Real-time Ultrasound for Tip Location of Umbilical Venous Catheter in Neonates: a Pre/post Intervention Study

Overview

Journal Ital J Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2021 Mar 19

PMID 33736669

Citations 8

Authors

Serena Antonia Rubortone

Simonetta Costa

Alessandro Perri

Vito DAndrea

Giovanni Vento

Giovanni Barone

Affiliations

Soon will be listed here.

Abstract

Background: Recent guidelines advocate the use of real-time ultrasound to locate umbilical venous catheter tip. So far, training programs are not well established.

Methods: A pre/post interventional study was carried out in our tertiary neonatal intensive care unit centre to evaluate the efficacy of a training protocol in the use of real-time ultrasound. Primary outcome was the percentage in the use of real-time ultrasound.

Results: Fifty-four patients were enrolled. The use of real-time ultrasound for tip location significantly increased after the training program (15.3% vs 89.2%, p < 0.0001). After the training the tip of the catheters was more frequently placed at the junction of the inferior vena cava and right atrium (75% vs 30.7%, p = 0.0023). Twenty-two catheters were also evaluated with serial scans during the intervention phase to assess migration rate which was 50%.

Conclusion: a multimodal, targeted training on the use of real-time ultrasound for umbilical venous catheter placement is feasible. Real-time ultrasound is easily teachable, increases the number of umbilical venous catheters placed in a correct position, reduces the number of line manipulations and the need of chest-x-rays.

Citing Articles

Real-time ultrasound for umbilical venous catheter insertion in neonates- a systematic review and meta-analysis.

Anne R, Rahiman E, Aradhya A Ultrasound J. 2025; 17(1):4.

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Real-time ultrasound to assess the umbilical catheter position in neonates: a randomized, controlled trial.

Ponin L, Ruangkit C, Ruangwattanapaisarn N, Nuntnarumit P J Perinatol. 2024; 45(2):235-241.

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Point-of-care ultrasound for vascular access in neonates and children.

Pittiruti M, Annetta M, DAndrea V Eur J Pediatr. 2023; 183(3):1073-1078.

PMID: 38117353 DOI: 10.1007/s00431-023-05378-2.

Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter?.

Galdo F, Trappan A, Cossovel F, Rodriguez-Perez C, Ronfani L, Montaldo P Front Pediatr. 2023; 11:1268622.

PMID: 38046676 PMC: 10690934. DOI: 10.3389/fped.2023.1268622.

Point-of-care ultrasound for monitoring catheter tip location during umbilical vein catheterization in neonates: a prospective study.

Xie H, Xie C, Liao J, Xu F, Du B, Zhong B Front Pediatr. 2023; 11:1225087.

PMID: 37691771 PMC: 10483067. DOI: 10.3389/fped.2023.1225087.

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