Micro-Modified Seldinger Technique for PICC insertion

[Roland]

fped-12-1395395 2.pdf The study underscores the viability of MST facilitated by an all-in- one micro kit for neonatal PICC insertion. Utilized by adept and trained inserters, this approach is associated with improved first-attempt success rates, decreased catheter-related complications, and fewer incidences of CLABSI. However…..enjoy reading. 

[Stefan Johansson]

Thanks @Roland for sharing and thanks for your workshop contribution to our recent conference too!

our nurses (like NNPs) use a Venflon and then insert the PICC line through that.  Would you recommend us to investigate this new device? Any ideas where to get it in Europe?

BTW, I move this topic form the Society Lounge (closed space for Society members) to the Procedures forum, to allow also those with only the web site account to reply.

If anyone wish to join as a Society member, it is 10 EUR per year, click here to do it! https://99nicu.org/subscriptions
 

[Roland]

Thanks for your nice words @Stefan Johansson  

The venflon has two major drawbacks. The first is the lumen, which is only suitable for a 1Fr. PICC. Secondly the venflon itself can’t be removed. This results either in a venflon which stays in the vein or the venflon making it difficult to place proper dressing for fixation and stabilization. 
In short: yes please explore the micro-MST set which should be available e.g. by Vygon or NeoMed (US based). 
More than happy to support a potential shift to better and best evidence based practice. 

[Stefan Johansson]

7 hours ago, Roland said:

the venflon itself can’t be removed. This results either in a venflon which stays in the vein..

We pull the Venflon out after the line is placed through it, and attach it to the proximal end of the PICC line, so only the line goes into the vein  

[Katja]

We use it from vygon. I like the needle, which is very sharp. The older the babies are and the harder their skin is, the less comfortable I find it. So we use both devices. 
 

[Moamer]

Vygon, Micro Seldinger introducer set 

[Roland]

While Vygon is known for its high-quality products, exploring alternatives like the Modified Seldinger Introducer (MST) Kit by Neo Medical is important for ensuring we have the best options available. This allows us to compare features, benefits, and pricing to make the most informed decision for our needs. Evaluating various suppliers can lead to better outcomes in terms of innovation, efficiency, and overall performance in medical procedures. 

We did tried Neo Medical; however, our team preferred the Vygon set.

[Karen]

We use the microsite MST Set 2Fr from Vygon.  This works well.  Cannula splits and can be removed.  Just realised they also have a guide for inserting the wire!!!  I've never used it and instead rely on my steady hand 🙂  However, I think I will try it as my eye sight is waning and I'm certain it will be helpful