الفهرس | Only 14 pages are availabe for public view |
Abstract : Vascular access is a mainstay of pediatric critical care. The selection of the route of access and equipment used will depend on patient- and provider-specific factors, which constantly needs review to achieve more effective assessment and management of critically-ill patients. • Objective: To evaluate the use, indication and outcome of different vascular access modalities in critically-ill children in the Emergency Pediatric Intensive Care Unit – Children’s Hospital, Cairo University. • Patients and Methods: This descriptive study is based on data collected by reviewing all modes of vascular access used for 168 consecutive patients admitted to ER-PICU during a 6-months period from May to October 2020. • Results: 75.6% of cases survived, and 24.4% died. 333 vascular access devices lasted a total of 1920 catheter days; 219 peripheral lines and 114 central venous catheters. Peripheral line was the most common type (65.8%), while central venous catheters represented 34.2%. Central venous catheters observed lasted significantly more than peripheral lines (P. <0.001); median 8.5 and 3 days respectively. 35.2% of peripheral lines caused complications, while 22.8% of central venous catheters caused complications. Incidence of catheter related bloodstream infection was 9.05 per 1000 catheter days. iii • Conclusion: Incidence of peripheral line complications was found higher compared to central venous catheters. Central venous catheters’ complications were less but more serious compared to peripheral lines. Longer dwell time of central access was associated with higher incidence of catheter-related blood-stream infection. |