Development of Standardized Approach for Ultrasound-Guided Peripherally Inserted Central Catheters in Infants in the Neonatal Intensive Care Unit
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Authors
Vuong, Brandon
Issue Date
2024-04-18
Type
Poster
Language
Keywords
PICC , NICU
Alternative Title
Abstract
Purpose: The purpose of this quality improvement project was to increase the NNPs’ confidence levels utilizing ultrasound for PICC line placement to improve first-attempt cannulation success rates in PICC line placement using ultrasound guidance in a 12-week period.
Background: The transition from intrauterine to extrauterine life can be difficult for infants who are premature, extremely-low-birth-weight, or have any respiratory, cardiac, or gastrointestinal abnormalities. These health needs often require prolonged intravenous access. A PICC line is the current standard of care in neonates due to its ability to provide long term access, safely deliver nutrition, protect the infant’s vessel from medications, and avoid punctures to replace peripheral lines.
Sample/Setting: The setting of this project was a level IV NICU in southeast Minnesota. The sample for this project was all NNPs who placed a PICC line in an infant in the NICU.
Methods: An educational procedural guideline on the use of ultrasound technology for PICC line placement was developed and disseminated to all NNPs. The NNPs received hands-on-learning with the ultrasound machine and practiced catheterization in training models. Outcomes were analyzed through data collection forms by the success and failure rates of PICC line cannulation.
Results: During the 12-week intervention period, 16 PICC line placements were reported. Seven of the 16 placements utilized ultrasound guidance. There was a 57% overall cannulation success rate with ultrasound use. However, of the successful placements, there was a 75% first attempt cannulation success rate.
Conclusion: Implementation of the procedural guideline demonstrated the potential impact ultrasound guidance can have for PICC line placement. However, additional resources, education, and QI initiatives are needed to sustain the continued use of ultrasound and advance neonatal practices.
Description
Citation
Publisher
Creighton University
License
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University