Article ; Online: Cyanoacrylate glue as part of a new bundle to decrease neonatal PICC-related complications.
European journal of pediatrics
2023 Volume 182, Issue 12, Page(s) 5607–5613
Abstract: A "bundle" is defined as a combination of evidence-based interventions that, if followed collectively and reliably, improve patient outcomes. The aim of this quasi-experimental study, conducted in a level-III NICU in Belgium, was to assess the impact of ... ...
| Abstract | A "bundle" is defined as a combination of evidence-based interventions that, if followed collectively and reliably, improve patient outcomes. The aim of this quasi-experimental study, conducted in a level-III NICU in Belgium, was to assess the impact of central line dressing and maintenance bundle implementation on the rate of catheter-related mechanical complications. We performed a quality improvement (QI) project. Prior to bundle implementation, neonatal PICC lines were secured by Steri-Strip Conclusion: The implementation of the new bundle to secure neonatal PICCs in our NICU was associated with a significant reduction in CLABSI and dislodgment rates, without glue-related complications. Active surveillance of CVC placement procedure, positioning, and management, as well as analysis of related complications is crucial for improving patient safety. Continuous implementation of up-to-date central line bundles based on best practice recommendations is a key for quality improvement in NICUs. What is known: • Stable vascular access is crucial in the NICU. Neonatal PICC securement issues can have serious consequences and are associated with device failure. What is new: • Catheter securement with tissue adhesive is safe and effective in reducing failure and complication rates in the neonatal population. |
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| MeSH term(s) | Infant, Newborn ; Infant ; Humans ; Catheterization, Central Venous/methods ; Catheter-Related Infections/etiology ; Catheter-Related Infections/prevention & control ; Catheter-Related Infections/epidemiology ; Cyanoacrylates/adverse effects ; Central Venous Catheters ; Intensive Care Units, Neonatal |
| Chemical Substances | Cyanoacrylates |
| Language | English |
| Publishing date | 2023-10-10 |
| Publishing country | Germany |
| Document type | Journal Article |
| ZDB-ID | 194196-3 |
| ISSN | 1432-1076 ; 0340-6199 ; 0943-9676 |
| ISSN (online) | 1432-1076 |
| ISSN | 0340-6199 ; 0943-9676 |
| DOI | 10.1007/s00431-023-05253-0 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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