We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Comparison between ultrasonography and X-ray as evaluation methods of central venous catheter positioning and their complications in pediatrics.
- Authors
Oliveira, L.; Pilz, L.; Tognolo, C. M.; Bischoff, C.; Becker, K. A.; Oliveira, G. G.; Neves, P. J. F.; Fachin, C. G.; Agulham, M. A.; Dias, A. I. B. S.
- Abstract
<bold>Purpose: </bold>This study evaluates the capacity of ultrasonography as a diagnostic method to confirm the proper positioning of central venous catheter (CVC) when compared to the current gold standard, chest radiography (CR).<bold>Methods: </bold>A prospective study was performed including children from 0 to 14 incomplete years, who underwent CVC placement between March and May 2018 at a teaching hospital in Brazil. A four-chamber view of the heart was performed with ultrasound during a rapid injection of saline solution to identify hyperechoic images and confirm the central position of the catheter. After that, a CR was performed. The diagnostic quality of ultrasound was evaluated based on accuracy, sensitivity, specificity, positive and negative predictive values.<bold>Results: </bold>A total of 21 patients were analyzed. The mean age was 3.95 ± 4.01 years. The preferred puncture site was the right internal jugular vein (71.4%). Ultrasound accuracy to detect CVC positioning was 81%. Sensitivity, specificity and positive and negative predictive values were 33%, 100%, 100% and 79%, respectively.<bold>Conclusion: </bold>Ultrasound is a reliable method for detection of CVC positioning. Even so, with the four-chamber cardiac view, this method is unable to identify catheters inside heart chambers, therefore, needing to confirm the positioning with CR.
- Subjects
BRAZIL; CENTRAL venous catheters; DIAGNOSTIC ultrasonic imaging; EVALUATION methodology; SALINE injections; CENTRAL venous catheterization; JUGULAR vein; FETAL echocardiography; RESEARCH; CHEST X rays; ULTRASONIC imaging; OPERATIVE surgery; RESEARCH methodology; BRACHIOCEPHALIC veins; EVALUATION research; MEDICAL cooperation; PRODUCT design; COMPARATIVE studies; LONGITUDINAL method
- Publication
Pediatric Surgery International, 2020, Vol 36, Issue 5, p563
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-020-04642-y