A novel and accurate method for estimating umbilical arterial and venous catheter insertion length.

Autor: Tambasco CJ; Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA. christina.mcclure@gmail.com., Shabanova V; Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA., Peterec SM; Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA., Bizzarro MJ; Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2021 Jul; Vol. 41 (7), pp. 1633-1637. Date of Electronic Publication: 2021 Jun 08.
DOI: 10.1038/s41372-021-01121-7
Abstrakt: Objective: To develop a novel, rapid, and more accurate model for estimating umbilical arterial (UAC) and venous catheter (UVC) insertion length.
Study Design: We evaluated UACs and UVCs from a retrospective cohort to determine the rate of correct initial positioning based on conventional birth weight-based equations utilized in our neonatal intensive care unit. We then derived new equations, developed the mobile application, UmbiCalc, to simplify implementation of the new equations, and validated their accuracy with prospective utilization.
Results: The conventional equations successfully predicted insertion length in 69% (364 of 524) of UACs and only 36% (194 of 544) of UVCs. Our new model was prospectively applied to 68 UAC and 80 UVC placements with successful initial positioning achieved in 90% [95% CI, 80.2-94.9] and 76% [95% CI, 65.9-84.2], respectively.
Conclusions: Our novel approach more accurately estimates UAC and UVC insertion length.
(© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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