Comparison of JSS Formula with Modified Shukla’s Formula for Insertion of Umbilical Venous Catheter: A Randomized Controlled Study

Krishnegowda, Sushma; Thandaveshwar, Deepti; Mahadevaswamy, Meghana; Doreswamy, Srinivasa Murthy

doi:10.1007/s13312-019-1499-1

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…Table 1 summarizes all these different methods. At present, there is no formula, nomogram, or measurement, that can be universally and effectively applied to infants of different BWs and Gas ( 13 , 31 , 32 ). Though, the methods most commonly used for estimation of catheter length are the Dunn formula and the Shukla formula.…”

Section: Insertion Of the Uvc Including New Technologiesmentioning

confidence: 99%

Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training

et al. 2022

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The umbilical venous catheter (UVC) is one of the most commonly used central lines in neonates. It can be easily inserted soon after birth providing stable intravenous access in infants requiring advanced resuscitation in the delivery room or needing medications, fluids, and parenteral nutrition during the 1st days of life. Resident training is crucial for UVC placement. The use of simulators allows trainees to gain practical experience and confidence in performing the procedure without risks for patients. UVCs are easy to insert, however when the procedure is performed without the use of ultrasound, there is a quite high risk, up to 40%, of non-central position. Ultrasound-guided UVC tip location is a simple and learnable technique and therefore should be widespread among all physicians. The feasibility of targeted training on the use of point-of-care ultrasound (POCUS) for UVC placement in the neonatal intensive care unit (NICU) among neonatal medical staff has been demonstrated. Conversely, UVC-related complications are very common and can sometimes be life-threatening. Despite UVCs being used by neonatologists for over 60 years, there are still no standard guidelines for assessment or monitoring of tip location, securement, management, or dwell time. This review article is an overview of the current knowledge and evidence available in the literature about UVCs. Our aim is to provide precise and updated recommendations on the use of this central line.

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Section: Insertion Of the Uvc Including New Technologiesmentioning

confidence: 99%

Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training

et al. 2022

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“…We did not assess JSS formula of UVC insertion (UVC length in cm = 6.5 + weight in kg) by Krishnagowda et al as our study commenced before it was published in 2019. 17 We suggest a future multicentric study which is prospective with a larger number of study subjects comparing the JSS formula with morphometric methods. Only a prospective study can tell the usefulness of the morphometric method in reducing CLABSI.…”

Section: Discussionmentioning

confidence: 99%

A cross sectional study assessing six different methods to predict the ideal position of umbilical venous catheters in neonates of different weight categories

et al. 2021

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Background: This was a cross sectional study done to find the most suitable method of assessing umbilical venous catheter (UVC) length in seventy two neonates of four different weight categories using six methods.Methods: Neonates were grouped into A (upto 1 kg), B (>1-1.5 kg), C (>1.5-2.5 kg) or D (>2.5 kg) based on their birth weight. UVC was placed using Shukla-Ferrara method and x-ray taken to finalize the catheter length. The predicted catheter length was also measured by Dunn method, umbilicus to nipple length, umbilicus to xiphisternum length, umbilicus to midpoint of inter mammary distance, and umbilicus to symphysis pubis length. ANOVA test was used to find the methods which did not have statistically significant difference with the final length from x-ray (p>0.5). The method with the least mean difference from final length was taken as the most suitable.Results: UVC length assessed by Shukla Ferrara method and umbilicus to midpoint of inter mammary distance did not have statistically significant difference with final catheter length on x-ray in all groups. UVC length assessed by Dunn method did not have statistically significant difference with final catheter length on x-ray in group A, C and D while UVC length assessed by umbilicus to nipple length did not have statistically significant difference in group D.Conclusions: Umbilicus to the midpoint of inter-mammary distance was the most suitable method to estimate length of insertion of UVC in neonates.

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“…Thus, the catheter tip is prone to postcatheterization displacement or even misalignment [ 14 ], which may result in complications. To address this issue, several formulas and charts have been proposed to estimate the correct position of the UVC by using various body measurements ( Table 1 ) [ 15 , 16 , 17 , 18 ]. The expected length of catheter to be inserted was calculated before insertion by using these formulas or charts.…”

Section: Discussionmentioning

confidence: 99%

Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant

Yamamoto,

Iijima

2024

Pediatric Reports

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Umbilical venous (UV) catheters (UVCs) are commonly used in severely ill neonates. Complications associated with UVC often result from an inappropriate UVC position. Calcification of the UV, a rare complication, was observed in an extremely low-birth-weight infant born at 23 weeks of gestation. After birth, the infant experienced respiratory and circulatory dysfunction, followed by disseminated intravascular coagulation (DIC). A UVC was inserted, and circulatory agonists and blood transfusions were administered, as well as a calcium gluconate infusion for hypocalcemia and hyperkalemia. Ten days after birth, calcification was detected in the UV, likely due to a tunica intima injury caused by UVC, a hypercoagulable state due to DIC, and a high-dose calcium gluconate infusion. Additionally, proximal port malpositioning of the double-lumen catheter might have contributed to calcification within the UV. To prevent such complications, real-time ultrasound confirmation with agitated saline contrast during UVC placement is recommended; in the absence of the facility or skills for ultrasonography, X-rays should be performed in the lateral and anteroposterior views. Furthermore, when using multi-lumen catheters, physicians should not only verify the tip position but also ensure proper placement of proximal ports and carefully select medications administered through the ports.

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Comparison of JSS Formula with Modified Shukla’s Formula for Insertion of Umbilical Venous Catheter: A Randomized Controlled Study

Cited by 7 publications

References 8 publications

Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training

Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training

A cross sectional study assessing six different methods to predict the ideal position of umbilical venous catheters in neonates of different weight categories

Umbilical Vein Calcification Associated with Double-Lumen Catheter Malpositioning in an Extremely Low-Birth-Weight Infant

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