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- Title
Limited Ultrasound Protocol for Upper Extremity Peripherally Inserted Central Catheter Monitoring: A Pilot Study in the Neonatal Intensive Care Unit.
- Authors
Motz, Patrick; Arnim, Amelie von Saint Andre von; Likes, Maggie; Chabra, Shilpi; Traudt, Christopher; Iyer, Ramesh S.; Dighe, Manjiri
- Abstract
Objectives: To assess whether a limited ultrasound (US) scanning protocol to monitor the upper extremity peripherally inserted central catheter (PICC) location in neonates is feasible for experienced US operators. Methods: A radiologist, who was blinded to the PICC location on chest radiography, performed 14 US scans on 11 neonates with upper extremity PICCs. A US machine with 13–6‐MHz linear and 8–4‐MHz phased array transducers was used for the examinations. Results: The study population included 54% (n = 6) preterm infants, with 72% (n = 8) weighing less than 1500 g. The US location of the PICC was the same as the chest radiographic report in all 14 scans. A subclavicular long‐axis view of the anterior chest visualized all PICCs in the subclavian or brachiocephalic veins. A parasternal long‐axis right ventricular inflow view was able to visualize PICCs in the superior vena cava (SVC), and a subcostal long‐axis view evaluated PICCs in the lower SVC and heart. The scanning time was location dependent: less than 5 minutes for PICCs in the brachiocephalic or subclavian vein and 5 to 10 minutes for PICCs in the SVC or heart. There were no desaturations below 90%, increases in the fraction of inspired oxygen need, or hypotension episodes during scanning. Conclusions: A limited US scanning protocol to determine the upper extremity PICC location is feasible. Our protocol needs to be tested in neonatal providers before further dissemination.
- Subjects
INTENSIVE care units; ULTRASONIC imaging; CATHETERS; ECHOCARDIOGRAPHY; MEDICAL care
- Publication
Journal of Ultrasound in Medicine, 2019, Vol 38, Issue 5, p1341
- ISSN
0278-4297
- Publication type
Article
- DOI
10.1002/jum.14816