Ultrasound Guided Confirmation of Tip of Peripherally Inserted Central Catheter in Neonates
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SRINIVASAN THIAGARAJAN,* RAJESHWAR BALAJI AND SRIRAM POTHAPREGADA Department of Paediatrics, Indira Gandhi Medical College and Research Institute, Puducherry, India. *[email protected] REFERENCES 1. Sollai S, Dani C, Berti E, Fancelli C, Galli L, Martino M, et al. Performance of a non-contact infrared thermometer in healthy newborns. BMJ Open. 2016:6;1-5. 2. El-Radhi AS. Determining fever in children: The search for an ideal thermometer. Br J Nurs. 2014; 23:91-4. 3. Smith J. Are electronic thermometry techniques suitable alternatives to traditional mercury in glass thermometry techniques in the pediatric setting? J Adv Nurs. 1998; 28: 1030-9. 4. Atas Berksoy E, Bag Ö, Yazici S, Çelik T. Use of noncontact infrared thermography to measure temperature in children in
Ultrasound Guided Confirmation of Tip of Peripherally Inserted Central Catheter in Neonates
each patient was determined, and also the number of attempts was documented. PICC line was placed by the neonatal fellow under the guidance of the consultant neonatologist. Ultrasound was performed by Philips CX50 by using an S 12-4 frequency footprint probe in the subcostal sagittal view to identifying the inferior vena cava and high parasternal view to identify superior vena cava. After the insertion of predetermined length, the tip was visualized and manipulated by using realtime ultrasound for optimal position. A small volume (1 mL) of sterile normal saline was injected to confirm the location of the catheter tip. Bedside digital X-ray was ordered at the same time. Time taken to confirm the position of the tip of PICC was recorded by using bedside ultrasound and X-ray. The start time was defined as the time of ordering X-ray after inserting the predetermined length of the PICC catheter. The starting time was the same for ult
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