الفهرس 
Vascular Access Modalities In The Pediatric Intensive Care Unit; Indications And Outcomes
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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.
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• 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.