PDF herunterladen
CC BY-NC-ND 4.0 · Am J Perinatol 2023; 40(11): 1217-1222
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
› Institutsangaben Funding This work was supported solely by departmental sources.
› Weitere Informationen
   Lizenzen und Reprints

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.

Keywords

ultrasound guided - epicutaneo-caval catheters - neonates - cannulation - great saphenous vein

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.




Publikationsverlauf

Eingereicht: 09. April 2021

Angenommen: 02. Juli 2021

Artikel online veröffentlicht:
27. August 2021

© 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/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Li Z, Chen L. Comparison of ultrasound-guided modified Seldinger technique versus blind puncture for peripherally inserted central catheter: a meta-analysis of randomized controlled trials. Crit Care 2015; 19: 64
    CrossrefPubMedGoogle Scholar
  • 2 Molina Caballero AY, Martínez Merino M, Pérez Martínez A, Ayuso González L, Hernández Martín S, Pisón Chacón J. [Peripherally inserted central catheters: Savings, comfort, many advantages]. Cir Pediatr 2016; 29 (03) 96-100
    PubMedGoogle Scholar
  • 3 Yamaguchi RS, Noritomi DT, Degaspare NV. et al. Peripherally inserted central catheters are associated with lower risk of bloodstream infection compared with central venous catheters in paediatric intensive care patients: a propensity-adjusted analysis. Intensive Care Med 2017; 43 (08) 1097-1104
    CrossrefPubMedGoogle Scholar
  • 4 Abdeyazdan Z, Sheikhan-Sudani E, Sadeghnia A, Talakoub S. Effect of using static ultrasound technique on peripherally inserted central catheters' insertion success rate in neonates in a neonatal intensive care unit. Iran J Nurs Midwifery Res 2014; 19 (06) 643-646
    PubMedGoogle Scholar
  • 5 Johnson KN, Thomas T, Grove J, Jarboe MD. Insertion of peripherally inserted central catheters in neonates less than 1.5 kg using ultrasound guidance. Pediatr Surg Int 2016; 32 (11) 1053-1057
    CrossrefPubMedGoogle Scholar
  • 6 Clemmesen L, Knudsen L, Sloth E, Bendtsen T. Dynamic needle tip positioning - ultrasound guidance for peripheral vascular access. A randomized, controlled and blinded study in phantoms performed by ultrasound novices. Ultraschall Med 2012; 33 (07) E321-E325
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 7 Takeshita J, Inata Y, Ito Y. et al. Dynamic needle tip positioning for ultrasound-guided placement of a peripherally inserted central catheter in pediatric patients. J Cardiothorac Vasc Anesth 2020; 34 (01) 114-118
    CrossrefPubMedGoogle Scholar
  • 8 Liu L, Tan Y, Li S, Tian J. “Modified dynamic needle tip positioning” short-axis, out-of-plane, ultrasound-guided radial artery cannulation in neonates: a randomized controlled trial. Anesth Analg 2019; 129 (01) 178-183
    CrossrefPubMedGoogle Scholar
  • 9 Tan Y, Tu Z, Ye P. et al. Ultrasound guidance for internal jugular vein cannulation in neonates: modified dynamic needle tip positioning technique versus longitudinal technique. J Vasc Access 2022; 23 (06) 922-929
    CrossrefPubMedGoogle Scholar
  • 10 Thomas S, Moore CL. The vanishing target sign: confirmation of intraluminal needle position for ultrasound guided vascular access. Acad Emerg Med 2013; 20 (10) e17-e18
    CrossrefPubMedGoogle Scholar
  • 11 Hansen MA, Juhl-Olsen P, Thorn S, Frederiksen CA, Sloth E. Ultrasonography-guided radial artery catheterization is superior compared with the traditional palpation technique: a prospective, randomized, blinded, crossover study. Acta Anaesthesiol Scand 2014; 58 (04) 446-452
    CrossrefPubMedGoogle Scholar
  • 12 Gopalasingam N, Hansen MA, Thorn S, Sloth E, Juhl-Olsen P. Ultrasound-guided radial artery catheterisation increases the success rate among anaesthesiology residents: a randomised study. J Vasc Access 2017; 18 (06) 546-551
    CrossrefPubMedGoogle Scholar
  • 13 Gopalasingam N, Obad DS, Kristensen BS. et al. Ultrasound-guidance outperforms the palpation technique for peripheral venous catheterisation in anaesthetised toddlers: a randomised study. Acta Anaesthesiol Scand 2017; 61 (06) 601-608
    CrossrefPubMedGoogle Scholar
  • 14 Kiberenge RK, Ueda K, Rosauer B. Ultrasound-guided dynamic needle tip positioning technique versus palpation technique for radial arterial cannulation in adult surgical patients: a randomized controlled trial. Anesth Analg 2018; 126 (01) 120-126
    CrossrefPubMedGoogle Scholar
  • 15 Hanada S, Van Winkle MT, Subramani S, Ueda K. Dynamic ultrasound-guided short-axis needle tip navigation technique vs. landmark technique for difficult saphenous vein access in children: a randomised study. Anaesthesia 2017; 72 (12) 1508-1515
    CrossrefPubMedGoogle Scholar
  • 16 Asheim P, Mostad U, Aadahl P. Ultrasound-guided central venous cannulation in infants and children. Acta Anaesthesiol Scand 2002; 46 (04) 390-392
    CrossrefPubMedGoogle Scholar
  • 17 Takeshita J, Yoshida T, Nakajima Y. et al. Superiority of dynamic needle tip positioning for ultrasound-guided peripheral venous catheterization in patients younger than 2 years old: a randomized controlled trial. Pediatr Crit Care Med 2019; 20 (09) e410-e414
    CrossrefPubMedGoogle Scholar
  • 18 Takeshita J, Yoshida T, Nakajima Y. et al. Dynamic needle tip positioning for ultrasound-guided arterial catheterization in infants and small children with deep arteries: a randomized controlled trial. J Cardiothorac Vasc Anesth 2019; 33 (07) 1919-1925
    CrossrefPubMedGoogle Scholar
  • 19 Subramanian S, Moe DC, Vo JN. Ultrasound-guided tunneled lower extremity peripherally inserted central catheter placement in infants. J Vasc Interv Radiol 2013; 24 (12) 1910-1913
    CrossrefPubMedGoogle Scholar
  • 20 de Carvalho Onofre PS, da Luz Gonçalves Pedreira M, Peterlini MA. Placement of peripherally inserted central catheters in children guided by ultrasound: a prospective randomized, and controlled trial. Pediatr Crit Care Med 2012; 13 (05) e282-e287
    CrossrefPubMedGoogle Scholar