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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (16): 52-55.doi: 10.16460/j.issn1008-9969.2020.16.052

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Effect of Inserting 20cm Midline Catheter into Superior Vena Cava in Children with Accidental Injury

LI Lan1a, LI Xian-wen2, CAI Zhi-yun1b, HUANG Ling-long1b, HAN Qiu-ying1c   

  1. 1a. Dept. of Pediatrics; 1b. PICC Outpatients; 1c. Dept. of Nursing Administration, Zhongshan Hospital Affiliated to Xiamen University, Xiamen 361004, China;
    2. School of Nursing, Nanjing Medical University, Nanjing 211166, China
  • Received:2020-04-18 Online:2020-08-25 Published:2020-09-11

Abstract: Objective To investigate the efficacy of 20cm midline catheter placement in superior vena cava in toddlers with unintentional injury. Methods Cases of toddlers with unintentional injury and received peripherally inserted central catheter (PICC)from January 2016 to December 2017 in a tertiary grade-A hospital were taken as control group and those who received 20 cm midline catheter from January 2018 to October 2019 were selected as intervention group.The control group was treated with traditional PICC catheterization, and the intervention group with a 20cm midline catheter into the superior vena cava. Then the total cost of catheterization, the accuracy of catheter end position, catheter indwelling time, and the incidence of complications after catheterization were compared between the two groups. Result The cost of 20cm midline catheterization of superior vena cava (752 yuan) was lower than that of PICC catheterization (1,953 yuan). There was no significant difference between the two groups when the end of the catheter reached the ideal position (1/3 of the superior vena cava)(P>0.05). There was no significant difference in catheter indwelling time and complication rate between the two groups (P>0.05). Conclusion The insertion of 20cm midline catheter into the superior vena cava can provide safe and effective intravenous infusion access for toddler with unintentional injury. Compared with PICC catheterization, it can significantly reduce the catheterization cost, and it is worthy of further promotion in clinical practice.

Key words: midline catheter, peripherally inserted central catheter, toddler, unintentional injury

CLC Number: 

  • R472.9
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