Application of a modified electrocardiogram‐guided technique for umbilical venous catheterisation in neonates: A retrospective trial
Aim To investigate the effectiveness and safety of modified electrocardiogram (ECG)‐guided technique in umbilical venous catheterisation in neonates. Methods Sixty‐six critically ill neonates underwent umbilical venous catheterisation with (ECG group) or without (control group) ECG guidance from Jan...
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| Veröffentlicht in: | Journal of paediatrics and child health 2020-05, Vol.56 (5), p.716-720 |
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| container_title | Journal of paediatrics and child health |
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| creator | Wu, Liyuan Peng, Min Cao, Tian Yang, Yonghui Wang, Qin Luo, Kaiju Chen, Pingyang |
| description | Aim
To investigate the effectiveness and safety of modified electrocardiogram (ECG)‐guided technique in umbilical venous catheterisation in neonates.
Methods
Sixty‐six critically ill neonates underwent umbilical venous catheterisation with (ECG group) or without (control group) ECG guidance from January 2017 to March 2019. We retrospectively analysed and compared the rate of correct tip placement on first try, unplanned extubation rate and incidence of catheter‐related complications between the two groups.
Results
There were 33 patients in each group. The ECG group showed significantly higher rate of correct tip placement on first try (P |
| doi_str_mv | 10.1111/jpc.14710 |
| format | Article |
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To investigate the effectiveness and safety of modified electrocardiogram (ECG)‐guided technique in umbilical venous catheterisation in neonates.
Methods
Sixty‐six critically ill neonates underwent umbilical venous catheterisation with (ECG group) or without (control group) ECG guidance from January 2017 to March 2019. We retrospectively analysed and compared the rate of correct tip placement on first try, unplanned extubation rate and incidence of catheter‐related complications between the two groups.
Results
There were 33 patients in each group. The ECG group showed significantly higher rate of correct tip placement on first try (P < 0.001), lower unplanned extubation rate (P < 0.001), but identical incidence of catheter‐related complications (P = 0.492) comparing with the control group.
Conclusion
The ECG‐guided technique is an effective and safe method for umbilical venous catheterisation. The connecting method we modified made this technique more practical and can be promoted to areas without access to specific ECG adaptors.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.14710</identifier><identifier>PMID: 31849129</identifier><language>eng</language><publisher>Australia: John Wiley & Sons Australia, Ltd</publisher><subject>Catheterization, Central Venous ; Catheters ; electrocardiogram ; Electrocardiography ; Humans ; Incidence ; Infant, Newborn ; Neonatal care ; neonate ; Newborn babies ; Patient safety ; Retrospective Studies ; Umbilical cord ; umbilical venous catheterisation</subject><ispartof>Journal of paediatrics and child health, 2020-05, Vol.56 (5), p.716-720</ispartof><rights>2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><rights>2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</rights><rights>2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3530-c35af7cb173855e2915afdd3d9232152397f247c576bf210902e0f0c380e80b63</citedby><cites>FETCH-LOGICAL-c3530-c35af7cb173855e2915afdd3d9232152397f247c576bf210902e0f0c380e80b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpc.14710$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpc.14710$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31849129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Liyuan</creatorcontrib><creatorcontrib>Peng, Min</creatorcontrib><creatorcontrib>Cao, Tian</creatorcontrib><creatorcontrib>Yang, Yonghui</creatorcontrib><creatorcontrib>Wang, Qin</creatorcontrib><creatorcontrib>Luo, Kaiju</creatorcontrib><creatorcontrib>Chen, Pingyang</creatorcontrib><title>Application of a modified electrocardiogram‐guided technique for umbilical venous catheterisation in neonates: A retrospective trial</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Aim
To investigate the effectiveness and safety of modified electrocardiogram (ECG)‐guided technique in umbilical venous catheterisation in neonates.
Methods
Sixty‐six critically ill neonates underwent umbilical venous catheterisation with (ECG group) or without (control group) ECG guidance from January 2017 to March 2019. We retrospectively analysed and compared the rate of correct tip placement on first try, unplanned extubation rate and incidence of catheter‐related complications between the two groups.
