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