{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T12:54:02Z","timestamp":1774270442248,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obtaining peripheral intravenous catheter (PIVC) access in children with severe neurological impairment (SNI) is often challenging and commonly associated with complications, including dislodgement, phlebitis and extravasation. In severe cases, extravasation injury may lead to tissue necrosis, ulceration and long\u2010term morbidity. The aim of this study was to determine the relative incidence of PIVC complications secondary to lower limb cannulation, compared to upper limb, in children with SNI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single centre, retrospective, observational review was conducted. Patients with SNI, admitted at a tertiary paediatric centre over 6\u00a0months between July and December 2022, were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One\u2010hundred fifty\u2010five PIVC procedures were conducted in 110 children over the study period. Complications were more common in lower limb PIVCs (12\/16, 75%) compared to upper limb (58\/139, 42%), <jats:italic>p<\/jats:italic>\u2009=\u20090.01.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Upper limb cannulation is preferred in children with SNI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.13250","type":"journal-article","created":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T10:15:50Z","timestamp":1711448150000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Increased risk of complications in lower versus upper limb peripheral intravenous cannulation in children with severe neurological impairment"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1151-4632","authenticated-orcid":false,"given":"Eliza","family":"Kluckow","sequence":"first","affiliation":[{"name":"Department of Neurodevelopment and Disability The Royal Children's Hospital  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajini","family":"Perera","sequence":"additional","affiliation":[{"name":"Department of Neurodevelopment and Disability The Royal Children's Hospital  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac","family":"Clifford","sequence":"additional","affiliation":[{"name":"Department of Neurodevelopment and Disability The Royal Children's Hospital  Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0617-6712","authenticated-orcid":false,"given":"Daniel","family":"Wilks","sequence":"additional","affiliation":[{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Plastic and Maxillofacial Surgery The Royal Children's Hospital  Parkville Victoria Australia"},{"name":"Facial Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6589-8451","authenticated-orcid":false,"given":"Monica S.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Neurodevelopment and Disability The Royal Children's Hospital  Parkville Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"},{"name":"Neurodisability and Rehabilitation Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,26]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpn.2020.09.001"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2019.01.002"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-017-0965-y"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.12968"},{"key":"#cr-split#-e_1_2_13_6_1.1","unstructured":"Department of Health Queensland Australia. (2018)Peripheral intravenous catheter (PIVC) guideline (Internet last updated June 2018)"},{"key":"#cr-split#-e_1_2_13_6_1.2","unstructured":"cited January 2024. Available from:https:\/\/www.health.qld.gov.au\/__data\/assets\/pdf_file\/0025\/444490\/icare-pivc-guideline.pdf"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(93)90137-Z"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1021\/acssensors.2c02602"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.03.002"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14104"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2017-000244"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.4212\/cjhp.v64i5.1069"},{"key":"e_1_2_13_13_1","unstructured":"The Royal Children's Hospital Melbourne Australia. (2019)Clinical practice guideline on intravenous access\u2014Peripheral (Internet last updated September 2019); cited January 2023. Available from:https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/intravenous_access_peripheral\/"},{"key":"e_1_2_13_14_1","unstructured":"The Royal Children's Hospital Melbourne Australia. (2020)Clinical practice guideline on extravasation injury management [Internet last updated January 2020; cited January 2023]. Available from:https:\/\/www.rch.org.au\/rchcpg\/hospital_clinical_guideline_index\/Extravasation_injury_management\/"},{"issue":"4","key":"e_1_2_13_15_1","first-page":"411","article-title":"Peripheral intravenous catheter problems in infants and children presenting for anesthesia and surgery","volume":"23","author":"Tripi P. A.","year":"2016","journal-title":"Middle East Journal of Anaesthesiology"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12963"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231154629"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.980725"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047788"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.028241"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.797705"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.13250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T15:34:53Z","timestamp":1720193693000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.13250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/cch.13250"],"URL":"https:\/\/doi.org\/10.1111\/cch.13250","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-07-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13250"}}