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17-05-2023 | Ultrasound | REVIEW

The neonatal DAV-expert algorithm: a GAVeCeLT/GAVePed consensus for the choice of the most appropriate venous access in newborns

Authors: Giovanni Barone, Vito D’Andrea, Gina Ancora, Francesco Cresi, Luca Maggio, Antonella Capasso, Rossella Mastroianni, Nicola Pozzi, Carmen Rodriguez-Perez, Maria Grazia Romitti, Francesca Tota, Ferdinando Spagnuolo, Francesco Raimondi, Mauro Pittiruti

Published in: European Journal of Pediatrics | Issue 8/2023

Abstract

In most NICUs, the choice of the venous access device currently relies upon the operator’s experience and preferences. However, considering the high failure rate of vascular devices in the neonatal population, such clinical choice has a critical relevance and should preferably be based on the best available evidence. Though some algorithms have been published over the last 5 years, none of them seems in line with the current scientific evidence. Thus, the GAVePed—which is the pediatric interest group of the most important Italian group on venous access, GAVeCeLT—has developed a national consensus about the choice of the venous access device in the neonatal population. After a systematic review of the available evidence, the panel of the consensus (which included Italian neonatologists specifically experts in this area) has provided structured recommendations answering four sets of questions regarding (1) umbilical venous catheters, (2) peripheral cannulas, (3) epicutaneo-cava catheters, and (4) ultrasound-guided centrally and femorally inserted central catheters. Only statements reaching a complete agreement were included in the final recommendations. All recommendations were also structured as a simple visual algorithm, so as to be easily translated into clinical practice.

Conclusion: The goal of the present consensus is to offer a systematic set of recommendations on the choice of the most appropriate vascular access device in Neonatal Intensive Care Unit.

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Title: The neonatal DAV-expert algorithm: a GAVeCeLT/GAVePed consensus for the choice of the most appropriate venous access in newborns
Authors: Giovanni Barone
Vito D’Andrea
Gina Ancora
Francesco Cresi
Luca Maggio
Antonella Capasso
Rossella Mastroianni
Nicola Pozzi
Carmen Rodriguez-Perez
Maria Grazia Romitti
Francesca Tota
Ferdinando Spagnuolo
Francesco Raimondi
Mauro Pittiruti
Publication date: 17-05-2023
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Ultrasound
Central Venous Catheter
Published in: European Journal of Pediatrics / Issue 8/2023
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-023-04984-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The neonatal DAV-expert algorithm: a GAVeCeLT/GAVePed consensus for the choice of the most appropriate venous access in newborns

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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