推荐新生儿外周置入中心静脉导管插入深度。
Recommendations for Peripherally Inserted Central Catheter Insertion Depths in Neonates.
机构信息
Division of Neonatology and Pediatric Intensive Care, Department of Pediatrics, University Medical Center Hamburg-Eppendorf, Martinistreet, Hamburg, Germany.
Division of Pediatric Radiology, Department of Interventional and Diagnostic Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Martinistreet, Hamburg, Germany.
出版信息
Neonatology. 2023;120(2):263-267. doi: 10.1159/000528076. Epub 2023 Jan 3.
OBJECTIVE
Malposition of peripherally inserted central catheters (PICCs) is common. Recommendations for PICC insertion depths are scarce and comprise complex equations. This study aimed to develop diagrams and tables for the recommendation of PICC insertion depths in neonates based on anthropometric parameters.
STUDY DESIGN
In this retrospective single-center study, the individual optimal PICC insertion depths were correlated with body weight, length, and head circumference. Using linear regression analysis, line charts and tables for the recommendation of PICC insertion depth were generated and compared with previously published recommendations.
RESULT
PICC insertion depths of 204 infants (gestational age at PICC installation: 24.0-44.9 weeks) with 131 (64%) PICC in the upper extremities and 73 (36%) in the lower extremities were analyzed. Linear logistic regression models revealed R2 values between 0.387 and 0.884.
CONCLUSION
The charts and table developed in this study enable a fast and accurate determination of recommended PICC insertion depths in neonates.
目的
外周静脉置入中心导管（PICC）的错位很常见。PICC 插入深度的推荐意见很少，并且包含复杂的方程。本研究旨在根据人体测量参数为新生儿制定 PICC 插入深度的推荐图表和表格。
研究设计
在这项回顾性单中心研究中，个体最佳 PICC 插入深度与体重、长度和头围相关。使用线性回归分析，生成了用于推荐 PICC 插入深度的线图和表格，并与之前发表的推荐意见进行了比较。
结果
对 204 名（PICC 安装时的胎龄：24.0-44.9 周）婴儿的 PICC 插入深度进行了分析，其中 131 个（64%）PICC 在上肢，73 个（36%）在下肢。线性逻辑回归模型显示 R2 值在 0.387 到 0.884 之间。
结论
本研究中开发的图表和表格可以快速准确地确定新生儿推荐的 PICC 插入深度。
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