Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants
ObjectiveRecently, ultrasound (US) has been increasingly used for epicutaneo-caval catheter (ECC) tip positioning; however, the selection of blood vessels for ECC still depends on the operator’s subjective judgment. This study aimed to explore the value of US in decision-making regarding the great s...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.1022796/full |
| _version_ | 1811309151851118592 |
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| author | Xiao-Ling Ren Man Wang Man Wang Yu-Ru Wei Yu-Ru Wei Jing Liu |
| author_facet | Xiao-Ling Ren Man Wang Man Wang Yu-Ru Wei Yu-Ru Wei Jing Liu |
| author_sort | Xiao-Ling Ren |
| collection | DOAJ |
| description | ObjectiveRecently, ultrasound (US) has been increasingly used for epicutaneo-caval catheter (ECC) tip positioning; however, the selection of blood vessels for ECC still depends on the operator’s subjective judgment. This study aimed to explore the value of US in decision-making regarding the great saphenous vein (GSV), tip navigation, and tip location of ECC.MethodsCatheterization through the GSV of the lower extremity was selected. The running condition of the GSV was assessed by using US, and the angle between the GSV and the femoral vein was observed and measured. We selected the GSV with a smaller angle to the femoral vein for ECC catheterization.ResultsECC catheterization under ultrasound guidance increased the success rate at the time of catheterization from 82.5% to 100% (increased by 17.5%) and shortened the catheterization time from 56.1 ± 5.30 min to 31.5 ± 2.58 min on average (shortened by 44%). The incidence rate of catheter-related complications decreased by 58.2% catheter days from 6.80/1,000 to 2.84/1,000.ConclusionECC insertion under the guidance of US has numerous advantages, including significantly improving the success rate of one-time catheterization, shortening the time of catheterization, and reducing catheter-related complications. |
| first_indexed | 2024-04-13T09:37:07Z |
| format | Article |
| id | doaj.art-e910078d0acd4740b6b269000927fe47 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-13T09:37:07Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-e910078d0acd4740b6b269000927fe472022-12-22T02:52:05ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-11-011010.3389/fped.2022.10227961022796Ultrasound to guided epicutaneo-caval catheter insertion in newborn infantsXiao-Ling Ren0Man Wang1Man Wang2Yu-Ru Wei3Yu-Ru Wei4Jing Liu5Department of Neonatology and NICU, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Neonatology and NICU, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Neonatology and NICU, Beijing Chao-Yang District Maternal and Child Healthcare Hospital, Beijing, ChinaDepartment of Neonatology and NICU, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Neonatology and NICU, Beijing Chao-Yang District Maternal and Child Healthcare Hospital, Beijing, ChinaDepartment of Neonatology and NICU, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaObjectiveRecently, ultrasound (US) has been increasingly used for epicutaneo-caval catheter (ECC) tip positioning; however, the selection of blood vessels for ECC still depends on the operator’s subjective judgment. This study aimed to explore the value of US in decision-making regarding the great saphenous vein (GSV), tip navigation, and tip location of ECC.MethodsCatheterization through the GSV of the lower extremity was selected. The running condition of the GSV was assessed by using US, and the angle between the GSV and the femoral vein was observed and measured. We selected the GSV with a smaller angle to the femoral vein for ECC catheterization.ResultsECC catheterization under ultrasound guidance increased the success rate at the time of catheterization from 82.5% to 100% (increased by 17.5%) and shortened the catheterization time from 56.1 ± 5.30 min to 31.5 ± 2.58 min on average (shortened by 44%). The incidence rate of catheter-related complications decreased by 58.2% catheter days from 6.80/1,000 to 2.84/1,000.ConclusionECC insertion under the guidance of US has numerous advantages, including significantly improving the success rate of one-time catheterization, shortening the time of catheterization, and reducing catheter-related complications.https://www.frontiersin.org/articles/10.3389/fped.2022.1022796/fullepicutaneo-caval catheterperipherally inserted central catheternewborn infantintensive care unittip navigationtip location |
| spellingShingle | Xiao-Ling Ren Man Wang Man Wang Yu-Ru Wei Yu-Ru Wei Jing Liu Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants Frontiers in Pediatrics epicutaneo-caval catheter peripherally inserted central catheter newborn infant intensive care unit tip navigation tip location |
| title | Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants |
| title_full | Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants |
| title_fullStr | Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants |
| title_full_unstemmed | Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants |
| title_short | Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants |
| title_sort | ultrasound to guided epicutaneo caval catheter insertion in newborn infants |
| topic | epicutaneo-caval catheter peripherally inserted central catheter newborn infant intensive care unit tip navigation tip location |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.1022796/full |
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