Vascular device practices in extremely preterm infants: an international cross-sectional survey
Abstract
Abstract Objective To explore global practices in vascular device selection, securement, and monitoring for extremely preterm infants, and to assess regional variation. Study design A web-based cross-sectional survey was completed by one respondent per neonatal unit. Result We received 848 responses from 100 countries. Guideline availability varied: 85–98% for umbilical venous catheters (UVCs) and 29–97% for peripheral intravenous catheters. UVCs were the preferred initial vascular device at 23 to 26 weeks (70% and 63%, respectively). Transparent film dressings for peripheral catheters and Wharton’s jelly stitch for UVCs were the commonest securement methods. Peripherally inserted central catheter sites were assessed at intervals of < 8 h in 56% (434/780) units, and 58% (490/848) units did not use an extravasation injury detection tool. Guideline availability was two-fold higher in units caring for 22–23 vs 24–25 weeks’ gestation. Conclusion Significant global variation exists, highlighting the need for standardized, evidence-based vascular care.
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Authors: U. Mishra, Sabrina de Souza, J. Buchmayer, R. Maheshwari, D. D’Çruz, K. Walker, Duygu Gözen, K. Lowe, A. Wright, J. Marceau, M. Culcer, A. Priyadarshi, J. Moore, Vibhuti S Shah, U. Vaidya, A. Khashana, S. Godambe, FC Cheah, Wenhao Zhou, X. Hu, M. Satardien, J. Oei, D. Shah, Deanne L. August, Pranav R. Jani
Institutions: The University of Queensland, The University of Sydney, Royal Brisbane and Women's Hospital, UNSW Sydney, National University of Malaysia, Children's Hospital of Fudan University, Imperial College Healthcare NHS Trust, UConn Health, Koç University, Griffith University, Medical University of Vienna, Stellenbosch University, Westmead Hospital, Connecticut Children's Medical Center, Suez Canal University, Tygerberg Hospital, Royal Hospital for Women, Mount Sinai Hospital, King Edward Memorial Hospital Research Centre, Mater Mothers' Hospital