Use and Outcomes of Vascular Access in Complicated Paediatric Appendicitis – a multicentre prospective observational study

jpedsurg.org

Intravenous access is essential for post-operative management of complicated appendicitis. An alternative to peripheral cannulation is insertion of an advanced vascular access device (AVAD) which includes midlines, peripherally inserted central venous catheters (PICCs) and central venous catheters (CVCs). This study aimed to evaluate use and outcomes related to vascular access in complicated paediatric appendicitis with audit against national guidelines.

jpedsurg.org shows its articles on its own site.

Read the article on jpedsurg.org ↗

Article · Jul 2025 · 1 min read

In brief

Multicentre study examining vascular access strategies in children with complicated appendicitis, comparing peripheral IV cannulation versus advanced devices (midlines, PICCs, CVCs). Research evaluates clinical outcomes and adherence to national guidelines for postoperative IV access management in this common pediatric surgical emergency.

Advanced vascular access devices (midlines, PICCs, CVCs) are alternatives to peripheral IV in complicated pediatric appendicitis.
Vascular access choice impacts post-operative management outcomes in children with perforated or gangrenous appendicitis.
National guidelines exist for vascular access in pediatric surgical infections; adherence varies across centers.
AVAD insertion may reduce repeated cannulation attempts and improve antibiotic delivery in prolonged post-op courses.
Multi-center data reveals practice variation in pediatric vascular access for complicated appendicitis management.

Written by the GCMD Library team from the article.

Read it at the source ↗