Comparison of Ultrasound-Guided Umbilical Venous Catheter Insertion with Blind Method: A Randomized Controlled Trial

zu Verbundenen Objekten

Abstract: Introduction: Ultrasonography (USG) can be used in neonates to manipulate and place the umbilical catheter in the correct position. Although chest radiograph (CXR) is the gold standard, a noninvasive method like USG without radiation exposure may be an alternative bedside armamentarium to the clinician. The purpose of the study was to evaluate whether USG-guided umbilical venous catheter (UVC) insertion is superior to the conventional method for the successful insertion of UVC. Method: The neonates born between 25 and 42 weeks of gestation requiring parenteral fluids and admission to neonatal intensive care unit (NICU) between September 2020 and November 2022 were randomized in two weight-based strata: ≤1,200 and >1,200 g. USG-guided UVC insertion was done in the intervention group and blind UVC insertion was done in the control group. Results: Out of 112 enrolled neonates, 58 were in the USG-guided group and 54 in the blind group. There was no significant difference in the failure rate between the intervention and control groups (20% versus 29% [RR: 0.69, 95% CI: 0.36–1.33]). The sensitivity and specificity of USG in locating tip position were 97 and 46.8%, respectively. The mean procedure time in USG and blind groups was 8.9 and 8.3 min, respectively (p value 0.56). Conclusion: USG does not reduce the failure rates during the insertion of umbilical catheters. However, being a safe, noninvasive procedure, it can be considered a rescue modality to CXR in NICUs equipped with portable USG for guiding UVC insertion.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Comparison of Ultrasound-Guided Umbilical Venous Catheter Insertion with Blind Method: A Randomized Controlled Trial ; volume:9 ; number:1 ; year:2024 ; extent:8
Biomedicine hub ; 9, Heft 1 (2024) (gesamt 8)

Urheber
Mishra, Purbasha
Mohanty, Pankaj Kumar
Som, Tapas Kumar
Sahoo, Tanushree
Devi, Usha
Bag, Nerbadyswari Deep

DOI
10.1159/000535096
URN
urn:nbn:de:101:1-2406060016415.025414369368
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:51 MESZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Original beim Datenpartner anzeigen

Beteiligte

  • Mishra, Purbasha
  • Mohanty, Pankaj Kumar
  • Som, Tapas Kumar
  • Sahoo, Tanushree
  • Devi, Usha
  • Bag, Nerbadyswari Deep

Ähnliche Objekte (12)

Effect of ultrasound-guided central venous catheter insertion on the incidence of catheter-related bloodstream infections and mechanical complications

Effect of ultrasound-guided central venous catheter insertion on the incidence of catheter-related bloodstream infections and mechanical complications

Ultrasound-guided central venous catheter placement: first things first

Ultrasound-guided central venous catheter placement: first things first

Impact of ultrasonography on central venous catheter insertion in intensive care

Impact of ultrasonography on central venous catheter insertion in intensive care

A systematic approach to ultrasound-guided central venous catheter placement—desirable modifications

A systematic approach to ultrasound-guided central venous catheter placement—desirable modifications

Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion

Lower risk of peripheral venous catheter-related bloodstream infection by hand insertion

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice

Low Cardiac Output Secondary to a Malpositioned Umbilical Venous Catheter: Value of Targeted Neonatal Echocardiography

Low Cardiac Output Secondary to a Malpositioned Umbilical Venous Catheter: Value of Targeted Neonatal Echocardiography

Could ultrasound-guided internal jugular vein catheter insertion replace the use of chest X-ray?

Could ultrasound-guided internal jugular vein catheter insertion replace the use of chest X-ray?

Implementation of a children’s hospital-wide central venous catheter insertion and maintenance bundle

Implementation of a children’s hospital-wide central venous catheter insertion and maintenance bundle

Non-invasive removal of a misplaced and knotted guidewire during ultrasound-guided central venous catheter insertion in a hybrid operating room: a case report

Non-invasive removal of a misplaced and knotted guidewire during ultrasound-guided central venous catheter insertion in a hybrid operating room: a case report

Rare central venous catheter malposition – an ultrasound-guided approach would be helpful: a case report

Rare central venous catheter malposition – an ultrasound-guided approach would be helpful: a case report

Wire-in-needle versus conventional syringe-on-needle technique for ultrasound-guided central venous catheter insertion in the internal jugular vein: the WIN randomized trial

Wire-in-needle versus conventional syringe-on-needle technique for ultrasound-guided central venous catheter insertion in the internal jugular vein: the WIN randomized trial

Verbundene Objekte