Pediatric anesthesia & critical care
Long‐term maintenance‐related complications of brachiocephalic vein cannulations in neonates: A retrospective evaluation
Authors' conclusion
In this study, the prolonged dwell time and smaller sized catheter was found to be independent predictors of total complications and CLABSI, respectively.
Study context
- Population
- Neonates (postconceptional age ≤44 weeks) with nontunneled ultrasound-guided brachiocephalic vein (BCV) cannulation, January 2018–January 202389 BCV cannulations
- Participants
- 71 neonates
- Outcome
- Incidence of long-term maintenance-related complications: CLABSI, central line-associated thrombosis (CLAT) and mechanical complications (CLAMC)
Methodological detailsmultivariate analysis
- Multivariate analysis
Main finding
As reported in the abstract
Complications per 1000 catheter days
- Total complications per 1000 catheter days
- 19.3 (95% CI 12.88-28.76)
- Central line-associated blood stream infection (CLABSI) per 1000 catheter days
- 5.9 (95% CI 2.84-12.06)
- Central line-associated thrombosis (CLAT) per 1000 catheter days
- 3.4 (95% CI 1.30-8.58)
- CLAMC per 1000 catheter days
- 10.1 (95% CI 5.76-17.49)
- Total complications, n (%)
- 23 (25.8%)
- CLABSI, n (%)
- 7 (7.9%)
- CLAT, n (%)
- 4 (4.5%)
- CLAMC, n (%)
- 12 (13.5%)
Observational data: associations, not effects.
Further findings
Predictors of total complications: prolonged dwell time (multivariate)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Prolonged dwell time | 1.07 (1.00–1.14) | P = 0.047 | |
| 0.512Odds ratio (log scale) |
Predictors of CLABSI: smaller catheter (3F) (multivariate)
| OR (95% CI) | P value | ||
|---|---|---|---|
| Smaller catheter (3F) | 8.91 (1.03–77.45) | P = 0.047 | |
| 0.050.21520Odds ratio (log scale) |
Original publication
Long‐term maintenance‐related complications of brachiocephalic vein cannulations in neonates: A retrospective evaluation. Paediatr Anaesth. Published 7 October 2024. doi:10.
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