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

Authors
  • Perry, Tanya1
  • Ullman, Amanda J2, 3, 4
  • Aiyagari, Ranjit5
  • Pitts, Stephanie6, 7
  • Jacobs, Jeffrey P8
  • Cooper, David S1
  • 1 The Heart Institute, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
  • 2 Alliance for Vascular Access Teaching and Research, Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia. , (Australia)
  • 3 School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia. , (Australia)
  • 4 Queensland Children's Hospital, Brisbane, Queensland, Australia. , (Australia)
  • 5 Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA.
  • 6 St Joseph's Children's Hospital, Tampa, FL, USA.
  • 7 B. Braun Medical, Bethlehem, PA, USA.
  • 8 Congenital Heart Center, Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, FL, USA.
Type
Published Article
Journal
Cardiology in the Young
Publisher
Cambridge University Press
Publication Date
Nov 01, 2021
Volume
31
Issue
11
Pages
1814–1818
Identifiers
DOI: 10.1017/S1047951121000962
PMID: 33736738
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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

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