Central venous access devices are often needed in neonates admitted to Neonatal Intensive Care Unit. The location of the tip of the central catheter is usually assessed by post-procedural X-ray. However, this strategy is inaccurate and time consuming. Recent guidelines strongly recommend intra-procedural methods of tip location, to increase the cost-effectiveness of the maneuver and to shorten the time between device placement and utilization. In this regard, real-time ultrasound represents the most promising tool for tip navigation and location in neonates. The aim of this paper is (a) to review all the evidence available about ultrasound-based tip navigation and tip location of central catheters in the neonatal population (b) to propose a novel protocol for tip navigation and location (Neo-ECHOTIP) based on such evidence.

Barone, G., Pittiruti, M., Biasucci, D.g., Elisei, D., Iacobone, E., La Greca, A., et al. (2022). Neo-ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in neonates. THE JOURNAL OF VASCULAR ACCESS, 23(5), 679-688 [10.1177/11297298211007703].

Neo-ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in neonates

Biasucci, Daniele G
Conceptualization
;
2022-09-01

Abstract

Central venous access devices are often needed in neonates admitted to Neonatal Intensive Care Unit. The location of the tip of the central catheter is usually assessed by post-procedural X-ray. However, this strategy is inaccurate and time consuming. Recent guidelines strongly recommend intra-procedural methods of tip location, to increase the cost-effectiveness of the maneuver and to shorten the time between device placement and utilization. In this regard, real-time ultrasound represents the most promising tool for tip navigation and location in neonates. The aim of this paper is (a) to review all the evidence available about ultrasound-based tip navigation and tip location of central catheters in the neonatal population (b) to propose a novel protocol for tip navigation and location (Neo-ECHOTIP) based on such evidence.
set-2022
Pubblicato
Rilevanza internazionale
Editoriale
Esperti anonimi
Settore MED/41 - ANESTESIOLOGIA
Settore MED/38 - PEDIATRIA GENERALE E SPECIALISTICA
English
NICU; Ultrasound; central venous access; epicutano caval catheter; intensive care; newborn; tip location; tip navigation; umbilical venous catheter
Barone, G., Pittiruti, M., Biasucci, D.g., Elisei, D., Iacobone, E., La Greca, A., et al. (2022). Neo-ECHOTIP: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in neonates. THE JOURNAL OF VASCULAR ACCESS, 23(5), 679-688 [10.1177/11297298211007703].
Barone, G; Pittiruti, M; Biasucci, Dg; Elisei, D; Iacobone, E; La Greca, A; Zito Marinosci, G; D'Andrea, V
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/314751
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