Health Condition 1: P070- Extremely low birth weight newborn
Conditions
Interventions
Intervention1: 24G peripheral Intravenous cannula for placement of Peripherally Inserted Central Catheter (PICC): 24G peripheral Intravenous cannula (NEOCAN or BD/NEOFLON TM PRO, Global Medikit Limite
Sponsors
Surya Childrens Medicare Pvt Ltd
DEENANATH MANGESHKAR HOSPITAL AND RESEARCH CENTRE
Eligibility
Inclusion criteria
Inclusion criteria: Extremely low birth weight with gestational age less than 29weeks with following indications for PICC 1) Need for parenteral nutrition for more than 5 days 2) signs of feed intolerance or Necrotising Enterocolitis 3) Gastrointestinal surgical conditions. 3) Need for multiple intravenous infusions, vasoactive fluids, hyperosmolar solutions 4) difficult Intravenous access and requiring intravenous fluids or antibiotics for more than 5 days
Exclusion criteria
Exclusion criteria: 1) presence or suspicion of severe sepsis and treated with antibiotics for less than 72hours, 2) poor skin integrity at the insertion site, 3) local bony abnormalities/fractures/skeletal dysplasia, 4) severe thrombocytopenia less than 25000 or coagulopathy International Normalised Ratio more than 2, 5) vascular anomaly of Superior Venacava or Inferior Venacava and 6) unavailability of key members of PICC core team
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PICC insertion success rate defined as the proportion of infants in whom PICCs were inserted to an approximately central position, using not more than 2 attempts.Timepoint: NICU admission to discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| CLABSI- central line associated blood stream infectionsTimepoint: NICU admission to discharge;Deep PICCsTimepoint: NICU admission to discharge;Local/mechanical complications- (Phlebitis, extremity oedema, thrombosis, extravasation, PICC occlusion, bleeding, stuck PICC)Timepoint: NICU admission to discharge;MortalityTimepoint: NICU admission to discharge;Non-central linesTimepoint: NICU admission to discharge;PICC migrationTimepoint: NICU admission to discharge;PICC tip malpositionTimepoint: NICU admission to discharge;Systemic complications- {Pleural effusion, Chylothorax, embolism, Irregular heart rate (arrythmias), cardiac tamponade, phrenic nerve injury}Timepoint: NICU admission to discharge | — |
Countries
India
Contacts
Public ContactAbhishek Srinivas
Surya Childrens Medicare Pvt Ltd.
Outcome results
None listed