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The Michigan Appropriateness Guide for Intravenous Catheters in children with congenital heart disease: miniMAGIC-CHD

Published online by Cambridge University Press:  19 March 2021

Tanya Perry Open the ORCID record for Tanya Perry [Opens in a new window] ,
Amanda J Ullman ,
Ranjit Aiyagari ,
Stephanie Pitts ,
Jeffrey P Jacobs  and
David S Cooper
Tanya Perry*
Affiliation:
The Heart Institute, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
Amanda J Ullman
Affiliation:
Alliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia Queensland Children’s Hospital, Brisbane, Queensland, Australia
Ranjit Aiyagari
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA
Stephanie Pitts
Affiliation:
St Joseph’s Children’s Hospital, Tampa, FL, USA B. Braun Medical, Bethlehem, PA, USA
Jeffrey P Jacobs
Affiliation:
Congenital Heart Center, Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, FL, USA
David S Cooper
Affiliation:
The Heart Institute, Cincinnati Children’s Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
*
Author for correspondence: Tanya Perry, DO, Department of Pediatrics, The Heart Institute, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, MLC 2003, Cincinnati, OH 45229, USA. Tel: 513-803-9374; Fax: (513) 803-4493. E-mail: Tanya.Perry@cchmc.org
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Abstract

Background:

The approach to vascular access in children with CHD is a complex decision-making process that may have long-term implications. To date, evidence-based recommendations have not been established to inform this process.

Methods:

The RAND/UCLA Appropriateness Method was used to develop miniMAGIC, including sequential phases: definition of scope and key terms; information synthesis and literature review; expert multidisciplinary panel selection and engagement; case scenario development; and appropriateness ratings by expert panel via two rounds. Specific recommendations were made for children with CHD.

Results:

Recommendations were established for the appropriateness of the selection, characteristics, and insertion technique of intravenous catheters in children with CHD with both univentricular and biventricular physiology.

Conclusion:

miniMAGIC-CHD provides evidence-based criteria for intravenous catheter selection for children with CHD.

Keywords

Congenital heart diseasecardiac critical carevascular access
Type
Original Article
Information
Cardiology in the Young , Volume 31 , Issue 11 , November 2021 , pp. 1814 - 1818
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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