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Pittiruti M, Crocoli A, Zanaboni C, Annetta MG, Bevilacqua M, Biasucci DG, Celentano D, Cesaro S, Chiaretti A, Disma N, Mancino A, Martucci C, Muscheri L, Pini Prato A, Raffaele A, Reali S, Rossetti F, Scoppettuolo G, Sidro L, Zito Marinosci G, Pepe G. The pediatric DAV-expert algorithm: A GAVeCeLT/GAVePed consensus for the choice of the most appropriate venous access device in children. J Vasc Access 2024:11297298241256999. [PMID: 38856094 DOI: 10.1177/11297298241256999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2024] Open
Abstract
In pediatric patients, the choice of the venous access device currently relies upon the operator's experience and preference and on the local availability of specific resources and technologies. Though, considering the limited options for venous access in children if compared to adults, such clinical choice has a great 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 fully satisfactory and useful in clinical practice. 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 children. After a systematic review of the available evidence, the panel of the consensus (which included Italian experts with documented competence in this area) has provided structured recommendations answering 10 key questions regarding the choice of venous access both in emergency and in elective situations, both in the hospitalized and in the non-hospitalized child. 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.
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Affiliation(s)
- Mauro Pittiruti
- Department of Surgery, Catholic University Hospital "A.Gemelli," Rome, Italy
| | - Alessandro Crocoli
- Surgical Oncology Unit, Bambino Gesù Children Hospital IRCCS, Rome Italy
| | - Clelia Zanaboni
- Department of Anesthesia and Intensive Care, University Hospital, Parma, Italy
| | - Maria Giuseppina Annetta
- Department of Anesthesia and Intensive Care, Catholic University Hospital "A.Gemelli," Rome, Italy
| | | | - Daniele G Biasucci
- Department of Clinical Science and Translational Medicine, "Tor Vergata" University, Rome, Italy
| | - Davide Celentano
- Department of Oncology, Catholic University Hospital "A.Gemelli," Rome, Italy
| | - Simone Cesaro
- Department of Pediatric Oncology and Hematology, University Hospital, Verona, Italy
| | - Antonio Chiaretti
- Department of Pediatrics, Catholic University Hospital "A.Gemelli," Rome, Italy
| | - Nicola Disma
- Unit for Research in Anaesthesia, Gaslini Children Hospital IRCCS, Genova, Italy
| | - Aldo Mancino
- Pediatric Intensive Care Unit, Catholic University Hospital "A.Gemelli," Rome, Italy
| | - Cristina Martucci
- Surgical Oncology Unit, Bambino Gesù Children Hospital IRCCS, Rome Italy
| | - Lidia Muscheri
- Pediatric Intensive Care Unit, Catholic University Hospital "A.Gemelli," Rome, Italy
| | - Alessio Pini Prato
- Pediatric Surgery Unit, Umberto Bosio Center for Digestive Diseases, Children Hospital, Alessandria, Italy
| | - Alessandro Raffaele
- Pediatric Surgery Unit, Department of Maternal and Child Health, San Matteo Hospital IRCCS, Pavia, Italy
| | - Simone Reali
- Surgical Oncology Unit, Bambino Gesù Children Hospital IRCCS, Rome Italy
| | - Francesca Rossetti
- Department of Anesthesia and Intensive Care, Meyer Children Hospital IRCCS, Firenze, Italy
| | | | - Luca Sidro
- Department of Anesthesia and Intensive Care, Santobono-Pausilipon Children Hospital, Napoli, Italy
| | - Geremia Zito Marinosci
- Department of Anesthesia and Intensive Care, Santobono-Pausilipon Children Hospital, Napoli, Italy
| | - Gilda Pepe
- Department of Surgery, Catholic University Hospital "A.Gemelli," Rome, Italy
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