Role of bedside ultrasound in determining the position of umbilical venous catheters

El-Maadawy, Samar M.; El-Atawi, Khaled; Elhalik, Mahmoud

doi:10.4103/2249-4847.159878

Cited by 11 publications

(10 citation statements)

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“…Quatro estudos (Dubbink-Verheij et al, 2020/2019Franta, Harabor, & Soraisham, 2017;El-Maadawy, El-Atawi, & Elhalik, 2015), sendo dois do mesmo grupo de pesquisadores holandeses, um irlandês e um dos Emirados Árabes, tratavam de cateterismo venoso umbilical, localização da ponta do cateter por imagem ultrassonográfica e a importância deste exame de imagem no diagnóstico de migração inadvertida deste cateter.…”

Section: Discussionunclassified

“…Foi evidenciado que CUV migram habitualmente após sua inserção o que pode ocorrer em horas ou dias levando ao mau posicionamento, especialmente intracardíaco (Dubbink-Verheij et al, 2019;Franta et al, 2017). A USG em tempo real pode ser o novo padrão ouro, economizando radiografias desnecessárias, diminuindo a dose de radiação recebida pelos neonatos, possibilitando a localização precisa da ponta do cateter (El-Maadawy et al, 2015). Research, Society and Development, v. 9, n. 8, e744986495, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i8.6495 20…”

Section: Discussionunclassified

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Aplicabilidade do ultrassom portátil para acessos venosos centrais em neonatos críticos: revisão de escopo

Oliveira

Vilar

Silvino

2020

RSD

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Objetivo: discutir a produção atual sobre o uso do ultrassom portátil em acessos venosos no neonato crítico. Método: revisão de escopo, baseada nos procedimentos recomendados pelos especialistas do Instituto Joanna Briggs. Para identificar a questão de investigação, no primeiro passo da metodologia, foi seguida a versão PCC, sendo P o tipo de população (recém-nascido), C o conceito (uso do ultrassom portátil em cateterismos venosos centrais), e C o contexto (unidade de terapia intensiva neonatal). Foram consultadas as bases de dados SciELO, MEDLINE, com acesso através da interface PubMed, e LILACS, com acesso pela BVS. No Google Scholar, utilizado para acessar a literatura cinzenta, a captura de textos deu-se com uso dos mesmos descritores aplicados na busca na base PubMed, associados aos operadores booleanos “AND” e “OR. A extração dos dados e discussão temática foi realizada por todos os autores, por consenso. Resultados: Das trezentas e sessenta e sete citações recuperadas na busca foram mantidos vinte e um artigos para a revisão de escopo, publicados entre 2015 e 2020. Seus conteúdos foram sintetizados e discutidos por aproximação temática, emergindo três categorias, uma para cada tipo de dispositivo encontrado na revisão: cateter umbilical venoso; cateter venoso central; cateter central de inserção periférica. Conclusão: Os resultados apurados, mesmo quando limitados por pequenas amostras, suportam a utilização da ultrassonografia point of care como padrão ouro para inserção e monitoramento destes dispositivos, agregando qualidade e segurança aos procedimentos em neonatos críticos.

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Section: Discussionunclassified

Aplicabilidade do ultrassom portátil para acessos venosos centrais em neonatos críticos: revisão de escopo

Oliveira

Vilar

Silvino

2020

RSD

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“…After duplicates removal, title, abstract and full-text checking, 14 related studies were finally included for meta-analysis. [2][3][4]7,8,[10][11][12][18][19][20][24][25][26] A flowchart on the detailed study selection process is shown in Figure 1.…”

Section: Study Identification and Study Characteristicsmentioning

confidence: 99%

“…[5][6][7] These complications were reported mostly associated with tip malposition of the catheter. [8][9][10] The most advocated tip position of UVC is in the thoracic portion of IVC or at the junction of the IVC with right atrium (RA) [10][11][12] although there is still inconsistence, and many researchers also accept tip position in RA. 2,4,7 Low-lying UVC is defined as a catheter tip position below the junction of the IVC.…”

Section: Introductionmentioning

confidence: 99%

“…16,17 However, many studies on UVC for newborns questioned the accuracy of X-ray used for verifying the correct tip position by these anatomical landmarks. [2][3][4][10][11][12]18 It was reported that ultrasound (US), especially echocardiography revealed a significant number of umbilical venous catheters malpositioned into the left atrium (LA), even though these catheters were considered to be in the ideal position by X-ray. 10,19 The tip of UVC located in the left atrium was reported associated with thrombosis formation.…”

Section: Introductionmentioning

confidence: 99%

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Accuracy of chest radiography compared to ultrasound for positioning the umbilical venous catheter in neonates: A meta-analysis and systematic review

et al. 2021

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This study was aimed to investigate the accuracy of anteroposterior chest radiography for tip position verification for the umbilical venous catheters in neonates compared to ultrasound. A search in the PubMed, Embase, the Cochrane Library, and EBSCO was conducted to evaluate all the related articles on umbilical venous catheter (UVC), ultrasound AND neonates updated to August, 2020. Study selection, data extraction, and quality assessment were performed independently by two investigators. Random effects model was used to estimate the pooled sensitivity, specificity, and diagnostic odds ratio (DOR). The summary receiver operator characteristic (SROC) curve was constructed, and the area under the SROC curve (AUC) was calculated. Fourteen related studies were finally included for meta-analysis. The overall diagnostic sensitivity and speciﬁcity of X-ray on tip verification of UVC were 0.90 (95% CI 0.71–0.97) and 0.82 (95% CI 0.53–0.95), respectively. The pooled DOR was 3.69 (95% CI 1.64–5.71). The AUC was 0.93 (95% CI 0.90–0.95). The meta-regression analysis suggested that study sample size, study design, different US confirming method, and different gold standard in original design might be potential sources of heterogeneity. Our conclusion is that the commonly used anteroposterior X-ray is not reliable in identifying the exact anatomical location of UVC tip in neonates. Studies suggested ultrasound or echocardiography with saline contrast injection could be the gold standard for verification of catheter location and should be considered whenever possible, especially in premature patients. More studies are needed to expand the use of ultrasound or echocardiography in tip position confirming of UVCs.

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Umbilical Venous Catheter Placement in a Low-Resource Setting

Ezeaka

Fajolu

Ezenwa

2022

Pediatric Procedural Adaptations for Low-Resource Settings

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Role of bedside ultrasound in determining the position of umbilical venous catheters

Cited by 11 publications

References 0 publications

Aplicabilidade do ultrassom portátil para acessos venosos centrais em neonatos críticos: revisão de escopo

Aplicabilidade do ultrassom portátil para acessos venosos centrais em neonatos críticos: revisão de escopo

Accuracy of chest radiography compared to ultrasound for positioning the umbilical venous catheter in neonates: A meta-analysis and systematic review

Umbilical Venous Catheter Placement in a Low-Resource Setting

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