Cardiothoracic & vascular anesthesia

Transthoracic Echocardiography for Central Venous Catheter Tip Positioning in Children: An Observational Study Using Transesophageal Echocardiography as Reference Method

Paediatr AnaesthPublished Prospective observational study

Authors' conclusion

TTE-guided CVC tip positioning resulted in a correct CVC tip position at the cavoatrial junction, confirmed by TEE, in 91% of children.

Study context

Population
Children aged 0–14 years scheduled for elective surgery for congenital heart diseaseanalysed
Participants
150 children
Exposure
TTE-guided central venous catheter (CVC) tip positioning, confirmed by transesophageal echocardiography (TEE)
Outcome
Proportion of children with correct CVC tip position at the cavoatrial junction under TTE guidance, confirmed by TEE (hypothesis ≥ 90%)
Methodological detailsTEE as reference method
  • TEE as reference method

Main finding

As reported in the abstract

Correct CVC tip position at the cavoatrial junction

TTE

91%

136 events

Observational data: associations, not effects.

Further findings

Correct CVC tip position by age (subgroup)

Highest in children aged 0-3 months
96%
Lowest in children aged 13-14 years
70%

Original publication

Transthoracic Echocardiography for Central Venous Catheter Tip Positioning in Children: An Observational Study Using Transesophageal Echocardiography as Reference Method. Paediatr Anaesth. Published 4 January 2025. doi:10.1111/pan.15059

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