Authors

Mª del Carmen Fernández Tuñas1, Margarita Turnes Paredes1, Raquel Prego Boente1, Silvia Vilar García1, Mª del Carmen Vaamonde Porto1, Mª Luz Couce Pico2 , Alejandro Pérez Muñuzuri2

Position

1Enfermera. Servicio de Neonatología. Complejo Universitario de Santiago de Compostela. A Coruña2Médica/o. Servicio de Neonatología. Complejo Universitario de Santiago de Compostela. A Coruña

Contact address

Mª del Carmen Fernández Tuñas. Servicio de Neonatología. Complejo Universitario de Santiago de Compostela. Rúa Choupana, s/n. 15706 Santiago de Compos

Contact email: mctunas@yahoo.es

Abstract

Objective: to determine any differences in the management of central lines in preterm babies weighing less than 1,500 grams, during a 3-year period.
Method: a descriptive longitudinal retrospective study in babies <1,500 grams admitted to the neonatal ICU at the Santiago de Compostela CHUS, between January, 2012 and December, 2014. Study variables: gender, gestational age, weight, IVF, multiple birth, type of child delivery, central venous catheterization or not, type of central line, location, duration, cause for removal, type of germ isolated in culture, and baby exitus or not. Anova and Chi Square tests were used for hypothesis contrast.
Results: the study included 120 babies, with a mean gestational age of 29.8 weeks and 1,148 grams as mean weight at birth; 62 babies (51.6%) had a central line inserted, with umbilical access as first choice, for a mean period of six days, followed by peripheral catheterization, for a mean period of eight days, and the most frequent location was upper limb, followed by lower limb and head. The most frequent cause for removal of the central line was elective, due to treatment completion, and the most frequent contamination was by Staphylococcus Epidermidis. During the period of the study, a mild reduction was found, which was statistically significant (p= 0.033).
Conclusions: central vascular access appears as the main pathway for management in preterm babies weighing less than 1,000 grams, with umbilical access as first choice, followed by peripheral catheterization. Approximately half of male and female babies had a central line inserted.

Keywords:

preterm; central lines; epicutaneous; umbilical catheter; survival; transversal studies

Versión en Español

Título:

Manejo de las vías centrales de bebés prematuros de menos de 1.500 gramos