Insertion of peripherally inserted central catheters in neonates less than 1.5 kg using ultrasound guidance

Johnson, K. Norman; THOMAS, T. TURNER; Grove, Jason J.; Jarboe, Marcus D.

doi:10.1007/s00383-016-3959-1

Cited by 35 publications

(75 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Within the intensive care unit (ICU), US‐guided PIV placement facilitated subsequent peripheral inserted central catheter (PICC) placement with an 85% first attempt success rate, 95% overall success rate and 113 second total time to cannulation in children under 5 years of age . Similarly, interventional radiologists (IR) have reported excellent success rates and low complication rates when using US guidance to place PICC lines in neonates less than 1500 g under sedation or general anesthesia . These children were known to have had several failed PICC line attempts by experienced neonatal ICU nurses prior to the IR attempts .…”

Section: Search Methodologymentioning

confidence: 99%

“…Similarly, interventional radiologists (IR) have reported excellent success rates and low complication rates when using US guidance to place PICC lines in neonates less than 1500 g under sedation or general anesthesia . These children were known to have had several failed PICC line attempts by experienced neonatal ICU nurses prior to the IR attempts . Despite a limited number of studies, the positive outcomes reported with US‐guided PIV placement under deep sedation or general anesthesia is encouraging …”

Section: Search Methodologymentioning

confidence: 99%

“…These children were known to have had several failed PICC line attempts by experienced neonatal ICU nurses prior to the IR attempts . Despite a limited number of studies, the positive outcomes reported with US‐guided PIV placement under deep sedation or general anesthesia is encouraging …”

Section: Search Methodologymentioning

confidence: 99%

“…A possible cause may be that the vessel is simply entered with the tip of the needle while the entire bevel may not be in the lumen. In such instances, the wall of the vein may be dragged with the tip of the needle for long distances and subsequent resistance of catheter entry into lumen results . In an attempt to reduce the incidence of failure, others have suggested dropping the angle of the needle and advancing slightly further after blood return is seen .…”

Section: Search Methodologymentioning

confidence: 99%

“…The downside of this slight blind advancement of the needle is posterior wall puncture, another possible cause of failed placement . Given the small size and compressibility of veins in children, posterior wall puncture can occur quite easily and cause a significant hematoma that may make further attempts difficult . The rate of posterior wall puncture may increase in novice ultrasound users who cannot differentiate needle tip from needle shaft …”

Section: Search Methodologymentioning

confidence: 99%

See 4 more Smart Citations

Ultrasound‐guided techniques for peripheral intravenous placement in children with difficult venous access

Munshey

Parra

McDonnell

et al. 2019

Pediatric Anesthesia

View full text Add to dashboard Cite

Peripheral intravenous placement in children can be challenging. Different techniques have been used to improve first pass success rates in children with known history of difficult venous access including surface landmarking, local warming, transillumination, ultrasonography, epidermal nitroglycerin, central venous access, intraosseous placement, and venous cutdown. Among these, ultrasound guidance has garnered the most interest among anesthesiologists. The cumulative literature surrounding the utility of ultrasound‐guided peripheral intravenous placement in children with and without difficult venous access has shown mixed results. Literature on the utility of ultrasound guidance for peripheral intravenous placement in children under deep sedation or anesthesia is limited but encouraging. This review summarizes the overall evidence for ultrasound‐guided peripheral intravenous placement in children with difficult venous access under deep sedation or general anesthesia. Furthermore, five subtly varying approaches to ultrasound‐guided peripheral intravenous placement with their advantages and disadvantages will be discussed. One of these five approaches is Dynamic Needle Tip Positioning. Utilizing a short axis out of plane ultrasound view, this promising technique allows for accurate needle tip localization and may increase the success rate of peripheral intravenous placement, even in small children, under deep sedation, or general anesthesia.

show abstract

Section: Search Methodologymentioning

confidence: 99%

Section: Search Methodologymentioning

confidence: 99%

Section: Search Methodologymentioning

confidence: 99%

Section: Search Methodologymentioning

confidence: 99%

Section: Search Methodologymentioning

confidence: 99%

See 3 more Smart Citations

Ultrasound‐guided techniques for peripheral intravenous placement in children with difficult venous access

Munshey

Parra

McDonnell

et al. 2019

Pediatric Anesthesia

View full text Add to dashboard Cite

show abstract

Cranial Point‐of‐Care Ultrasound for Neonatal Providers

Kolnik,

Sahota,

Wood

et al. 2024

J of Ultrasound Medicine

View full text Add to dashboard Cite

ObjectiveDespite strong evidence for its utility in clinical management and diagnosis of intracranial hemorrhage (ICH), the use of neonatal cranial point‐of‐care ultrasound (POCUS) has not been standardized in neonatal intensive care units (NICUs) in the United States. The primary aim of this study was to evaluate the feasibility of training NICU providers to perform cranial POCUS by tracking the quality of image acquisition following training.MethodsObservational single‐center cohort study of cranial POCUS images obtained by trained neonatal practitioners (attendings, fellows, and advanced practice providers) using a protocol developed by a radiologist and neonatologist. Exams were performed on infants born ≤1250 g and/or ≤30 weeks gestation within the first 3 days after birth. A survey to assess attitudes regarding cranial POCUS was given before each of three training sessions. Demographic and clinical data collection were portrayed with descriptive statistics. Metrics of image quality were assessed by a radiologist and sonographer independently. Analysis of trends in quality of POCUS images over time was performed using a multinomial Cochran‐Armitage test.ResultsEighty‐two cranial POCUS scans were performed over a 2‐year period. Infant median age at exam was 14 hours (IQR 7–22 hours). Metrics of image quality depicted quarterly demonstrated a significant improvement in depth (P = .01), gain (P = .048), and quality of anatomy images captured (P < .001) over time. Providers perceived increased utility and safety of cranial POCUS over time.ConclusionCranial POCUS image acquisition improved significantly following care team training, which may enable providers to diagnose ICH at the bedside.

show abstract

Single-stick tunneled central venous access using the jugular veins in infants weighing less than 5 kg

et al. 2017

View full text Add to dashboard Cite

show abstract

Insertion of peripherally inserted central catheters in neonates less than 1.5 kg using ultrasound guidance

Cited by 35 publications

References 13 publications

Ultrasound‐guided techniques for peripheral intravenous placement in children with difficult venous access

Ultrasound‐guided techniques for peripheral intravenous placement in children with difficult venous access

Cranial Point‐of‐Care Ultrasound for Neonatal Providers

Single-stick tunneled central venous access using the jugular veins in infants weighing less than 5 kg

Contact Info

Product

Resources

About