Effect of intracavitary electrocardiographic localization on the success rate and complications of PICC in infants

Abstract

BACKGROUND:

Peripherally inserted central catheter (PICC) is widely used in chemotherapy of children with malignant tumors because of its safe operation and long indwelling time.

OBJECTIVE:

To investigate the effect of intracavitary electroencephalogram (CEEG) localization technique on the success rate and complications of PICC in infants.

METHODS:

A total of 180 children with PICC catheterization and maintenance at Shijiazhuang People’s Hospital First Hospital from January 2017 to January 2020 were selected and divided into control group ( $n=$ 90 cases) and observation group ( $n=$ 90 cases). The control group observed the tip position of the fixed catheter through X-ray film and adjusted the catheter until its tip was located in the superior vena cava. The observation group used intracavitary electrocardiogram positioning technology. Comparison of the effects of two groups on the success rate and complications of PICC puncture in infants and young children.

RESULTS:

The success rate of one puncture in the observation group was significantly higher than that in the control group ( $P<$ 0.05). Within one month of catheterization, 13 cases had complications, with an incidence rate of 16.00% lower than the control group’s 34.00% (27/80) ( $P<$ 0.05). The screening test results showed that the specificity, sensitivity, Youden index, accuracy, kappa coefficient, positive and negative predictive value were 88.89%, 97.56%, 0.86, 96.00%, 0.86, 0.86, respectively. The measured values were 97.56% and 88.89% respectively, and the cost and time of localization were lower than those of X-ray.

CONCLUSION:

The technique of intracavitary electrogram can be more accurate for infants to place the tip of central venous catheter through peripheral vein, which can effectively improve the success rate of one puncture with low cost, and has high reliability, accuracy and practicability, which is safe and effective.