Impact of peripherally inserted central venous catheter-associated phlebitis in neonate guided by intracavitary electrocardiogram: A systematic review and meta-analysis of randomised controlled trials.

Summary

This systematic review and meta-analysis of 11 randomised controlled trials compares intracavitary electrocardiogram (IC-ECG) guidance with conventional X-ray positioning for PICC tip placement in preterm and term neonates. It examines the incidence of phlebitis, total catheter-related complications and accuracy of optimal tip location. The authors report that IC-ECG guidance was associated with less phlebitis, fewer total complications and more accurate tip placement, irrespective of gestational status. It is relevant to clinicians and nurses involved in neonatal central line insertion and care.

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