Amanda J Ullman1,2,3, Steven J Bernstein4,5, Erin Brown6,7, Ranjit Aiyagari8, Darcy Doellman8, E Vincent S Faustino9,10, Beth Gore11, Jeffrey P Jacobs12, Julie Jaffray13, Tricia Kleidon6,3, Prashant V Mahajan14, Craig A McBride6,3,7, Kayce Morton15, Stephanie Pitts16,17, Elizabeth Prentice18, Douglas C Rivard19,20, Erin Shaughnessy21, Marc Stranz22, Joshua Wolf23,24, David S Cooper25, Marie Cooke6,2, Claire M Rickard6,2, Vineet Chopra4,26. 1. Alliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland and a.ullman@griffith.edu.au. 2. School of Nursing and Midwifery, Griffith University, Nathan, Queensland, Australia. 3. Queensland Children's Hospital, South Brisbane, Queensland, Australia. 4. Patient Safety Enhancement Program and Center for Clinical Management Research, US Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan. 5. Divisions of General Medicine and. 6. Alliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland and. 7. Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia. 8. Division of Pediatric Cardiology, Department of Pediatrics, and. 9. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. 10. Section of Pediatric Critical Care Medicine, Department of Pediatrics, School of Medicine, Yale University, New Haven, Connecticut. 11. Association for Vascular Access, Herriman, Utah. 12. Southern Thoracic Surgical Association, Chicago, Illinois. 13. Keck School of Medicine, University of Southern California and Children's Hospital Los Angeles, Los Angeles, California. 14. Department of Emergency Medicine and Pediatrics, Medical School, University of Michigan, Ann Arbor, Michigan. 15. School of Medicine, University of Missouri, Columbia, Missouri. 16. St Joseph's Children's Hospital, Tampa, Florida. 17. B. Braun Medical, Bethlehem, Pennsylvania. 18. Department of Anaesthesia and Pain Management, Royal Children's Hospital, Victoria, Australia. 19. Children's Mercy Hospital, Kansas City, Missouri. 20. School of Medicine, University of Missouri-Kansas City, Kansas City, Missouri. 21. College of Medicine, University of Arizona and Phoenix Children's Hospital, Phoenix, Arizona. 22. Stranz Crossley Inc, Philadelphia, Pennsylvania. 23. Department of Infectious Diseases, St Jude Children's Research Hospital, Memphis, Tennessee. 24. Department of Pediatrics, The University of Tennessee Health Science Center, Memphis, Tennessee. 25. Department of Pediatrics, College of Medicine, University of Cincinnati and Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; and. 26. Division of Hospital Medicine, Department of Internal Medicine.
Abstract
OBJECTIVES: Vascular access device decision-making for pediatric patients remains a complex, highly variable process. To date, evidence-based criteria to inform these choices do not exist. The objective of the Michigan Appropriateness Guide for Intravenous Catheters in pediatrics (miniMAGIC) was to provide guidance on device selection, device characteristics, and insertion technique for clinicians, balancing and contextualizing evidence with current practice through a multidisciplinary panel of experts. METHODS: The RAND Corporation and University of California, Los Angeles Appropriateness Method was used to develop miniMAGIC, which included the following sequential phases: definition of scope and key terms, information synthesis and literature review, expert multidisciplinary panel selection and engagement, case scenario development, and appropriateness ratings by an expert panel via 2 rounds. RESULTS: The appropriateness of the selection, characteristics, and insertion technique of intravenous catheters commonly used in pediatric health care across age populations (neonates, infants, children, and adolescents), settings, diagnoses, clinical indications, insertion locations, and vessel visualization devices and techniques was defined. Core concepts including vessel preservation, insertion and postinsertion harm minimization (eg, infection, thrombosis), undisrupted treatment provision, and inclusion of patient preferences were emphasized. CONCLUSIONS: In this study, we provide evidence-based criteria for intravenous catheter selection (from umbilical catheters to totally implanted venous devices) in pediatric patients across a range of clinical indications. miniMAGIC also highlights core vascular access practices in need of collaborative research and innovation.
OBJECTIVES: Vascular access device decision-making for pediatric patients remains a complex, highly variable process. To date, evidence-based criteria to inform these choices do not exist. The objective of the Michigan Appropriateness Guide for Intravenous Catheters in pediatrics (miniMAGIC) was to provide guidance on device selection, device characteristics, and insertion technique for clinicians, balancing and contextualizing evidence with current practice through a multidisciplinary panel of experts. METHODS: The RAND Corporation and University of California, Los Angeles Appropriateness Method was used to develop miniMAGIC, which included the following sequential phases: definition of scope and key terms, information synthesis and literature review, expert multidisciplinary panel selection and engagement, case scenario development, and appropriateness ratings by an expert panel via 2 rounds. RESULTS: The appropriateness of the selection, characteristics, and insertion technique of intravenous catheters commonly used in pediatric health care across age populations (neonates, infants, children, and adolescents), settings, diagnoses, clinical indications, insertion locations, and vessel visualization devices and techniques was defined. Core concepts including vessel preservation, insertion and postinsertion harm minimization (eg, infection, thrombosis), undisrupted treatment provision, and inclusion of patient preferences were emphasized. CONCLUSIONS: In this study, we provide evidence-based criteria for intravenous catheter selection (from umbilical catheters to totally implanted venous devices) in pediatric patients across a range of clinical indications. miniMAGIC also highlights core vascular access practices in need of collaborative research and innovation.
Authors: Matheus F P T van Rens; Ratheesh Paramban; Airene L V Francia; Prem Chandra; Mohamad Adnan Mahmah; Ulrich H Thome; Mohammad A A Bayoumi; Timothy R Spencer Journal: BMC Pediatr Date: 2022-01-31 Impact factor: 2.125
Authors: Niccolò Buetti; Jonas Marschall; Marci Drees; Mohamad G Fakih; Lynn Hadaway; Lisa L Maragakis; Elizabeth Monsees; Shannon Novosad; Naomi P O'Grady; Mark E Rupp; Joshua Wolf; Deborah Yokoe; Leonard A Mermel Journal: Infect Control Hosp Epidemiol Date: 2022-04-19 Impact factor: 6.520
Authors: Luciano Marques Dos Santos; Katharinne de Jesus Nunes; Cleonara Sousa Gomes E Silva; Denise Miyuki Kusahara; Elisa da Conceição Rodrigues; Ariane Ferreira Machado Avelar Journal: Rev Lat Am Enfermagem Date: 2021-06-28