Abstract：
UNASSIGNED: Epicutaneo-Caval Catheters (ECCs) are critical for good neonatal care. No previous studies have evaluated which insertion method provides the highest likelihood of success.
UNASSIGNED: This study aimed to compare the success rates and cost of modified Seldinger technique (MST) and split needle technique (SNT). MST was introduced to St Michael\'s Neonatal Unit, SNT was already in use. Routinely documented data on ECC insertion was retrospectively collected from the clinical notes. Practitioners were able to use their preferred insertion method. A sub-group analysis of success rates in patients born at ⩾35-weeks GA was performed.
UNASSIGNED: There was a significantly higher first pass (53% vs 26%; p = 0.014) and overall (72% vs 40%; p = 0.0046) successful ECC insertion rate with fewer venipunctures per successful ECC with MST (2.5 vs 6.5; p = 0.002). Logrank test demonstrated a significantly higher successful ECC insertion with MST for patients of all GA (p = 0.003) and for neonates born at ⩾35 weeks (p = 0.015). The cost per successful MST ECC was £156.41 versus £152.51 for SNT.
UNASSIGNED: In this uncontrolled retrospective study, there was a higher chance of successful ECC insertion with MST, with a reduced number of venipunctures and similar costs per successful ECC. Further work in randomised studies is needed to verify this finding and should focus on other clinical outcomes, including rates in central line associated blood stream infections.
UNASSIGNED: This study aimed to compare the success rates and cost of modified Seldinger technique (MST) and split needle technique (SNT). MST was introduced to St Michael\'s Neonatal Unit, SNT was already in use. Routinely documented data on ECC insertion was retrospectively collected from the clinical notes. Practitioners were able to use their preferred insertion method. A sub-group analysis of success rates in patients born at ⩾35-weeks GA was performed.
UNASSIGNED: There was a significantly higher first pass (53% vs 26%; p = 0.014) and overall (72% vs 40%; p = 0.0046) successful ECC insertion rate with fewer venipunctures per successful ECC with MST (2.5 vs 6.5; p = 0.002). Logrank test demonstrated a significantly higher successful ECC insertion with MST for patients of all GA (p = 0.003) and for neonates born at ⩾35 weeks (p = 0.015). The cost per successful MST ECC was £156.41 versus £152.51 for SNT.
UNASSIGNED: In this uncontrolled retrospective study, there was a higher chance of successful ECC insertion with MST, with a reduced number of venipunctures and similar costs per successful ECC. Further work in randomised studies is needed to verify this finding and should focus on other clinical outcomes, including rates in central line associated blood stream infections.
摘要：
■Epicutaneo-Caval导管（ECCs）对于良好的新生儿护理至关重要。以前没有研究评估哪种插入方法提供最高的成功可能性。
■本研究旨在比较改良的Seldinger技术（MST）和分裂针技术（SNT）的成功率和成本。MST被介绍给圣迈克尔的新生儿病房，SNT已经在使用。从临床记录中回顾性收集有关ECC插入的常规记录数据。从业者能够使用他们首选的插入方法。对35周GA出生的患者的成功率进行了亚组分析。
■首次通过（53％vs26％；p=0.014）和总体（72％vs40％；p=0.0046）成功的ECC插入率明显较高，每次成功的ECC使用MST（2.5vs6.5；p=0.002）。Logrank测试表明，对于所有GA患者（p=0.003）和35周出生的新生儿（p=0.015），MST的ECC插入成功率明显更高。成功的MSTECC成本为156.41英镑，而SNT为152.51英镑。
■在这项不受控制的回顾性研究中，使用MST成功插入ECC的可能性更高，每个成功的ECC减少了穿孔的数量和类似的成本。在随机研究中需要进一步的工作来验证这一发现，并且应该关注其他临床结果。包括中线相关血流感染率。
■本研究旨在比较改良的Seldinger技术（MST）和分裂针技术（SNT）的成功率和成本。MST被介绍给圣迈克尔的新生儿病房，SNT已经在使用。从临床记录中回顾性收集有关ECC插入的常规记录数据。从业者能够使用他们首选的插入方法。对35周GA出生的患者的成功率进行了亚组分析。
■首次通过（53％vs26％；p=0.014）和总体（72％vs40％；p=0.0046）成功的ECC插入率明显较高，每次成功的ECC使用MST（2.5vs6.5；p=0.002）。Logrank测试表明，对于所有GA患者（p=0.003）和35周出生的新生儿（p=0.015），MST的ECC插入成功率明显更高。成功的MSTECC成本为156.41英镑，而SNT为152.51英镑。
■在这项不受控制的回顾性研究中，使用MST成功插入ECC的可能性更高，每个成功的ECC减少了穿孔的数量和类似的成本。在随机研究中需要进一步的工作来验证这一发现，并且应该关注其他临床结果。包括中线相关血流感染率。
