Ultrasound Guided Catheter Tip Location in Neonates: A Prospective Cohort Study - 06/05/22
, Antonella Capasso, MD 1, Daniela Pacella, PhD 2, Francesco Borgia, MD 3, Serena Salomè, MD 1, Letizia Capasso, MD, PhD 1, Francesco Raimondi, MD, PhD 1Abstract |
Objective |
To assess point-of-care-ultrasound (POCUS) guided catheter tip location in a neonatal cohort after insertion of percutaneously inserted central catheters (PICCs) from the upper part of the body.
Study design |
This was a prospective, observational study on PICC tip location. Tip site was assessed by radiological landmarks or direct ultrasound (US) visualization of the cardiovascular structures.
Results |
One hundred eighteen PICCs (28Gauge/1French) were studied in 102 neonates (mean postmenstrual age 31 weeks, range 25-43 weeks; mean weight at positioning 1365 g, range 420-4180 g). Feasibility of POCUS guided tip location was 92.3% in our population. Failures were significantly associated with mechanical ventilation (aOR 5.33; 95% CI 1.13-29.5; P = .038). Agreement between US and radiographic methods was found in 88 of 109 cases (80.7%). Fifteen of 21 discordant cases led to a change in clinical management.
Conclusions |
POCUS guided localization of small bore PICC is a non-invasive and effective alternative to the conventional radiogram. The latter should be recommended when US examination fails to locate the catheter tip.
Le texte complet de cet article est disponible en PDF.Keywords : newborn, percutaneously inserted central catheter, ultrasound tip location, point of care ultrasound
Abbreviations : PICC, US, POCUS, SVC, RA, CAJ
Plan
| The authors declare no conflicts of interest. |
Vol 244
P. 86 - mai 2022 Retour au numéro
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