Ultrasound-Guided Umbilical Venous Catheter Insertion to Reduce Rate of Catheter Tip Malposition in Neonates: A Randomized, Controlled Trial

Real-time ultrasound to assess the umbilical catheter position in neonates: a randomized, controlled trial

“…Previous studies have reported that the accuracy of this formula ranges from 17-91% [9,11,[15][16][17][18][19]. On the basis of our experience, we found that, approximately 50% of the time, the rst X-ray showed the correct catheter position without the requirement for additional adjustments.…”

“…Although they did not nd a difference in the number of UAC manipulations between the two groups, US-guided insertion decreased the number of UVC manipulations, time of catheter placement, and number of X-rays taken. Kaur et al conducted a similar RCT, but only UVC placement was investigated with similar results to the other trial [11].…”

“…In our study, the accuracy of UVC placement signi cantly enhanced from 20.4-64% when RT-US was used instead of Shukla's formula. Previous investigations reported an accuracy of Shukla's formula ranging from 17-57% for UVC insertion [9,11,[15][16][17][18][19]. The variation in accuracy could be attributed to different de nitions of the optimal catheter position (e.g., inferior vena cava to right atrial junction, 0.5-1.0 cm above the diaphragm or at the 8-10th thoracic vertebrae).…”

“…These advantages include increased accuracy of line placement, a decreased time to obtain con rmation of catheter placement, decreased radiation exposure, and decreased imaging cost [8,9]. Despite the widespread use of US, evidence from RCT supporting the use and bene ts of US as a point-of-care tool to assess umbilical catheter (UVC and UAC) placement in neonates is scarce [10][11][12]. Therefore, we performed an RCT to compare US use as an adjunct tool to help verify umbilical catheter placement with the standard of care without using US.…”

Ultrasound-Guided Umbilical Venous Catheter Insertion to Reduce Rate of Catheter Tip Malposition in Neonates: A Randomized, Controlled Trial: Correspondence

“…To the Editor: We read the randomized, controlled trial on ultrasound-guided umbilical venous catheter (UVC) insertion in neonates with great interest [1]. We applaud the authors for a pertinent study in the current era that will contribute to reducing radiation exposure in neonates.…”