Accuracy of five formulae to determine the insertion length of umbilical venous catheters

Lean, Wei Ling; Dawson, Jennifer A; Davis, Peter G; Theda, Christiane; Thió, Marta

doi:10.1136/archdischild-2017-314280

Cited by 21 publications

(17 citation statements)

References 18 publications

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“…Usually clinical methods used to estimate insertion lengths are based on birth weight or shoulder-umbilical length. 2 However, the commonly used formulae are not reliable in preterm infants. Incorrect tip placements can have devastating results.…”

Section: Discussionmentioning

confidence: 99%

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Parenteral Nutrition Ascites: Calamity from an Umbilical Vein Cannula

Anand

Pournami

Panackal

et al. 2020

Journal of Child Science

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Umbilical vein catheterization is considered a critical requirement in preterm neonates for the administration of fluids and parenteral nutrition. However, inadvertent migration and malposition are known to cause complications that are often life-threatening. We describe a neonate with parenteral nutrition-associated lipid ascites owing to extravasation from an umbilical vein cannula. Fatality was averted due to prompt recognition and paracentesis that was therapeutic and confirmed the diagnosis as well.

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Section: Discussionmentioning

confidence: 99%

“…Shukla formula was used to calculate length of insertion at 6.5 cm. 2 Position was confirmed by radiography at body of T8 vertebra, at the level of diaphragm (►Fig. 1).…”

Section: Case Reportmentioning

confidence: 93%

Parenteral Nutrition Ascites: Calamity from an Umbilical Vein Cannula

Anand

Pournami

Panackal

et al. 2020

Journal of Child Science

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“…nierte Katheter können jedoch steril zurückgezogen werden. Etwa die Hälfte der Nabelvenenkatheter muss nach Anlage korrigiert werden, um die gewünschte Position zu erreichen [36].…”

Section: Subkutane Applikationunclassified

(Gefäß-)Anatomie im Neugeborenen-, Säuglings- und Kleinkindesalter

Eifinger¹,

Fuchs²

2020

Notfallmedizin up2date

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“…It was first used for blood transfusion in 1947 by Diamond (2). Nowadays, it is also used to administer medication, fluid and nutrition, and also to measure blood gases, electrolytes and central venous pressure in premature neonates (3,4). Some complications were reported for incorrect position of UVC, such as infection, hepatic necrosis, pericardial and pleural effusions, peritoneal fluid collections, thrombosis, embolism, endocarditis, cardiac arrhythmias, cardiac tamponade, and pulmonary infarction that can lead to life-threatening complications in 0.2% -4% of cases (5).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Umbilical Vein Catheter Position in Neonates by Thoraco-Abdominal Radiography Versus Echocardiography

2020

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Background: Umbilical vein catheterization is usually conducted for preterm neonates in neonatal intensive care units to administer medication, fluid and nutrition, and blood transfusion. However, catheter tip malposition can cause complications. Objectives: There are different methods to detect the accuracy of catheter’s position; hence, this study aimed to compare the diagnostic accuracy of radiography vs echocardiography to determine the accurate tip position of umbilical vein catheter. Methods: This cross-sectional study was performed on all 104 neonates admitted to the neonatal intensive care units of hospitals affiliated to Shiraz University of Medical Sciences from March 2017 to January 2018. At first, the length of the catheter was estimated based on Dunn method. After catheterization, thoraco-abdominal radiography and echocardiography were performed by a pediatric radiologist who was blinded to the study objectives, and the data were recorded in two forms. Finally, data were analyzed by McNemar’s test, using SPSS 17 software. Results: The sensitivity, specificity, positive predictive value and negative predictive value by radiography and echocardiography for the catheter tip position in the inferior vena cava-right atrium junction was calculated 100%. Moreover, catheters were located in the ductus venous, inferior vena cava, inferior vena cava-right atrium junction, right and left atrium in echocardiography were in the radiograph equal to thoracic vertebrae of T9-T11, T9, T6-T10, T5-T8, and T4-T6, respectively. Conclusions: Our study suggests that even though echocardiography is as reliable as radiography for early detection of the catheter tip position, it can also avoid complications of catheter malposition quicker than radiography.

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Accuracy of five formulae to determine the insertion length of umbilical venous catheters

Abstract: Inserting a UVC into a safe position on first attempt is difficult and low tip placement is common. Around half of UVCs need to be manipulated to achieve the desired position.

Cited by 21 publications

References 18 publications

Parenteral Nutrition Ascites: Calamity from an Umbilical Vein Cannula

Parenteral Nutrition Ascites: Calamity from an Umbilical Vein Cannula

(Gefäß-)Anatomie im Neugeborenen-, Säuglings- und Kleinkindesalter

Evaluation of Umbilical Vein Catheter Position in Neonates by Thoraco-Abdominal Radiography Versus Echocardiography

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