Cardiothoracic & vascular anesthesia

Central venous catheter tip positioning using ultrasound in pediatric patients—A prospective observational study

Paediatr AnaesthPublished 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

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.