CC BY-NC-ND 4.0 · Am J Perinatol
DOI: 10.1055/s-0041-1733958
Original Article

Ultrasound-Guided Cannulation of the Great Saphenous Vein in Neonates: A Randomized Study

Zhenzhen Tu
1  Department of Anesthesiology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China
,
Yanzhe Tan
1  Department of Anesthesiology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China
,
Lifei Liu
1  Department of Anesthesiology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China
,
Jia Xie
2  Department of Neonatal Nursing, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China
,
Ying Xu
1  Department of Anesthesiology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China
,
Wei Liu
1  Department of Anesthesiology, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, P.R. China
› Author Affiliations
Funding This work was supported solely by departmental sources.

Abstract

Objective This prospective randomized controlled study aimed to compare the ultrasound-guided (USG) technique with the standard single-wall puncture technique for epicutaneo-caval catheter (ECC) placement in neonates.

Study Design A total of 100 neonates were included in this study. All enrolled neonates were randomly divided into two groups (n = 50): the USG group and the control group. The control group underwent standard single-wall puncture for ECC placement procedures, and the USG group underwent USG ECC placement procedures.

Results The first attempt success rates (62 vs. 38%; p = 0.016) and the total success rates (92 vs. 74%; p = 0.017) were higher in the USG group than in the control group. The procedure time was shorter in the USG group than in the control group: 351.43 (112.95) versus 739.78 seconds (369.13), p < 0.001. The incidence of adverse events was not significantly different between the two groups.

Conclusion Compared with the standard single-wall puncture method, USG cannulation is superior for neonatal ECC placement, with a higher success rate, and decreases the total procedural time.

Key Points

  • Establishing ECCs in neonates is challenging and lead to multiple attempts and adverse events.

  • Information on the efficiency of USG dynamic needle tip positioning for ECCs in neonates is lacking.

  • Compared with the standard puncture method, USG cannulation is superior for neonatal ECC placement.

Authors' Contributions

W.L. designed the trial and helped write the manuscript. Z.T., Y.T., and J.X. helped conduct the study. L.L. and Y.X. collected and analyzed the data.




Publication History

Received: 09 April 2021

Accepted: 02 July 2021

Publication Date:
27 August 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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