Ultrasound guided central line insertion in neonates: Pain score results from a prospective study

Sabouneh, Rami; Akiki, Pierre; Bizri, Ayah Al; Helou, Sally El; Zeidan, Smart; Hamod, Dany Al

doi:10.3233/npm-180205

Cited by 6 publications

(21 citation statements)

References 12 publications

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“…A partir da análise de dados, sintetizados (Figura 3), foi possível identificar que os títulos revisados foram produzidos por pesquisadores residentes em três continentes: asiático (cinco de indianos 22,26,30,31,36 , três de iranianos 16,24,33 , dois de chineses 20,27 , um de libaneses 21 e um de taiwaneses 19 ); europeu (um de autores ingleses 15 e outro, de autores italianos 17 ) e americano (cinco de pesquisadores estadunidenses 25,28,29,32,34 , dois de brasileiros 18,23 e um de canadenses 35 ). Destes, dezenove foram capturados em inglês [15][16][17][19][20][21][22]24,36 , e dois em português 18,23 .…”

Section: Resultsunclassified

“…Em relação à formação inicial dos autores e ao tipo de estudo realizado, foi observado que duas publicações foram produzidas exclusivamente por enfermeiros 18,23 e uma por enfermeiros e médico 27 , todos estudos de revisão. A participação de enfermeiros como equipe que inseriu CCIP e/ou registrou dados para as pesquisas foi descrita em sete estudos 19,21,24,25,31,32,35 , todos primários, de campo, de pesquisadores com formação em medicina (sendo que dois com estatísticos em sua equipe de pesquisa 25,31) . Os demais doze estudos analisados [15][16][17]20,22,26,[28][29][30]33,34,36 contavam exclusivamente com pesquisadores médicos, de diversas especialidades, em suas equipes.…”

Section: Resultsunclassified

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Cuidados do enfermeiro a recém-nascidos críticos no cateterismo epicutâneo auxiliado por ultrassonografia

Oliveira,

Silvino,

Vilar

et al. 2023

R. Pró-Uni.

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Resumo Introdução: Estudo de revisão, primeira fase de uma tese de doutorado, realizado com o objetivo de mapear evidências atuais que contemplem cuidados do enfermeiro a recém-nascidos críticos submetidos a cateterismo epicutâneo com ultrassonografia à beira do leito. Materiais e Métodos: Revisão de escopo, seguindo metodologia do Joanna Briggs Institute, com protocolo registrado na Open Science Framework. As buscas foram realizadas em cinco bases de dados e no Google Scholar, entre março e maio de 2022. A análise das citações dos estudos capturados foi um recurso utilizado para aumentar a amostra. Resultados: Os cuidados do enfermeiro que emergiram dos 22 estudos selecionados, publicados entre 2017 e 2022, em diversos países, foram apresentados por meio de quadro sinóptico, dividido em gestão do cuidado e cuidados diretos ao recém- nato nas fases de pré-inserção, inserção e manutenção e remoção do cateter. Discussão: A discussão narrativa realizada foi focada em recomendações atuais, derivadas da incorporação do ultrassom portátil ao processo estudado, tais como medidas suplementares para manutenção de barreira asséptica máxima, visualização de vasos mais aprofundados, escolha do cateter mais adequado ao vaso escolhido e confirmação da localização da ponta do cateter a partir de protocolos específicos, limitados. Considerações finais: O mapeamento realizado possibilitou a estratificação, baseada em evidências atuais, do cuidado do enfermeiro neonatal em cateterismo epicutâneo ecoassistido, e tem potencial tanto para contribuir no desenvolvimento de estudos futuros quanto para auxiliar nos cenários de prática, notadamente naqueles que visam incorporar o ultrassom em seus protocolos de enfermagem para estabelecimento de acessos venosos. Descritores: Cateterismo Venoso Central; Ultrassonografia de Intervenção; Recém-Nascido; Unidades de Terapia Intensiva Neonatal; Cuidados de Enfermagem

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Section: Resultsunclassified

Cuidados do enfermeiro a recém-nascidos críticos no cateterismo epicutâneo auxiliado por ultrassonografia

Oliveira,

Silvino,

Vilar

et al. 2023

R. Pró-Uni.

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“…Peripheral deep venous catheterization is widely used in neonatal central venous pressure monitoring, central venous administration, parenteral nutrition support, and so on. It plays an important role in the treatment of neonates in the intensive care unit [ 7 ]. However, the peripheral blood vessels of newborns are usually thin, some of which are variable, or are difficult to reach, which can easily lead to puncture failure [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Retrospective Study of the Application Value Analysis of Ultrasound-Guided Technology in Peripheral Deep Venous Catheterization of Neonates

