scholarly journals Evaluation of Umbilical Vein Catheter Position in Neonates by Thoraco-Abdominal Radiography Versus Echocardiography

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Negar Yazdani ◽  
Gholamreza Badfar ◽  
Shahnaz Pourarian
Keyword(s):  
Inferior Vena Cava ◽  
Neonatal Intensive Care ◽  
Inferior Vena ◽  
Umbilical Vein ◽  
Vena Cava ◽  
Neonatal Intensive Care Units ◽  
Abdominal Radiography ◽  
Catheter Tip ◽  
Tip Position ◽  
Umbilical Vein Catheter

Background: Umbilical vein catheterization is usually conducted for preterm neonates in neonatal intensive care units to administer medication, fluid and nutrition, and blood transfusion. However, catheter tip malposition can cause complications. Objectives: There are different methods to detect the accuracy of catheter’s position; hence, this study aimed to compare the diagnostic accuracy of radiography vs echocardiography to determine the accurate tip position of umbilical vein catheter. Methods: This cross-sectional study was performed on all 104 neonates admitted to the neonatal intensive care units of hospitals affiliated to Shiraz University of Medical Sciences from March 2017 to January 2018. At first, the length of the catheter was estimated based on Dunn method. After catheterization, thoraco-abdominal radiography and echocardiography were performed by a pediatric radiologist who was blinded to the study objectives, and the data were recorded in two forms. Finally, data were analyzed by McNemar’s test, using SPSS 17 software. Results: The sensitivity, specificity, positive predictive value and negative predictive value by radiography and echocardiography for the catheter tip position in the inferior vena cava-right atrium junction was calculated 100%. Moreover, catheters were located in the ductus venous, inferior vena cava, inferior vena cava-right atrium junction, right and left atrium in echocardiography were in the radiograph equal to thoracic vertebrae of T9-T11, T9, T6-T10, T5-T8, and T4-T6, respectively. Conclusions: Our study suggests that even though echocardiography is as reliable as radiography for early detection of the catheter tip position, it can also avoid complications of catheter malposition quicker than radiography.

scholarly journals 582. Impact of Central Line Bundle for Prevention of Umbilical Vein Catheter-Related Bloodstream Infections in a Neonatal Intensive Care Unit

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S275-S275
Author(s):  
İlker devrim ◽  
Ferit Kulalı ◽  
İlknur Çağlar ◽  
Yeliz Oruc ◽  
Nevbahar Demiray ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Umbilical Vein ◽  
Bloodstream Infections ◽  
Central Line ◽  
Neonatal Intensive Care Units ◽  
Vein Catheter ◽  
Single Use ◽  
Umbilical Vein Catheter ◽  
Central Line Bundle

Abstract Background Umbilical vein catheters (UVC) are one of the most common types of vascular access device in the neonatal intensive care units. Central line-associated bloodstream infections were reported to be in the first place of healthcare-associated infections in preterm infants. In this study, we aimed to evaluate the effectiveness of the bundle applications in the prevention of umbilical vein catheter-associated bloodstream infections in neonates including premature infants. Methods This 40 months cross-sectional study included two periods, including pre-bundle period (from August 1, 2015 to March 31, 2017) and bundle period (April 1, 2017 to November 30, 2018). The umbilical vein catheter-related bloodstream infections, catheter line days, number of the patients were recorded and compared between the prebundle and bundle periods. Bundle steps were defined as education-training-assignment, evaluation of daily catheter indications, hand hygiene and aseptic technique while insertion, maximal sterile barrier precautions, closure of the catheter area with transparent semi-permeable membrane, using needless connectors in stead of 3-way stop-cocks, and single-use prefilled saline syringes for flushing. Results During the whole study period total umbilical vein catheter days were 2,228 days. During the prebundle period there was 10 and in the bundle period there was 2 umbilical vein catheter-related bloodstream infections (Table 1). While umbilical vein-associated bloodstream infection rate was 8.9 per 1,000 catheter days in the pre-bundle period, and significantly decreased to 1.79 in the bundle period (P < 0.05). After the introduction of bundle applications, it was observed that the rate of infection decreased by 68% (P < 0.05) Conclusion Our study showed that implementation of central line bundle including needless connectors and single-use prefilled syringes for umbilical vein-related bloodstream infections was effective for the prevention of catheter-related bloodstream infections in neonatal intensive care units. Disclosures All authors: No reported disclosures.

scholarly journals Thrombus Formation on Catheters in New Born Lambs

1979 ◽  
Vol 7 (3) ◽  
pp. 239-243 ◽  
Author(s):  
J. F. Hecker ◽  
G. C. Fisk ◽  
J. M. Gupta ◽  
N. Abrahams ◽  
R. A. Cockington ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Thrombus Formation ◽  
Umbilical Vein ◽  
Femoral Vein ◽  
Vena Cava ◽  
Ductus Venosus ◽  
Renal Infarction ◽  
Different Types ◽  
Femoral Vessels

Catheters were inserted into the aorta and inferior vena cava of newborn lambs by cutdown on the femoral vessels and directly into the umbilical vein. The lambs were killed after six days and the amounts of thrombus surrounding the catheters were measured. Most catheters inserted into the umbilical vein looped within the liver and only a few passed directly into the portal vein or through the ductus venosus into the vena cava. On different types of catheters inserted via the femoral artery or femoral vein, there were significant differences both in the proportion with thrombus and the amount of thrombus. There were also significant differences in renal infarction caused by different types of catheters.

scholarly journals Prenatal Diagnosis of Aorta-Porto-Umbilical Vein Fistulas with Left-Sided Inferior Vena Cava

2015 ◽  
Vol 06 (01) ◽  
pp. e59-e61 ◽  
Author(s):  
Jiawei Zhou ◽  
Qichang Zhou ◽  
Qianghai Peng ◽  
Shi Zeng
Keyword(s):  
Prenatal Diagnosis ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Umbilical Vein ◽  
Vena Cava

Umbilical Vein Insertion into the Inferior Vena Cava

2014 ◽  
Vol 33 (12) ◽  
pp. 2207-2210 ◽  
Author(s):  
Alina Weissmann-Brenner ◽  
Yaron Zalel
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Umbilical Vein ◽  
Vena Cava
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