Giovanni Barone1, Mauro Pittiruti2, Gina Ancora1, Giovanni Vento3, Francesca Tota4, Vito D'Andrea3. 1. Neonatal Intensive Care Unit, Ospedale Infermi, Rimini, Italy. 2. Department of Surgery, Catholic University Hospital "A.Gemelli," Rome, Italy. 3. Neonatal Intensive Care Unit, Catholic University Hospital "A.Gemelli," Rome, Italy. 4. Neonatal Intensive Care Unit, Ospedale S. Chiara, APSS, Trento, Italy.
Abstract
OBJECTIVE: Central venous access in critically ill newborns can be challenging. Ultrasound-guided brachio-cephalic vein catheterization is a relatively new procedure, recently introduced in several neonatal intensive care units. The aim of this study is to evaluate the safety and feasibility of such a technique in preterm babies. DESIGN: Retrospective analysis of prospectively collected data on ultrasound-guided central venous catheter insertion in preterm neonates. SETTING: Neonatal intensive care unit. PATIENTS: Critically ill preterm neonates with weight below 1500 g requiring a central access. INTERVENTIONS: Ultrasound-guided brachio-cephalic vein catheterization. MAIN RESULTS: Thirty centrally inserted catheters were placed in 30 neonates. The success rate of the procedure was 100%. No case of accidental arterial or pleural puncture was registered during the study period. CONCLUSION: The brachio-cephalic vein can be safely catheterized in preterm newborns requiring intensive care after appropriate training.
OBJECTIVE: Central venous access in critically ill newborns can be challenging. Ultrasound-guided brachio-cephalic vein catheterization is a relatively new procedure, recently introduced in several neonatal intensive care units. The aim of this study is to evaluate the safety and feasibility of such a technique in preterm babies. DESIGN: Retrospective analysis of prospectively collected data on ultrasound-guided central venous catheter insertion in preterm neonates. SETTING: Neonatal intensive care unit. PATIENTS: Critically ill preterm neonates with weight below 1500 g requiring a central access. INTERVENTIONS: Ultrasound-guided brachio-cephalic vein catheterization. MAIN RESULTS: Thirty centrally inserted catheters were placed in 30 neonates. The success rate of the procedure was 100%. No case of accidental arterial or pleural puncture was registered during the study period. CONCLUSION: The brachio-cephalic vein can be safely catheterized in preterm newborns requiring intensive care after appropriate training.
Entities:
Keywords:
Newborn; central access; central venous catheterization; critical ill newborn; neonatal intensive care; ultrasound guidance
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