Am J Perinatol 2020; 37(14): 1432-1437
DOI: 10.1055/s-0039-1693718
Original Article

Percutaneous Inserted Venous Catheter via Femoral Vein in Extremely Low-Birth-Weight Infants: A Single-Center Experience

Elena Bergón-Sendín
1   Department of Neonatology, Biomedical Research Institute i + 12, Hospital 12 de Octubre, Madrid, Spain
,
2   Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain
,
María Dolores Méndez-Marín
3   Department of Pediatric Anesthesia, Hospital 12 de Octubre, Madrid, Spain
,
Mónica De Miguel-Moya
3   Department of Pediatric Anesthesia, Hospital 12 de Octubre, Madrid, Spain
,
Diego Fontiveros-Escalona
1   Department of Neonatology, Biomedical Research Institute i + 12, Hospital 12 de Octubre, Madrid, Spain
,
Mercedes Diezma-Godino
1   Department of Neonatology, Biomedical Research Institute i + 12, Hospital 12 de Octubre, Madrid, Spain
,
Carmen Rosa Pallás-Alonso
1   Department of Neonatology, Biomedical Research Institute i + 12, Hospital 12 de Octubre, Madrid, Spain
4   SAMID Network (Spanish Collaborative Maternal and Child Health Research Network), Complutense University of Madrid, Research Institute i + 12 Madrid, Madrid, Spain
,
María Teresa Moral-Pumarega
1   Department of Neonatology, Biomedical Research Institute i + 12, Hospital 12 de Octubre, Madrid, Spain
4   SAMID Network (Spanish Collaborative Maternal and Child Health Research Network), Complutense University of Madrid, Research Institute i + 12 Madrid, Madrid, Spain
› Author Affiliations
Funding None.

Abstract

Objective This study aimed to assess the applicability of the insertion of small diameter catheters through the femoral vein in extremely low-birth-weight (ELBW) infants.

Study Design All femoral small diameter catheters (Silastic or femoral arterial catheter [FAC]) inserted in ELBW infants in a tertiary level neonatal intensive care unit were retrospectively reviewed. Success rate, dwelling time, and percutaneously inserted central venous catheter–related complications were recorded.

Results Thirteen small diameter catheters were inserted in seven ELBW infants. Mean gestational age at birth was 25+3 weeks (standard deviation [SD] ± 2.12) and mean birth weight was 686 g (SD ± 204.9). Mean weight at the first time of insertion was 1,044 g (SD ± 376.3). In two occasions, a FAC was used instead of a Silastic. In most cases (11/13, 84.6%), the patient was intubated prior to the procedure. The mean dwelling time was 16.7 days (SD ± 9.8). Most of the inserted small diameter catheters were removed electively (8/12, 66.7%), except for one episode of clinical sepsis from coagulase-negative Staphylococcus and three cases of accidental line extravasation. No other complications were reported. The success rate was 92.3%.

Conclusion Femoral venous catheterization using small diameter catheters in ELBW infants may be promising when other routes have been exhausted. Our results support that it is a feasible technique that can be performed at the bedside with successful results when conducted by experienced personnel.

Note

Written informed consent was obtained prior to the procedure from parents/legal guardian of all the patients. All patients' data were treated confidentially according to the national Data Protection Law (May 25, 2018). Institutional Review Board resolved that no review was needed given that the study was performed within routine clinical practice.




Publication History

Received: 06 April 2019

Accepted: 24 June 2019

Article published online:
09 August 2019

© 2020. Thieme. All rights reserved.

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