Volume 8, Issue 4, August 2019, Page: 142-144
Outcome of Intracavitary Electrocardiogram Guidance in PICC Tip Placement in Preterm Infants: A Single-center Experience of 327 Cases
Lilan He, Neonatal Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Weiju Chen, Neonatal Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Meng Zhang, Neonatal Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Na Lin, Neonatal Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Wenyan Yang, Neonatal Department, The First Affiliated Hospital of Jinan University, Guangzhou, China
Received: Apr. 5, 2019;       Accepted: May 11, 2019;       Published: Jun. 4, 2019
DOI: 10.11648/j.ajns.20190804.13      View  200      Downloads  39
Abstract
A tertiary neonatal intensive care unit (NICU) in China has carried out a study investigating the safety and accuracy of intracavitary electrocardiogram (IC-ECG) guidance in PICC tip placement in preterm infants. From October 2015 to September 2018, IC-ECG-guidance was applied in 327 preterm infants in our NICU. The positioning of the PICC was performed under ECG-guidance and subsequently assessed by chest X-ray. The frequency of correct ECG-guided PICC-placement in one single attempt, premature infants gender, weight, weeks’ gestational age at PICC insertion was recorded. 327preterm infants(207 male and 120 female)were included in the study with a gestation of 31.3 weeks (25.3 to 36.8) and birth weight of 1498 g (600 to 2560). 327 PICCs tip placement was guided with IC-ECG, all concordant with chest X-ray. 313 (95.7%) were correctly positioned, 228 (72.3%) were correctly positioned on the first attempt, 5 were incorrectly identified to have a short line and 9 were malpositioned. The most commonly punctured vein was the basilic vein (n=228), followed by the superficial temporal vein (n = 31), the axillary vein (n = 25). For 3 years IC-ECG method has proved to be a simple, safe, quick method to assess the correct positioning of the PICC in preterm infants. This is a reliable technique, performing real-time manipulation without any complications.
Keywords
Intracavitary ECG, Malposition, PICC, Tip Placement, Premature Infants, Radiography
To cite this article
Lilan He, Weiju Chen, Meng Zhang, Na Lin, Wenyan Yang, Outcome of Intracavitary Electrocardiogram Guidance in PICC Tip Placement in Preterm Infants: A Single-center Experience of 327 Cases, American Journal of Nursing Science. Vol. 8, No. 4, 2019, pp. 142-144. doi: 10.11648/j.ajns.20190804.13
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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