Interest of Peripheral Venous Catheter Insertion Using a Micro-guide in Neonatology

Comparison of Two Techniques of Peripheral Venous Catheterization in Newborns : Insertion on Micro-guide Versus Conventional Insertion, Without Micro-guide

Peripheral venous catheterization represents the preferential option for term or preterm infant care in order to start drug treatment or hydration, or perform anesthesia.

However, the peripheral venous access is associated in approximately 50% of cases with a failure of the insertion on the first attempt in an emergency context. Using a micro-guide may facilitate the peripheral venous catheterization in newborns, by guiding the catheter in the vein and, thereby reduce the risk of transfixion of the vascular lumen.

Inclusion Criteria:

• Newborn admitted in the department of neonatal medicine and pediatric intensive care, at Montpellier University Hospital

Exclusion Criteria:

• Term neonate > 28 days
• Premature neonate > 41 weeks of corrected gestational age
• Exclusive requirement for an umbilical venous catheter, in the context of neonatal resuscitation
• Exclusive requirement for an epicutaneous-cava catheter, in the context of prolonged parenteral nutrition.