Increased risk of complications in lower versus upper limb peripheral intravenous cannulation in children with severe neurological impairment.
Child Care Health Dev
; 50(2): e13250, 2024 03.
Article
en En
| MEDLINE
| ID: mdl-38529773
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.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Cateterismo Periférico
Idioma:
En
Revista:
Child Care Health Dev
Año:
2024
Tipo del documento:
Article