Background: The correct position of the tip of a central venous access device is important in all patients, and especially in neonates. The traditional method of tip location (approximated intra-procedural length estimation + post procedural chest X-ray) is currently considered inaccurate and not cost-effective by most recent guidelines, which recommend the adoption of tip location by intracavitary electrocardiography (IC-ECG) whenever possible. Methods: This study prospectively investigated the applicability, the feasibility, the accuracy, and the safety IC-ECG for tip location in neonates requiring insertion of ultrasound-guided centrally inserted central venous catheters (CICCs) with caliber 3Fr or more. All catheter tip locations were verified using simultaneously both IC-ECG and ultrasound-based tip location, using the Neo-ECHOTIP protocol. Results: A total of 105 neonates were enrolled. The applicability of IC-ECG was 100% since a P wave was evident on the surface ECG of all neonates recruited for the study. The feasibility was also 100% since an increase of the P-wave was detected in all cases. The accuracy was also 100%, since a perfect match between IC-ECG based tip location and ultrasound-based tip location was found. There were no adverse events directly or indirectly related to the IC-ECG technique; no arrhythmias occurred. Conclusions: When applied to ultrasound guided CICCs, tip location by IC-ECG is applicable and feasible in neonates, and it is safe and accurate.

D'Andrea, V., Pezza, L., Prontera, G., Ancora, G., Pittiruti, M., Vento, G., Barone, G., The intracavitary ECG method for tip location of ultrasound-guided centrally inserted central catheter in neonates, <<JOURNAL OF VASCULAR ACCESS>>, 2023; 24 (5): 1134-1139. [doi:10.1177/11297298211068302] [https://hdl.handle.net/10807/261177]

The intracavitary ECG method for tip location of ultrasound-guided centrally inserted central catheter in neonates

D'Andrea, Vito
;
Prontera, Giorgia;Pittiruti, Mauro;Vento, Giovanni;Barone, Giovanni
2022

Abstract

Background: The correct position of the tip of a central venous access device is important in all patients, and especially in neonates. The traditional method of tip location (approximated intra-procedural length estimation + post procedural chest X-ray) is currently considered inaccurate and not cost-effective by most recent guidelines, which recommend the adoption of tip location by intracavitary electrocardiography (IC-ECG) whenever possible. Methods: This study prospectively investigated the applicability, the feasibility, the accuracy, and the safety IC-ECG for tip location in neonates requiring insertion of ultrasound-guided centrally inserted central venous catheters (CICCs) with caliber 3Fr or more. All catheter tip locations were verified using simultaneously both IC-ECG and ultrasound-based tip location, using the Neo-ECHOTIP protocol. Results: A total of 105 neonates were enrolled. The applicability of IC-ECG was 100% since a P wave was evident on the surface ECG of all neonates recruited for the study. The feasibility was also 100% since an increase of the P-wave was detected in all cases. The accuracy was also 100%, since a perfect match between IC-ECG based tip location and ultrasound-based tip location was found. There were no adverse events directly or indirectly related to the IC-ECG technique; no arrhythmias occurred. Conclusions: When applied to ultrasound guided CICCs, tip location by IC-ECG is applicable and feasible in neonates, and it is safe and accurate.
2022
Inglese
D'Andrea, V., Pezza, L., Prontera, G., Ancora, G., Pittiruti, M., Vento, G., Barone, G., The intracavitary ECG method for tip location of ultrasound-guided centrally inserted central catheter in neonates, <<JOURNAL OF VASCULAR ACCESS>>, 2023; 24 (5): 1134-1139. [doi:10.1177/11297298211068302] [https://hdl.handle.net/10807/261177]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/261177
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