SNI) is often challenging and commonly associated with complications, including dislodgement, phlebitis and extravasation. In severe cases, extravasation injury may lead to tissue necrosis, ulceration and long-term morbidity. The aim of this study was to determine the relative incidence of PIVC complications secondary to lower limb cannulation, compared to upper limb, in children with SNI.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A single centre, retrospective, observational review was conducted. Patients with SNI, admitted at a tertiary paediatric centre over 6 months between July and December 2022, were included.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>One-hundred fifty-five PIVC procedures were conducted in 110 children over the study period. Complications were more common in lower limb PIVCs (12/16, 75%) compared to upper limb (58/139, 42%), <i>p</i> = 0.01.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Upper limb cannulation is preferred in children with SNI.</p>\n </section>\n </div>","PeriodicalId":55262,"journal":{"name":"Child Care Health and Development","volume":"50 2","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cch.13250","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Child Care Health and Development","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cch.13250","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Obtaining peripheral intravenous catheter (PIVC) access in children with severe neurological impairment (SNI) is often challenging and commonly associated with complications, including dislodgement, phlebitis and extravasation. In severe cases, extravasation injury may lead to tissue necrosis, ulceration and long-term morbidity. The aim of this study was to determine the relative incidence of PIVC complications secondary to lower limb cannulation, compared to upper limb, in children with SNI.

Methods

A single centre, retrospective, observational review was conducted. Patients with SNI, admitted at a tertiary paediatric centre over 6 months between July and December 2022, were included.

Results

One-hundred fifty-five PIVC procedures were conducted in 110 children over the study period. Complications were more common in lower limb PIVCs (12/16, 75%) compared to upper limb (58/139, 42%), p = 0.01.

Conclusion

Upper limb cannulation is preferred in children with SNI.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

严重神经损伤儿童下肢外周静脉插管与上肢外周静脉插管相比，并发症风险更高。

背景：为患有严重神经功能障碍（SNI）的儿童获取外周静脉导管（PIVC）通路通常具有挑战性，而且通常会出现脱落、静脉炎和外渗等并发症。在严重病例中，外渗损伤可能导致组织坏死、溃疡和长期发病。本研究的目的是确定下肢插管与上肢插管相比，SNI 患儿 PIVC 并发症的相对发生率：方法：进行了一项单中心、回顾性、观察性审查。研究对象包括 2022 年 7 月至 12 月间在一家三级儿科中心住院的 SNI 患者，时间跨度为 6 个月：结果：在研究期间，为110名儿童实施了155例PIVC手术。与上肢（58/139，42%）相比，下肢PIVC（12/16，75%）的并发症更常见，P = 0.01：结论：SNI患儿首选上肢插管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.