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01-05-2020 | Ultrasound | Original Article

Comparison between ultrasonography and X-ray as evaluation methods of central venous catheter positioning and their complications in pediatrics

Authors: L. Oliveira, L. Pilz, C. M. Tognolo, C. Bischoff, K. A. Becker, G. G. Oliveira, P. J. F. Neves, C. G. Fachin, M. A. Agulham, A. I. B. S. Dias

Published in: Pediatric Surgery International | Issue 5/2020

Abstract

Purpose

This study evaluates the capacity of ultrasonography as a diagnostic method to confirm the proper positioning of central venous catheter (CVC) when compared to the current gold standard, chest radiography (CR).

Methods

A prospective study was performed including children from 0 to 14 incomplete years, who underwent CVC placement between March and May 2018 at a teaching hospital in Brazil. A four-chamber view of the heart was performed with ultrasound during a rapid injection of saline solution to identify hyperechoic images and confirm the central position of the catheter. After that, a CR was performed. The diagnostic quality of ultrasound was evaluated based on accuracy, sensitivity, specificity, positive and negative predictive values.

Results

A total of 21 patients were analyzed. The mean age was 3.95 ± 4.01 years. The preferred puncture site was the right internal jugular vein (71.4%). Ultrasound accuracy to detect CVC positioning was 81%. Sensitivity, specificity and positive and negative predictive values were 33%, 100%, 100% and 79%, respectively.

Conclusion

Ultrasound is a reliable method for detection of CVC positioning. Even so, with the four-chamber cardiac view, this method is unable to identify catheters inside heart chambers, therefore, needing to confirm the positioning with CR.

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Title: Comparison between ultrasonography and X-ray as evaluation methods of central venous catheter positioning and their complications in pediatrics
Authors: L. Oliveira
L. Pilz
C. M. Tognolo
C. Bischoff
K. A. Becker
G. G. Oliveira
P. J. F. Neves
C. G. Fachin
M. A. Agulham
A. I. B. S. Dias
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Pneumothorax
Pneumothorax
Pneumothorax
Ultrasound
Pediatrics
Central Venous Catheter
Published in: Pediatric Surgery International / Issue 5/2020
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04642-y

At a glance: The STEP trials

Springer Medicine

Comparison between ultrasonography and X-ray as evaluation methods of central venous catheter positioning and their complications in pediatrics

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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