Application of peripherally inserted central catheter via femoral vein for pediatric burns

作者:Xia, Yanping; Wu, Ying*; Zhang, Wenjing; Yi, Yanbin; Wu, Rongchan; Xie, Li; Huang, Xiaoyuan
来源:International Journal of Clinical and Experimental Medicine, 2016, 9(10): 20105-20108.

摘要

Aims: To explore the efficacy of peripherally inserted central catheter (PICC) via femoral vein and its complication rates in burns children to provide rationales for providing access for venous infusion. Methods: From January 2014 to December 2015, a total of 48 children with moderate-to-severe burns were recruited and assigned into two groups of PICC (n=24) and peripheral intravenous catheter (PIV). And their efficacies and complication rates were compared. Results: Significant inter-group differences existed in one-time puncture success rate, retention duration and overall complication rates. The specific data of PICC and PIV groups were as follows: one-time puncture success rate (95.8% vs 62.5%, X-2=8.084, P<0.01); retention duration: (24.92 +/- 25.41 vs 2.63 +/- 1.16 days, z=5.941, P<0.01); overall complication rate (12.5% vs 58.3%, X-2=11.021, P<0.01). Conclusion: With the advantages of higher one-time puncture success rate, longer retention duration and lower complication rate, PICC via femoral vein is ideally suited for infusion in pediatric burns, especially for those with large-area wound, emergency rescue and long-term therapy.