POCUS increases successful placement of peripheral arterial lines in neonates by less experienced providers.

Autor: Dasani R; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 453 Quarry Rd, Palo Alto, Stanford, CA, 94304, USA. rdasani@stanford.edu., Pai VV; Division of Neonatology, UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA., Noh CY; Division of Neonatology, Fetal and Neonatal Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA.; Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, CA, USA., Vallandingham-Lee S; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 453 Quarry Rd, Palo Alto, Stanford, CA, 94304, USA., Davis AS; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 453 Quarry Rd, Palo Alto, Stanford, CA, 94304, USA., Bhombal S; Division of Neonatology, Department of Pediatrics, Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA.
Jazyk: angličtina
Zdroj: European journal of pediatrics [Eur J Pediatr] 2023 Nov; Vol. 182 (11), pp. 4977-4982. Date of Electronic Publication: 2023 Aug 24.
DOI: 10.1007/s00431-023-05160-4
Abstrakt: To assess success of peripheral arterial line (PAL) placement after implementing a point-of-care ultrasound (POCUS) program in a neonatal intensive care unit. This was a retrospective chart review of infants who underwent successful PAL placement from January 2019 to March 2021. Outcomes included first-attempt success and the number of attempts with and without the use of POCUS. Among 80 PALs, 36% were POCUS-guided. All POCUS-guided lines were placed by providers with < 5 years neonatology experience. Among infants ≥ 2.5 kg, the use of POCUS was associated with fewer attempts compared to non-POCUS PAL placement (1 vs. 2, p = 0.035).     Conclusions: Use of POCUS for PAL placement was associated with fewer attempts for successful placement in infants ≥ 2.5 kg by providers with less neonatology experience compared with traditional method. What is Known: • Arterial line placement in neonates has been traditionally done by palpation and can be technically challenging. • POCUS is an emerging tool in the NICU with increasing number of less clinically experienced providers in the NICU having access to ultrasound. What is New: • Use of POCUS by less experienced clinicians for arterial line placement resulted in fewer attempts compared to the traditional landmark-based approach in a cohort of neonates.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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