Evidence · Systematic review or meta-analysis
Devices for Neonatal Peripheral Catheterization and Tip Confirmation: A Systematic Review and Meta-Analysis.
- Arrhythmias
- Cardiovascular
- Families and professional practice
- Line and device care
- Medical
- Nursing
- Pain and comfort
Summary
This systematic review and meta-analysis of 12 randomised controlled trials (1,251 neonates) compares device-assisted techniques, such as ultrasound and other visualisation aids, with standard technique for neonatal peripheral intravenous catheterisation, PICC placement and catheter tip confirmation. Device assistance may improve first-attempt success and shorten procedure time, and likely reduces haematoma, bleeding and phlebitis. Evidence on thrombosis, catheter-related bloodstream infection and arrhythmia is of very low certainty. The authors call for high-quality trials with standardised outcome measures.
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- Licence:
- Open (Creative Commons)
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