Ultrasound Guidance for Catheterization in Neonates
Author Information
Author(s): Di Nardo M, Stoppa F, Tomasello C, Cecchetti C, Marano M, Perrotta D, Pasotti E, Pirozzi N
Primary Institution: Ospedale Pediatrico Bambino Gesù, Roma, Italy
Hypothesis
The study aims to evaluate the success rate and complication rate of ultrasound-guided internal jugular vein catheterization performed by ultrasound-trained pediatric intensivists in neonates.
Conclusion
Ultrasound assistance for central vein cannulation can be easily performed by well-trained physicians in neonates.
Supporting Evidence
- Cannulation was successful in all 15 infants.
- The overall complication rate was 22%.
- There was one major complication (2%): lung pneumothorax.
- Minor complications included multiple skin and vein punctures (9%), Seldinger wire kinking (7%), and venous hematomas (4%).
- The mean time required for complete cannulation was 8 ± 4.3 minutes.
- The mean duration of the central venous catheter was 5 ± 5 days.
Takeaway
Doctors used ultrasound to help put a tube in the necks of babies, and it worked well most of the time.
Methodology
Fifteen consecutive term neonates needing central venous access were studied for ultrasound-guided internal jugular vein cannulation.
Limitations
The study only included a small sample size of 15 neonates.
Participant Demographics
Term neonates with a mean weight of 3.9 ± 1.1 kg.
Digital Object Identifier (DOI)
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