Yuan

Zhao

et al. 2022

Disease Markers

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Objective. To investigate the application value analysis of ultrasound-guided technology in peripheral deep venous catheterization of neonates. Method. A total of 94 neonates who underwent peripheral deep venous catheterization treatment from March 2020 to August 2021 in our hospital were selected and divided into the study group and the control group according to the simple randomized method, and each group had 47 cases. The control group was performed peripheral deep venous catheterization through X-ray examination, while the study group was performed peripheral deep venous catheterization through ultrasound-guided technology. The catheter placement, catheter retention time and adjustment times, the incidence of complications (limb swelling, pain, fluid leakage, and phlebitis), and the intervention satisfaction of family members were counted. Results. The success rate of one-time catheterization in the study group was higher than that in the control group, the operation time was shorter than that in the control group, and the amount of bleeding was less than that in the control group. The indwelling time of catheter in the study group was longer than that in the control group, and the number of adjustments was less than that in the control group. The incidence of complications in the study group was lower than that in the control group. The intervention satisfaction of family members in the study group was higher than that in the control group. Conclusion. Peripheral deep venous catheterization in neonates through ultrasound-guided technology can reduce operation time and blood loss and ensure the success rate of one-time catheterization, resulting in a long indwelling time of catheter, low number of adjustments, and low incidence of complications, which has safety and high intervention satisfaction of family members.

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“…Although the largest arterial image can be obtained by adjusting the probe, which is theoretically easier to enter the blood vessel, it requires additional dexterity and might not be easily adopted by novice residents [15]. Some studies have recommended that ultrasound guidance is used for central line placement to improve patient safety [16]. We placed the arterial image in the middle of the ultrasound screen, taking the centre line as the needle entry point; however, when the probe was rotated, the position of the artery in the image moved, and it was di cult for the operator to choose the needle point, which led to a longer blood return time for this approach than for the SAX approach, but the difference was not statistically signi cant.…”

Section: Discussionmentioning

confidence: 99%

Comparison of three ultrasound-guided radial artery cannulation methods performed by anaesthesia residents: A prospective randomized controlled trial

Cao

Fan

et al. 2021

Preprint

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BackgroundTo compare the short-axis/out-of-plane (SAX), long-axis/in-plane (LAX) and oblique-axis/out-of-plane (OAX) approaches for radial artery catheterization performed by anaesthesia residents with limited experience.MethodsTwo hundred and sixteen adult patients were scheduled to undergo surgery requiring continuous arterial pressure monitoring. They were randomized to the SAX, LAX and OAX groups at a 1:1:1 ratio. Thirty-three anaesthesia residents performed the cannulation procedures. The operators received an explanation of the theoretical anatomy of the radial artery and the operating process of three approaches for ultrasound-guided cannulation of the radial artery and practised artery cannulation on a model of radial artery cannulation. The primary outcome was the success rate of cannulation, and the secondary outcomes included the first-attempt success rate in the model and patients, the imaging time, blood return time, cannulation time, total time and incidence of adverse events.ResultsThe success rate of radial artery cannulation in the SAX group was significantly higher than that in the LAX group (71.4% vs 49.2%; P=0.009) and was clinically meaningfully higher than that in the OAX group (71.4% vs 61.7%; P=0.229). The total time was shorter in the SAX group than in the LAX and OAX groups: 51 (59) s vs 113 (66) s vs 86 (61) s; P=0.000. The first-attempt success rate for the model did not differ among the three groups. In the patients, the first-attempt success rate in the SAX group was significantly higher than those in both the LAX and OAX groups (69.7% vs 24.2% vs 6.1%; P=0.000).ConclusionAnaesthesia residents can achieve a higher success rate, higher satisfaction rate and shorter procedure time by using the SAX approach than by using the LAX and OAX approaches for radial artery catheterization.Trial registrrationChinese Clinical Trial Registry,ChiCTR200030416. Registered 1 March 2020,http://www.chictr.org.cn/edit.aspx?pid=50193&htm=4

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Ultrasound guided central line insertion in neonates: Pain score results from a prospective study

Cited by 6 publications

References 12 publications

Cuidados do enfermeiro a recém-nascidos críticos no cateterismo epicutâneo auxiliado por ultrassonografia

Cuidados do enfermeiro a recém-nascidos críticos no cateterismo epicutâneo auxiliado por ultrassonografia

Retrospective Study of the Application Value Analysis of Ultrasound-Guided Technology in Peripheral Deep Venous Catheterization of Neonates

Comparison of three ultrasound-guided radial artery cannulation methods performed by anaesthesia residents: A prospective randomized controlled trial

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