Effect of a prevention bundle for internal jugular vein malposition of peripherally inserted central catheters in children: a single-center before–after study
Yusuke Tokuda, Kentaro Ide, Hajime Okuwaki, Hidehito Ota, Shotaro Matsumoto · 2026
Read Effect of a prevention bundle for internal jugular vein malposition of peripherally inserted central catheters in children: a single-center before–after study by Yusuke Tokuda, Kentaro Ide, Hajime Okuwaki, Hidehito Ota, Shotaro Matsumoto (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13582174.txt.
Description
Yusuke Tokuda and four co-authors test a three-step bundle to keep children's central line tips out of the neck vein. PICC lines are common in pediatric intensive care, but blind placement at the bedside often sends the tip the wrong way. Their 2026 study compares care before and after the bundle at one center.
The bundle turns the child's head toward the insertion side, spreads the arm, and confirms the wire's path by ultrasound. Among 168 earlier patients, 11.9 percent had a misplaced tip. Among 112 later patients who got the full bundle, the rate was 6.3 percent. The drop did not reach statistical significance, though adjusted analysis leaned in the bundle's favor.
Catalog record
| CREATOR | Yusuke Tokuda, Kentaro Ide, Hajime Okuwaki, Hidehito Ota, Shotaro Matsumoto |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 22 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |