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Am J Perinatol 2021; 38(02): 122-125
DOI: 10.1055/s-0039-1694760
Original Article

Ultrasound to Localize the Peripherally Inserted Central Catheter Tip Position in Newborn Infants

Xiao-Ling Ren
1   Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China
,
Hong-Lei Li
1   Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China
,
Jing Liu 
1   Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China
,
Ya-Juan Chen
1   Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China
,
Man Wang
1   Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China
,
Ru-Xin Qiu
1   Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China
› Author Affiliations Funding This study was funded by the Foundation of Social Development Project, Beijing, and Chaoyang District Bureau of Science, Technology, and Information (CYSF1922).
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Abstract

Objective This study aimed to evaluate the application of ultrasound for the localization of the tip position of peripherally inserted central catheters (PICCs) in newborn infants.

Study Design This study was a retrospective analysis on ultrasonic localization for PICC placement conducted in our department over the past 2 years. Ultrasonic localization was performed immediately after PICC placement in all neonatal patients. Successful PICC placement was confirmed if the PICC tip position was located at the inferior/superior cavoatrial junction. Chest X-ray localization was performed on 32 infants immediately after ultrasound examination to compare the accuracy of ultrasound localization.

Results Of the 186 patients, 174 (93.5%) had successful PICC placement on the first attempt. In 11 (5.9%) patients, the catheter tip was placed beyond the ideal location as follows: too deep (in the right atrium) in 4 patients, too shallow in 4 patients, and malpositioned in 3 patients. Both the sensitivity and the specificity of ultrasound for identifying PICC tip localization were 100%. Complications occurred in 2.7% of this group of patients.

Conclusion Ultrasonic localization of the PICC tip position is a timely, accurate, and reliable method and can identify the catheter tip with high accuracy. This method could be widely applied in neonatal wards.

Keywords

ultrasound - peripherally inserted central catheter - tip position - newborn infants


Publication History

Received: 07 April 2019

Accepted: 09 July 2019

Article published online:
14 August 2019

© 2019. Thieme. All rights reserved.

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