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.

Rubortone, S. A., Costa, S., Perri, A., D'Andrea, V., Vento, G., Barone, G., Real-time ultrasound for tip location of umbilical venous catheter in neonates: a pre/post intervention study, <<THE ITALIAN JOURNAL OF PEDIATRICS>>, 2021; 47 (1): N/A-N/A. [doi:10.1186/s13052-021-01014-7] [https://hdl.handle.net/10807/261255]

Real-time ultrasound for tip location of umbilical venous catheter in neonates: a pre/post intervention study

Rubortone, Serena Antonia;Costa, Simonetta;Perri, Alessandro;D'Andrea, Vito;Vento, Giovanni;Barone, Giovanni
2021

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.
2021
Inglese
Rubortone, S. A., Costa, S., Perri, A., D'Andrea, V., Vento, G., Barone, G., Real-time ultrasound for tip location of umbilical venous catheter in neonates: a pre/post intervention study, <<THE ITALIAN JOURNAL OF PEDIATRICS>>, 2021; 47 (1): N/A-N/A. [doi:10.1186/s13052-021-01014-7] [https://hdl.handle.net/10807/261255]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/261255
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