Location of the Central Venous Catheter Tip With Bedside Ultrasound in Young Children

Alonso-Quintela, Paula; Oulego-Erróz, Ignacio; Rodríguez-Blanco, Silvia; Muñíz-Fontán, Manoel; Armentia, Santiago Lapeña-López-de; Rodrı́guez-Núñez, Antonio

doi:10.1097/pcc.0000000000000491

Cited by 42 publications

(31 citation statements)

References 14 publications

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“…A large randomized clinical trial is warranted to confirm our results. A C C E P T E D M A N U S C R I P T CVC indwelling days 8,5 (6-12) IQR [6][7][8][9][10]7] …”

Section: Discussionmentioning

confidence: 99%

“…Finally, post-procedural US helps to detect, in a timely manner, complications such as catheter tip malposition and pneumothorax. (5,6) In children, when compared to adults, CVC placement is considered a more challenging procedure, especially in neonates and small infants. In such cases, anatomical references are not easily defined, vein size is small and puncture area is limited.…”

Section: Introductionmentioning

confidence: 99%

“…Aspiration of blood from the CVC lumens is checked and the CVC is secured. Then CVC tip position is assessed by chest radiography and/or US (6). Measurements: Patient's sex, age, weight and admission diagnosis were recorded.…”

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confidence: 99%

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Comparison of ultrasound guided brachiocephalic and internal jugular vein cannulation in critically ill children

Oulego-Erróz

Muñoz-Lozón

Alonso-Quintela

et al. 2016

Journal of Critical Care

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“…A large randomized clinical trial is warranted to confirm our results. A C C E P T E D M A N U S C R I P T CVC indwelling days 8,5 (6-12) IQR [6][7][8][9][10]7] …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of ultrasound guided brachiocephalic and internal jugular vein cannulation in critically ill children

Oulego-Erróz

Muñoz-Lozón

Alonso-Quintela

et al. 2016

Journal of Critical Care

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“…It has been proposed to use a standard portable US device equipped with 3- and 6-MHz phased array transducers and a 12-MHz linear array transducer (52). First, a visualizing of the catheter by the long- and short-axis planes from a subcostal view should be attempted (52).…”

Section: Use Of Us To Determine Catheter Placementmentioning

confidence: 99%

“…First, a visualizing of the catheter by the long- and short-axis planes from a subcostal view should be attempted (52). If the catheter tip cannot be identified from the subcostal view, a right parasternal view and suprasternal coronal views of the SVC should be obtained and finally, a scan of the jugular and subclavian-brachiocephalic veins with the 12-Hz linear transducer can be attempted (52). Based on our experience, we suggest real-time verification of catheter position before fixation using the above described technique (Figure 7).…”

Section: Use Of Us To Determine Catheter Placementmentioning

confidence: 99%

Supraclavicular Approach to Ultrasound-Guided Brachiocephalic Vein Cannulation in Children and Neonates

Merchaoui¹,

Lausten-Thomsen²,

Pierre³

et al. 2017

Front. Pediatr.

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The correct choice of intra vascular access in critically ill neonates should be individualized depending on the type and duration of therapy, gestational and chronological age, weight and/or size, diagnosis, clinical status, and venous system patency. Accordingly, there is an ongoing demand for optimization of catheterization. Recently, the use of ultrasound (US)-guided cannulation of the subclavian vein (SCV) has been described in children and neonates. This article gives an overview of the current use of US for achieving central venous catheter placement in the SCV or the brachiocephalic vein (BCV) in neonates. More than 1,250 catheters have been reported inserted in children and neonates for a cumulated success rate of 98.4% and the complication rate is reported to be low. The technical aspects of various approaches are discussed, and we offer our recommendation of an US-guided technique for SCV and BCV cannulation based on our experience in a large NICU setting. Although the cannulation the SCV or BCV does not substitute the use of peripherally inserted central catheters or umbilical venous central catheters in neonates, it is a feasible route in very small children who are in need of a large caliber central venous access.

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A Facile Magnetic System for Tracking of Medical Devices

Swanepoel

Alsharif

Przybysz

et al. 2021

Adv Materials Technologies

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The largest disadvantage of modern day minimally invasive surgery is the required use of X‐ray or fluoroscopic imaging for locating or tracking medical catheters and tubes. The implications are increased costs and effort, limited availability for instance in less developed countries, and the cumulative exposure to contrast dyes and ionizing radiation are detrimental to health, especially in young patients and neonates with increased sensitivity. In order to reduce the use of X‐ray imaging and provide a wider accessibility, a facile magnetic system is proposed for subcutaneous medical device localization. It consists of a lightweight and flexible, biocompatible, and permanent magnet at the tip of the subcutaneous device and a sensing device to scan the dermal surface and locate the magnetic tip. The mechanical and magnetic properties of the magnetic tip are tailored to fit the requirements of the delicate catheter application. Evaluation of the tracking system using a 5 Fr magnetic tip resulted in a depth‐dependent position and orientation error of 0.75 mm and 3.7°. Additionally, a maximum placement depth error of 0.96 mm is achieved. Evaluation of the system in vivo revealed its practicality and accuracy as well as the influence of potential user errors.

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Location of the Central Venous Catheter Tip With Bedside Ultrasound in Young Children

Cited by 42 publications

References 14 publications

Comparison of ultrasound guided brachiocephalic and internal jugular vein cannulation in critically ill children

Comparison of ultrasound guided brachiocephalic and internal jugular vein cannulation in critically ill children

Supraclavicular Approach to Ultrasound-Guided Brachiocephalic Vein Cannulation in Children and Neonates

A Facile Magnetic System for Tracking of Medical Devices

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