• J Obstet Gynecol Neonatal Nurs · Sep 2007

    Randomized Controlled Trial

    Randomized controlled trial of vascular access in newborns in the neonatal intensive care unit.

    • R Mauricio Barría, Pedro Lorca, and Sergio Muñoz.
    • Instituto de Enfermería, Facultad de Medicina at the Universidad Austral de Chile, Valdivia, Chile. rbarria@uach.cl
    • J Obstet Gynecol Neonatal Nurs. 2007 Sep 1;36(5):450-6.

    ObjectiveTo compare the effectiveness of two methods of vascular access in newborns.DesignRandomized controlled trial.SettingNeonatal intensive care unit in Regional Hospital of Valdivia, Chile.ParticipantsSeventy-four high-risk newborns.InterventionsPeripherally inserted central catheter and peripheral intravenous catheter.Main Outcome MeasuresLength of neonatal intensive care unit stay and incidence of sepsis and phlebitis. RESULTS/DATA ANALYSIS: There were no statistically significant differences in the length of the neonatal intensive care unit stay and in the incidence of sepsis between groups. There was a significant higher incidence of phlebitis in the peripheral intravenous catheter group.ConclusionsAlthough there was not a significant effect of the kind of catheter on length of neonatal intensive care unit stay, the peripherally inserted central catheter is recommended because of the decreased risk of phlebitis and the decreased number of venipuncture attempts and catheters needed to complete intravenous therapy.

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