ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Vascular device practices in extremely preterm infants: an international cross-sectional survey.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
25 authors.
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Abstract
objectiveTo explore global practices in vascular device selection, securement, and monitoring for extremely preterm infants, and to assess regional variation. STUDY
designA web-based cross-sectional survey was completed by one respondent per neonatal unit.
resultWe received 848 responses from 100 countries. Guideline availability varied: 85-98% for umbilical venous catheters (UVCs) and 29-97% for peripheral intravenous catheters. UVCs were the preferred initial vascular device at 23 to 26 weeks (70% and 63%, respectively). Transparent film dressings for peripheral catheters and Wharton's jelly stitch for UVCs were the commonest securement methods. Peripherally inserted central catheter sites were assessed at intervals of < 8 h in 56% (434/780) units, and 58% (490/848) units did not use an extravasation injury detection tool. Guideline availability was two-fold higher in units caring for 22-23 vs 24-25 weeks' gestation.
conclusionSignificant global variation exists, highlighting the need for standardized, evidence-based vascular care.
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Registered trials
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