Cardiothoracic & vascular anesthesia
Central venous catheter tip positioning using ultrasound in pediatric patients—A prospective observational study
Authors' conclusion
Additional radiation exposure after the placement of central venous catheters can be avoided with the correct interpretation of standardized ultrasound windows, especially in vulnerable children with cardiac disease.
Study context
- Population
- Children with congenital heart defects requiring a central venous catheter (CVC) for cardiac surgery
- Participants
- 90 children
- Outcome
- Number of ultrasound-guided CVC tips identifiable in a subsequent ultrasound position check
Methodological detailsfeasibility, single-centre
- Feasibility
- Single-centre
Main finding
As reported in the abstract
Successful ultrasound visualisation of the catheter tip
Ultrasound visualisation of catheter tip successful
95.6%
86/90; 95% CI 91.3%, 99.8%
Observational data: associations, not effects.
Further findings
Catheter tip in desired position on postoperative chest radiograph
- Tip in desired position
- 94.4% (95% CI 89.7%, 99.2%)
Tip position correction needed based on chest radiography
- Children needing correction
- 0
Original publication
Central venous catheter tip positioning using ultrasound in pediatric patients—A prospective observational study. Paediatr Anaesth. Published 22 February 2024. doi:10. 1111/ pan. 14864
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