Real-time ultrasound to assess the umbilical catheter position in neonates: a randomized, controlled trial.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2024-10-09 DOI:10.1038/s41372-024-02128-6

Lalita Ponin, Chayatat Ruangkit, Nichanan Ruangwattanapaisarn, Pracha Nuntnarumit

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引用次数: 0

Abstract

Objective: To compare real-time ultrasound (RT-US) use as an adjunct tool to verify umbilical catheter placement versus standard care without ultrasound.

Study design: Neonates requiring umbilical venous catheter (UVC) and umbilical artery catheter (UAC) placement were randomized into the standard formula (No-US) and the RT-US groups. X-rays were used to confirm the catheter position.

Result: Fifty and forty-nine neonates were in the RT-US and No-US groups, respectively. RT- US showed a significantly higher rate of initial X-ray-confirmed proper catheter position than No-US (p < 0.001). The rates of proper positions of UVCs and UACs were significantly higher in the RT-US group than in the No-US group (both p < 0.001). Neonates in the RT-US group required fewer catheter adjustments and subsequent X-rays than those in the No-US group.

Conclusion: RT-US enhances the accuracy of UVC and UAC placement, reduces catheter adjustments, and the number of X-rays required.

Trial registration: TCTR20190622001.

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实时超声评估新生儿脐导管位置：随机对照试验。

目的：比较使用实时超声（RT-US）作为辅助工具与不使用超声的标准护理方法：比较使用实时超声（RT-US）作为验证脐导管置入的辅助工具与不使用超声的标准护理方法：研究设计：将需要放置脐静脉导管（UVC）和脐动脉导管（UAC）的新生儿随机分为标准配方组（无超声）和实时超声组。使用 X 射线确认导管位置：RT-US组和No-US组分别有50名和49名新生儿。结果：RT-US 组和无 RT-US 组分别有 50 名和 49 名新生儿，RT-US 组经 X 光检查确认导尿管位置正确的比率明显高于无 RT-US 组（PRT-US 提高了 UVC 和 UAC 置放的准确性，减少了导管调整和所需的 X 射线次数：试验注册：TTR20190622001。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.