Positioning newborns on their back or right side for umbilical venous catheter insertion
| Autor: | Eoghan E. Laffan, Colm P. O'Donnell, Emily A Kieran |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Catheterization Central Venous Umbilical Veins medicine.medical_specialty Supine position Venous catheter insertion Posture Portal circulation Inferior vena cava 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Humans 030212 general & internal medicine Tip position Catheter insertion business.industry Infant Newborn General Medicine Surgery Diaphragm (structural system) Catheter medicine.vein Pediatrics Perinatology and Child Health Female business Infant Premature |
| Zdroj: | Acta Paediatrica. 105:e443-e447 |
| ISSN: | 0803-5253 |
| Popis: | AIM Newborns are placed supine for umbilical venous catheter insertion, and catheter tip position is confirmed with X-ray. Umbilical venous catheters are considered correctly positioned when the tip is in the inferior vena cava; however, frequently, the catheter tip enters the portal venous circulation. We wished to determine whether placing infants on their right side, rather than on the back, for umbilical venous catheter insertion results in more correctly placed catheters. METHODS Newborns were randomised to be placed on their back, or turned onto their right side for catheter insertion. Primary outcome was correct catheter tip position on X-ray (visible in the midline at diaphragm level). RESULTS Umbilical venous catheter insertion was successful in all infants enrolled. There was no difference in the proportion of correctly positioned catheters between the groups [back 23/44 (52%) versus right side 27/44 (61%), p = 0.389]. More infants randomised to back had the catheter tip in the portal circulation [back 13/44 (30%) versus right side 5/44 (11%), p = 0.034]. CONCLUSION Positioning newborn infants on their right side did not result in more correctly placed umbilical venous catheters. The procedure was well tolerated and reduced the rate of tip insertion into the portal venous circulation. |
| Databáze: | OpenAIRE |
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