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- Title
POCUS increases successful placement of peripheral arterial lines in neonates by less experienced providers.
- Authors
Dasani, Reedhi; Pai, Vidya V.; Noh, Caroline Y.; Vallandingham-Lee, Shelby; Davis, Alexis S.; Bhombal, Shazia
- Abstract
To assess success of peripheral arterial line (PAL) placement after implementing a point-of-care ultrasound (POCUS) program in a neonatal intensive care unit. This was a retrospective chart review of infants who underwent successful PAL placement from January 2019 to March 2021. Outcomes included first-attempt success and the number of attempts with and without the use of POCUS. Among 80 PALs, 36% were POCUS-guided. All POCUS-guided lines were placed by providers with < 5 years neonatology experience. Among infants ≥ 2.5 kg, the use of POCUS was associated with fewer attempts compared to non-POCUS PAL placement (1 vs. 2, p = 0.035). Conclusions: Use of POCUS for PAL placement was associated with fewer attempts for successful placement in infants ≥ 2.5 kg by providers with less neonatology experience compared with traditional method. What is Known: • Arterial line placement in neonates has been traditionally done by palpation and can be technically challenging. • POCUS is an emerging tool in the NICU with increasing number of less clinically experienced providers in the NICU having access to ultrasound. What is New: • Use of POCUS by less experienced clinicians for arterial line placement resulted in fewer attempts compared to the traditional landmark-based approach in a cohort of neonates.
- Subjects
NEWBORN infants; NEONATAL intensive care units; PERIPHERALLY inserted central catheters; NEONATAL nursing
- Publication
European Journal of Pediatrics, 2023, Vol 182, Issue 11, p4977
- ISSN
0340-6199
- Publication type
Article
- DOI
10.1007/s00431-023-05160-4