How fast is too fast? a practice change in umbilical arterial catheter blood sampling using the Iowa Model for Evidence-Based Practice

Myrna Gordon; Lisa Bartruff; Sara Gordon; Maria Lofgren; John A Widness

doi:10.1097/01.ANC.0000333707.37776.08

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How fast is too fast? a practice change in umbilical arterial catheter blood sampling using the Iowa Model for Evidence-Based Practice

Journal article

Peer reviewed

How fast is too fast? a practice change in umbilical arterial catheter blood sampling using the Iowa Model for Evidence-Based Practice

Myrna Gordon, Lisa Bartruff, Sara Gordon, Maria Lofgren and John A Widness

Advances in neonatal care, Vol.8(4), pp.198-207

08/2008

DOI: 10.1097/01.ANC.0000333707.37776.08

PMCID: PMC3576044

PMID: 18690080

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Abstract

A multidisciplinary team at the University of Iowa Children's Hospital utilized the Iowa Model of Evidence-Based Practice to Promote Quality Care as a basis for changing practice related to the rate of drawing and flushing umbilical artery catheters in very low birth-weight infants. Research indicates that rapid withdrawal of blood or flushing of catheters that are placed in the aorta can affect cerebral blood flow velocity, volume, and oxygenation. Alteration of cerebral blood flow in premature infants has been correlated with the incidence of intraventricular hemorrhage and periventricular leukomalacia, which can be a significant cause of morbidity and mortality in this population. Using this research as a guide, along with expert opinion, scientific principles, and theories, a new standard of practice was written, and the staff educated.

Blood Flow Velocity

Blood Specimen Collection - adverse effects

Blood Specimen Collection - methods

Blood Specimen Collection - standards

Catheterization, Peripheral - adverse effects

Catheterization, Peripheral - methods

Cerebrovascular Circulation - physiology

Evidence-Based Medicine

Hospitals, Pediatric

Humans

Infant, Newborn

Infant, Very Low Birth Weight - physiology

Intensive Care Units, Neonatal

Iowa

Ischemia - prevention & control

Monitoring, Physiologic - methods

Monitoring, Physiologic - standards

Practice Guidelines as Topic

Quality of Health Care

Surveys and Questionnaires

Umbilical Arteries - physiology

Details

Title: Subtitle: How fast is too fast? a practice change in umbilical arterial catheter blood sampling using the Iowa Model for Evidence-Based Practice
Creators: Myrna Gordon - University of Iowa Children's Hospital, University of Iowa Hospitals and Clinics, Iowa, USA. myrna-gordon@uiowa.edu
Lisa Bartruff
Sara Gordon
Maria Lofgren - University of Iowa, Nursing
John A Widness - University of Iowa, Stead Family Department of Pediatrics
Resource Type: Journal article
Publication Details: Advances in neonatal care, Vol.8(4), pp.198-207
DOI: 10.1097/01.ANC.0000333707.37776.08
PMID: 18690080
PMCID: PMC3576044
NLM abbreviation: Adv Neonatal Care
ISSN: 1536-0903
eISSN: 1536-0911
Grant note: P01 HL046925 / NHLBI NIH HHS
Language: English
Date published: 08/2008
Academic Unit: Stead Family Department of Pediatrics; Nursing
Record Identifier: 9983557284602771

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