Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter?
ObjectivesThe primary outcomes of this study were to evaluate the diameters of the inferior vena cava (IVC) in a cohort of newborns and the correlation between newborn weight and IVC diameter. The secondary outcome was to evaluate the concordance between the measurements performed by the two investi...
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| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1268622/full |
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| author | Francesca Galdo Antonella Trappan Francesca Cossovel Carmen Rodriguez-Perez Luca Ronfani Paolo Montaldo Paolo Montaldo Cristina Bibalo Laura Travan Francesco Maria Risso |
| author_facet | Francesca Galdo Antonella Trappan Francesca Cossovel Carmen Rodriguez-Perez Luca Ronfani Paolo Montaldo Paolo Montaldo Cristina Bibalo Laura Travan Francesco Maria Risso |
| author_sort | Francesca Galdo |
| collection | DOAJ |
| description | ObjectivesThe primary outcomes of this study were to evaluate the diameters of the inferior vena cava (IVC) in a cohort of newborns and the correlation between newborn weight and IVC diameter. The secondary outcome was to evaluate the concordance between the measurements performed by the two investigators.MethodsTwo blind examiners performed an ultrasonographic (US) evaluation of the IVC diameter in neonates with a weight ranging from 2 to 4 kg. The exclusion criteria included hemodynamic instability, known vascular malformations, and major congenital malformations.ResultsA total of 143 neonates were enrolled between June 2019 and January 2021. All the US examinations were performed in the first 3 days of life. After dividing the patients into two groups according to their weight at the time of examination (2.0–2.99 kg and 3.0–4.0 kg), the median IVC diameters measured by examiner 1 were 3.1 mm (interquartile range 2.8–3.4) and 3.4 mm (interquartile range 2.9–3.8) (p = 0.003) for the two groups, respectively. The median IVC diameters measured by examiner 2 were 3.1 mm (interquartile range 2.6–3.3) and 3.3 mm (interquartile range 2.8–3.8) (p = 0.004) for the two groups, respectively. The intraclass correlation coefficient was 0.93 (95% CI: 0.90–0.95).ConclusionThe IVC diameter values varied widely from 1.2 to 5.2 mm in newborns weighing 2–4 kg, and a low correlation between newborn weight and IVC diameter was found, so measuring IVC diameter may be a recommended step prior to inserting a umbilical venous catheter (UVC). The concordance between operators was good. We contemplated that the IVC diameter could be a potentially useful tool to identify the most appropriate UVC, thus reducing the risk of catheter-related thrombosis. |
| first_indexed | 2024-03-11T06:19:39Z |
| format | Article |
| id | doaj.art-e7480cfde5c048b780fae580a752e003 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-11T06:19:39Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-e7480cfde5c048b780fae580a752e0032023-11-17T12:03:47ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-11-011110.3389/fped.2023.12686221268622Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter?Francesca Galdo0Antonella Trappan1Francesca Cossovel2Carmen Rodriguez-Perez3Luca Ronfani4Paolo Montaldo5Paolo Montaldo6Cristina Bibalo7Laura Travan8Francesco Maria Risso9Neonatal Intensive Care Unit, Institute of Child and Maternal Health, IRCSS Burlo Garofolo, Trieste, ItalyNeonatal Intensive Care Unit, Institute of Child and Maternal Health, IRCSS Burlo Garofolo, Trieste, ItalyDepartment of Medicine, University of Trieste, Trieste, ItalyNeonatology and Neonatal Intensive Care Unit, ASST Spedali Civili, Ospedale Dei Bambini, Brescia, ItalyClinical Epidemiology and Public Health Research Unit, Institute for Maternal and Child Health—IRCCS “Burlo Garofolo,”Trieste, ItalyDepartment of Neonatal Intensive Care, Università degli Studi della Campania Luigi Vanvitelli, Naples, ItalyDepartment of Brain Sciences, Centre for Perinatal Neuroscience, Imperial College, London, United KingdomAzienda Sanitaria Universitaria Giuliano Isontino, Trieste, ItalyNeonatal Intensive Care Unit, Institute of Child and Maternal Health, IRCSS Burlo Garofolo, Trieste, ItalyNeonatology and Neonatal Intensive Care Unit, ASST Spedali Civili, Ospedale Dei Bambini, Brescia, ItalyObjectivesThe primary outcomes of this study were to evaluate the diameters of the inferior vena cava (IVC) in a cohort of newborns and the correlation between newborn weight and IVC diameter. The secondary outcome was to evaluate the concordance between the measurements performed by the two investigators.MethodsTwo blind examiners performed an ultrasonographic (US) evaluation of the IVC diameter in neonates with a weight ranging from 2 to 4 kg. The exclusion criteria included hemodynamic instability, known vascular malformations, and major congenital malformations.ResultsA total of 143 neonates were enrolled between June 2019 and January 2021. All the US examinations were performed in the first 3 days of life. After dividing the patients into two groups according to their weight at the time of examination (2.0–2.99 kg and 3.0–4.0 kg), the median IVC diameters measured by examiner 1 were 3.1 mm (interquartile range 2.8–3.4) and 3.4 mm (interquartile range 2.9–3.8) (p = 0.003) for the two groups, respectively. The median IVC diameters measured by examiner 2 were 3.1 mm (interquartile range 2.6–3.3) and 3.3 mm (interquartile range 2.8–3.8) (p = 0.004) for the two groups, respectively. The intraclass correlation coefficient was 0.93 (95% CI: 0.90–0.95).ConclusionThe IVC diameter values varied widely from 1.2 to 5.2 mm in newborns weighing 2–4 kg, and a low correlation between newborn weight and IVC diameter was found, so measuring IVC diameter may be a recommended step prior to inserting a umbilical venous catheter (UVC). The concordance between operators was good. We contemplated that the IVC diameter could be a potentially useful tool to identify the most appropriate UVC, thus reducing the risk of catheter-related thrombosis.https://www.frontiersin.org/articles/10.3389/fped.2023.1268622/fullumbilical cathetersmeasurementsdiametervena cavaultrasoundnewborn |
| spellingShingle | Francesca Galdo Antonella Trappan Francesca Cossovel Carmen Rodriguez-Perez Luca Ronfani Paolo Montaldo Paolo Montaldo Cristina Bibalo Laura Travan Francesco Maria Risso Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter? Frontiers in Pediatrics umbilical catheters measurements diameter vena cava ultrasound newborn |
| title | Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter? |
| title_full | Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter? |
| title_fullStr | Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter? |
| title_full_unstemmed | Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter? |
| title_short | Ultrasonographic measurements of the inferior vena cava diameter in newborns: is it a useful tool for choosing an umbilical venous catheter? |
| title_sort | ultrasonographic measurements of the inferior vena cava diameter in newborns is it a useful tool for choosing an umbilical venous catheter |
| topic | umbilical catheters measurements diameter vena cava ultrasound newborn |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1268622/full |
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