Work

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

Year: 2024

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: OBJECTIVE: To compare real-time ultrasound (RT-US) use as an adjunct tool to verify umbilical catheter placement versus standard care without ultrasound. STUDY DESIGN: Neonates requiring umbilical venous catheter (UVC) and umbilical artery catheter (UAC) placement were randomized into the standard formula (No-US) and the RT-US groups. X-rays were used to confirm the catheter position. RESULT: Fifty and forty-nine neonates were in the RT-US and No-US groups, respectively. RT- US showed a significantly higher rate of initial X-ray-confirmed proper catheter position than No-US (p < 0.001). The rates of proper positions of UVCs and UACs were significantly higher in the RT-US group than in the No-US group (both p < 0.001). Neonates in the RT-US group required fewer catheter adjustments and subsequent X-rays than those in the No-US group. CONCLUSION: RT-US enhances the accuracy of UVC and UAC placement, reduces catheter adjustments, and the number of X-rays required. TRIAL REGISTRATION: TCTR20190622001.

Source: Journal of Perinatology

DOI: 10.1038/s41372-024-02128-6

Authors: Lalita Ponin, Chayatat Ruangkit, Nichanan Ruangwattanapaisarn, Pracha Nuntnarumit

Institutions: Mahidol University, Ramathibodi Hospital, Ramathibodi Chakri Naruebodindra Hospital

Language: English

Topic: Central Venous Catheters and Hemodialysis

Subfield: Emergency Medical Services

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,590