![]() The UVC is usually inserted by skilled medical staff at a distance previously calculated using anthropometric measures or formulas and nomograms usually based on birth weight (BW). ![]() It is very easy to place, more stable when compared to a peripheral venous line and suitable for preterm and critically ill term infants who require fluids, inotropes, parenteral nutrition or frequent blood sampling. The umbilical venous catheter (UVC) is currently one of the most common central venous access devices used in neonatal intensive care unit (NICU). Real-time ultrasound is easily teachable, increases the number of umbilical venous catheters placed in a correct position, reduces the number of line manipulations and the need of chest-x-rays. ConclusionĪ multimodal, targeted training on the use of real-time ultrasound for umbilical venous catheter placement is feasible. Twenty-two catheters were also evaluated with serial scans during the intervention phase to assess migration rate which was 50%. After the training the tip of the catheters was more frequently placed at the junction of the inferior vena cava and right atrium (75% vs 30.7%, p = 0.0023). The use of real-time ultrasound for tip location significantly increased after the training program (15.3% vs 89.2%, p < 0.0001). Resultsįifty-four patients were enrolled. Primary outcome was the percentage in the use of real-time ultrasound. MethodsĪ pre/post interventional study was carried out in our tertiary neonatal intensive care unit centre to evaluate the efficacy of a training protocol in the use of real-time ultrasound. So far, training programs are not well established. Recent guidelines advocate the use of real-time ultrasound to locate umbilical venous catheter tip.
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