The aortic valve as a landmark for ultrasound guided umbilical artery catheter placement, a prospective retrospective controlled study.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-08-26 DOI:10.1038/s41372-025-02402-1

Mohamed Sakr, Orna Rosen, Mimi Kim, Mamta Fuloria, Megan Carney, Sheri Nemerofsky

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引用次数: 0

Abstract

Objective: Umbilical artery catheters (UAC) are common in the neonatal intensive care unit. Catheters are often re-adjusted and require multiple X-rays. Point of care ultrasound (POCUS) is reliable and safe. The objective of this study was to determine if visualizing the aortic valve (AoV) with POCUS could be a landmark for UAC positioning.

Study design: This was a prospective, retrospective controlled study. The retrospective group included neonates with a UAC insertion depth calculated by (3×birth weight(kg)+9). The experimental group used POCUS and identified the level of the AoV for UAC placement.

Results: Each group had thirty neonates and were similar in gestational age, and median birth weight. In the control group, 16 neonates (53%) required repositioning and between 2 and 6 X-Rays. None of the UACs in the experimental group needed repeat X-Rays (p < 0.001).

Conclusion: The AoV location identified using POCUS can reduce the need for multiple XRs for UAC placement.

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主动脉瓣作为超声引导脐动脉导管置入的一个里程碑，一项前瞻性回顾性对照研究。

目的：脐带动脉导管（UAC）在新生儿重症监护病房中很常见。导管通常需要重新调整，并需要多次x光检查。点护理超声（POCUS）是可靠和安全的。本研究的目的是确定用POCUS观察主动脉瓣（AoV）是否可以作为UAC定位的一个里程碑。研究设计：这是一项前瞻性、回顾性对照研究。回顾性组纳入UAC插入深度按（3×birth体重(kg)+9）计算的新生儿。实验组采用POCUS，确定AoV水平进行UAC放置。结果：每组新生儿30例，胎龄、中位出生体重相近。在对照组中，16名新生儿（53%）需要重新定位并进行2至6次x光检查。结论：使用POCUS识别AoV位置可以减少放置UAC时多次x光检查的需要。

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.