2026-10-13T14:50:44Z https://api.figshare.com/v2/oai

oai:figshare.com:article/34023601 2026-09-29T12:20:02Z category_7 category_734 category_931 category_64 category_106 category_132 portal_87 item_type_6 month_year_09_2026

Selection of central venous access devices for neonates: an expert review Sabrina de Souza (10989689) Mari Takashima (3850972) Deanne August (20877752) Tricia M Kleidon (16076302) Alina G Bureke (25136959) Mary Beth Davis (25136962) Henrik Hjelmgren (16883920) Pranav Jani (25136965) Samantha Keogh (3850966) Amanda J Ullman (11338968) Medicine Biological Sciences not elsewhere classified Information Systems not elsewhere classified Cancer Science Policy Infectious Diseases Central venous catheters clinical decision-making infant, newborn intensive care, neonatal <p>Central venous access devices (CVADs) are essential for managing neonates requiring prolonged intravenous therapy. However, selecting the most appropriate CVAD remains complex due to population heterogeneity and variation in clinical practice, healthcare resources, and models of care.</p> <p>This expert review synthesizes current evidence and clinical guidance to support neonatal CVAD selection. It examines four major CVAD types – umbilical venous catheters, peripherally inserted central catheters, tunneled CVADs, and non-tunneled CVADs – focusing on their indications, contraindications, dwell times, and complication profiles. Device selection is discussed in relation to neonatal characteristics, therapy requirements, long-term vessel preservation, economic considerations, and healthcare context. This review integrates existing evidence to support individualized, context-informed decision-making across diverse models of care and identifies priorities for future research.</p> <p>Optimal CVAD selection is not merely a technical decision but a strategic clinical process that integrates patient, therapy, device, and health-system factors. Existing frameworks provide valuable guidance and should be interpreted within the clinical context in which they are applied, acknowledging differences in expertise, available resources, and models of care. Continued advances in evidence generation, implementation, and neonatal-specific device innovation are essential to improving both immediate and lifelong vascular outcomes.</p> 2026-09-29T12:20:02Z Text Journal contribution 10.6084/m9.figshare.34023601.v1 https://figshare.com/articles/journal_contribution/Selection_of_central_venous_access_devices_for_neonates_an_expert_review/34023601 CC BY 4.0