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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Newberry, Desi M. Young, Thomas E. Robertson, Tracey Levy, Janet Brandon, Debra |
| Description | Author Affiliation: Newberry DM ( Duke University School of Nursing, Durham, and WakeMed Faculty Physicians-Neonatology, Raleigh, North Carolina (Drs Newberry and Robertson)) |
| Abstract | OBJECTIVE: To compare the effect of standardized upper extremity position versus varied upper extremity positions on neonatal peripherally inserted central catheter (PICC) tip placement and movement. Secondary outcomes assessed were compliance with education, implementation, and complication rates. STUDY DESIGN: Tip movement was analyzed between 136 post-PICC insertion x-ray pairs from 72 infants in the 6 months before and after standardization of upper extremity position. Tip movement was regressed over days between x-ray pairs, respiratory support, absolute weight change, and insertion vein. RESULTS: There was no difference in PICC tip movement among varied analysis pairs or when standard position pairs were compared with pairs that were in a same nonstandard position. Days between x-rays, respiratory support, absolute weight change, and insertion vein did not predict tip movement. Attendance at education sessions was 100%. Compliance with the new standard was 73%. Complication rates were not significantly different. CONCLUSION: Standardization of upper extremity position during neonatal PICC confirmation x-rays did not alter PICC tip movement. |
| File Format | HTM / HTML |
| ISSN | 15360903 |
| Issue Number | 1 |
| Volume Number | 14 |
| e-ISSN | 15360911 |
| Journal | Advances in Neonatal Care |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2014-02-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Perinatology Catheterization, Central Venous Methods Catheterization, Peripheral Catheters, Indwelling Standards Humans Infant Infant, Newborn Infant, Premature Radiography Upper Extremity Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health |
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