Ultrasonography-Guided Long Peripheral Catheters: Real-World Outcomes in Hospitalized Children.
Ultrasound-guided long peripheral catheters had lower risk of early removal than short catheters
Ultrasonography-Guided Long Peripheral Catheters: Real-World Outcomes in Hospitalized Children.
Despite being the most common vascular access devices in pediatric settings, short peripheral catheters (short peripheral catheters) frequently result in difficult insertion, limited dwell time, and multiple replacements.
Aged 30 days to 18 years that were hospitalized for at least 5 days were included.
long catheters had about half the risk of early removal versus short ones
Among 250 patients, 41 received long peripheral catheters and 209 received short peripheral catheters.
Median catheter survival was longer for long peripheral catheters (7.0 days; 95% CI, 5.0-9.0) than short peripheral catheters (3.0 days; 95% CI, 2.5-3.5; P < .0001).
Therapy completion with the first catheter occurred in 56.1% of patients with long peripheral catheters vs 17.2% of patients with short peripheral catheters (P < .0001).
Complication rates were lower with long peripheral catheters (65.5 vs 193.6 per 1000 catheter-days; incidence rate ratio, 3.10; 95% CI, 1.98-4.85; P < .001).
Ultrasonography-guided long peripheral catheters showed longer dwell time, higher therapy completion rates, and fewer complications compared with blind-inserted short peripheral catheters.
These findings support considering long peripheral catheters as first-line vascular access option in children requiring medium-term therapy, particularly those with difficult access or receiving antibiotics.