{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:56:27Z","timestamp":1792814187479,"version":"4.5.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T00:00:00Z","timestamp":1593475200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Until the 1980s, central vascular access in the Neonatal Intensive Care Unit was predominantly delivered by umbilical catheters and only and if needed by surgical cutdowns or subclavian vein catheterization through blind percutaneous venipuncture. In the early 1980s, epicutaneo-caval catheters were successfully introduced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In our Neonatal Intensive Care Unit, a dedicated team to insert epicutaneo-caval catheters was formally established in January 2017, including 12 neonatologists and 1 neonatal nurse practitioner. A before- versus after-intervention study was designed to determine whether the establishment of the epicutaneo-caval catheter insertion team is associated with increased success rates and a decreased risk of catheter-related complications. Success rates and other catheter-related parameters were traced from 2016 onward. Collected data were analyzed for three consecutive years: 2016, 2017, and 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The epicutaneo-caval catheter team inserted 1336 catheters over 3 years. Both first prick (from 57.7% to 66.9%; p = 0.023) and overall success (from 81.7% to 97.6%; p &lt; 0.0001) rates significantly improved. In 2018, the number of tunneled or surgically inserted central venous catheters came down to zero (p &lt; 0.0001). Overall catheter-related complications were significantly lower following the epicutaneo-caval catheter team\u2019s establishment (p &lt; 0.0001) while there was no significant decrease noted (p = 0.978) in central line\u2013associated bacterial stream infection rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A dedicated epicutaneo-caval catheter team is a promising intervention to increase success rates and significantly decrease catheter-related complications in Neonatal Intensive Care Unit. Standardizing epicutaneo-caval catheter placement is important; however, standardizing catheter maintenance seems essential to the improvement of central line\u2013associated bacterial stream infection rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1129729820928182","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T06:28:11Z","timestamp":1593498491000},"page":"243-253","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":36,"title":["Effect of implementing an Epicutaneo-Caval Catheter team in Neonatal Intensive Care Unit"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2627-4806","authenticated-orcid":false,"given":"Mohammad A A","family":"Bayoumi","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit (NICU), Women\u2019s Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9359-0895","authenticated-orcid":false,"given":"Matheus F P","family":"Van Rens","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit (NICU), Women\u2019s Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prem","family":"Chandra","sequence":"additional","affiliation":[{"name":"Medical Research Center, Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Airene L V","family":"Francia","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit (NICU), Women\u2019s Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunitha","family":"D\u2019Souza","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit (NICU), Women\u2019s Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majee","family":"George","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit (NICU), Women\u2019s Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad","family":"Shahbal","sequence":"additional","affiliation":[{"name":"Medical Research Center, Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Einas E","family":"Elmalik","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit (NICU), Women\u2019s Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irian J E","family":"Cabanillas","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit (NICU), Women\u2019s Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,6,30]]},"reference":[{"key":"bibr1-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.775"},{"key":"bibr2-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000015837"},{"key":"bibr3-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir145"},{"key":"bibr4-1129729820928182","first-page":"CD004219","volume":"10","author":"Ainsworth S","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr5-1129729820928182","author":"Barone G","journal-title":"J Vasc Access"},{"issue":"22","key":"bibr6-1129729820928182","doi-asserted-by":"crossref","first-page":"2154","DOI":"10.1056\/NEJMc1404786","volume":"370","author":"McCay AS","year":"2014","journal-title":"N Engl J Med"},{"key":"bibr7-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1295650"},{"key":"bibr8-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-86502011000500014"},{"key":"bibr9-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818819730"},{"key":"bibr10-1129729820928182","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9261.83487"},{"key":"bibr11-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e318210d059"},{"key":"bibr12-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir257"},{"key":"bibr13-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2017-000008"},{"key":"bibr14-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2017-313362"},{"key":"bibr15-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.18.6.37"},{"key":"bibr16-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1097\/00149525-200702000-00009"},{"key":"bibr17-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026031"},{"key":"bibr18-1129729820928182","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000558"},{"key":"bibr19-1129729820928182","first-page":"2018","volume":"3769376","author":"Yu X","year":"2018","journal-title":"Biomed Res Int"},{"key":"bibr20-1129729820928182","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000738"},{"key":"bibr21-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e31827e1d01"},{"key":"bibr22-1129729820928182","doi-asserted-by":"publisher","DOI":"10.3233\/NPM-1817"},{"key":"bibr23-1129729820928182","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000157"},{"key":"bibr24-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1097\/pq9.0000000000000179"},{"key":"bibr25-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-1645"},{"key":"bibr26-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2017.06.023"},{"key":"bibr27-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(19)30114-2"},{"issue":"21","key":"bibr28-1129729820928182","first-page":"3434","volume":"29","author":"Callejas A","year":"2016","journal-title":"J Matern Fetal Neonatal Med"},{"key":"bibr29-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2559"},{"key":"bibr30-1129729820928182","first-page":"5","volume":"142","author":"Dubbink-Verheij GH","year":"2017","journal-title":"Front Pediatr"},{"key":"bibr31-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2013.09.002"},{"key":"bibr32-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.2.285"},{"key":"bibr33-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12245"},{"key":"bibr34-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2013.58"},{"key":"bibr35-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2009.03.017"},{"key":"bibr36-1129729820928182","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818761292"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729820928182","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1129729820928182","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729820928182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:16:14Z","timestamp":1777691774000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1129729820928182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,30]]},"references-count":36,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1177\/1129729820928182"],"URL":"https:\/\/doi.org\/10.1177\/1129729820928182","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,30]]}}}