{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T05:09:27Z","timestamp":1789189767486,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Peripheral arterial lines (PAL) play a critical role in the management of critically unwell neonates. Given the limited data available, we aimed to explore current clinical practices and challenges related to neonatal PAL insertion in Australia and New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This electronic survey (1 April 2025\u201330 June 2025) involved neonatologists and paediatric intensivists in Australia and New Zealand. The survey questions (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928) covered unit policies, challenges, complications and use of adjuncts to improve PAL insertion success. Responses were analysed descriptively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 183 physicians responded to the survey. Sixty\u2010two percent reported having unit guidelines. The procedure was predominantly performed by a consultant or fellow, using a 24\u2010gauge cannula. Common indications were haemodynamic monitoring (99.5%) and sampling (89.1%). The estimated median (IQR) self\u2010reported personal first\u2010attempt success rate was 70% (60\u201380). Common adjuncts to improve success included a transilluminator (86%) and ultrasound (29%). Use of ultrasound was inversely proportional to years of experience. Bleeding, haematoma and ischaemia were frequently reported complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our survey showed that PAL insertion is a common procedure in neonates, with considerable variation in clinical practice and self\u2010reported estimates of procedural success. Our findings suggest the need for reviewing guidelines for PAL insertion and further research in this area to improve the safety and success of the procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70584","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:43:03Z","timestamp":1789188183000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neonatal Peripheral Arterial Cannulation: An Australian and New Zealand Survey"],"prefix":"10.1111","author":[{"given":"Deepika","family":"Wagh","sequence":"first","affiliation":[{"name":"Department of Neonatology Perth Children's Hospital  Perth Western Australia Australia"},{"name":"School of Medicine University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7876-6936","authenticated-orcid":false,"given":"Dinesh","family":"Pawale","sequence":"additional","affiliation":[{"name":"Department of Neonatology Perth Children's Hospital  Perth Western Australia Australia"},{"name":"School of Medicine University of Western Australia  Perth Western Australia Australia"},{"name":"Department of Neonatology Kind Edward Memorial Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra","family":"Rath","sequence":"additional","affiliation":[{"name":"School of Medicine University of Western Australia  Perth Western Australia Australia"},{"name":"Department of Neonatology Centenary Hospital for Women and Children  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Jacques","sequence":"additional","affiliation":[{"name":"Research Department, Perth Children's Hospital Child and Adolescent Health Service  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2651-1477","authenticated-orcid":false,"given":"Sanjay","family":"Patole","sequence":"additional","affiliation":[{"name":"School of Medicine University of Western Australia  Perth Western Australia Australia"},{"name":"Department of Neonatology Kind Edward Memorial Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8481-5925","authenticated-orcid":false,"given":"Shripada","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Neonatology Perth Children's Hospital  Perth Western Australia Australia"},{"name":"School of Medicine University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"issue":"6","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","DOI":"10.1093\/tropej\/fmab109","article-title":"Comparison of Invasive Arterial Blood Pressure Monitoring vs. Non\u2010Invasive Blood Pressure Monitoring in Preterm Infants <\u200937\u2009Weeks in the Neonatal Intensive Care Unit\u2014A Prospective Observational Study","volume":"67","author":"Shah S.","year":"2021","journal-title":"Journal of Tropical Pediatrics"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.jpeds.2020.02.072","article-title":"Method of Blood Pressure Measurement in Neonates and Infants: A Systematic Review and Analysis","volume":"221","author":"Dionne J. 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