Results
There were 33 patients in each group. The ECG group showed significantly higher rate of correct tip placement on first try (P < 0.001), lower unplanned extubation rate (P < 0.001), but identical incidence of catheter‐related complications (P = 0.492) comparing with the control group.
Conclusion
The ECG‐guided technique is an effective and safe method for umbilical venous catheterisation. The connecting method we modified made this technique more practical and can be promoted to areas without access to specific ECG adaptors.</description><subject>Catheterization, Central Venous</subject><subject>Catheters</subject><subject>electrocardiogram</subject><subject>Electrocardiography</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Neonatal care</subject><subject>neonate</subject><subject>Newborn babies</subject><subject>Patient safety</subject><subject>Retrospective Studies</subject><subject>Umbilical cord</subject><subject>umbilical venous catheterisation</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kT1P3TAUhi1EVSjtwB-oLLG0w4Xjj5CE7eqqn0KCoZ0txzkGXyVxsBMQW6fO_Y39JT23oR0q1YN9LD969FovY8cCTgWts-3oToUuBeyxQ6E1rERZ6H2aQemVrgQcsBc5bwFAFkX1nB0oUelayPqQfV-PYxecnUIcePTc8j62wQdsOXbophSdTW2IN8n2P7_9uJlDS08Tutsh3M3IfUx87puwc3T8Hoc4Z066W5wwhbx4w8AHjIOdMF_wNU9I2jySPdwjn1Kw3Uv2zNsu46un84h9ff_uy-bj6vLqw6fN-nLlVKFgt1tfukaUqioKlLWge9uqtpZKikKquvRSl64ozxsvBdQgETw4VQFW0JyrI_Zm8Y4pUvw8mT5kh11nKeCcDWkqpXciQk_-QbdxTgOlM1KDUgqgEkS9XShHX8oJvRlT6G16NALMrhxD5Zjf5RD7-sk4Nz22f8k_bRBwtgAPocPH_5vM5-vNovwFklaa2Q</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Wu, Liyuan</creator><creator>Peng, Min</creator><creator>Cao, Tian</creator><creator>Yang, Yonghui</creator><creator>Wang, Qin</creator><creator>Luo, Kaiju</creator><creator>Chen, Pingyang</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>202005</creationdate><title>Application of a modified electrocardiogram‐guided technique for umbilical venous catheterisation in neonates: A retrospective trial</title><author>Wu, Liyuan ; Peng, Min ; Cao, Tian ; Yang, Yonghui ; Wang, Qin ; Luo, Kaiju ; Chen, Pingyang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3530-c35af7cb173855e2915afdd3d9232152397f247c576bf210902e0f0c380e80b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Catheterization, Central Venous</topic><topic>Catheters</topic><topic>electrocardiogram</topic><topic>Electrocardiography</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Neonatal care</topic><topic>neonate</topic><topic>Newborn babies</topic><topic>Patient safety</topic><topic>Retrospective Studies</topic><topic>Umbilical cord</topic><topic>umbilical venous catheterisation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Liyuan</creatorcontrib><creatorcontrib>Peng, Min</creatorcontrib><creatorcontrib>Cao, Tian</creatorcontrib><creatorcontrib>Yang, Yonghui</creatorcontrib><creatorcontrib>Wang, Qin</creatorcontrib><creatorcontrib>Luo, Kaiju</creatorcontrib><creatorcontrib>Chen, Pingyang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Liyuan</au><au>Peng, Min</au><au>Cao, Tian</au><au>Yang, Yonghui</au><au>Wang, Qin</au><au>Luo, Kaiju</au><au>Chen, Pingyang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Application of a modified electrocardiogram‐guided technique for umbilical venous catheterisation in neonates: A retrospective trial</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2020-05</date><risdate>2020</risdate><volume>56</volume><issue>5</issue><spage>716</spage><epage>720</epage><pages>716-720</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>Aim
To investigate the effectiveness and safety of modified electrocardiogram (ECG)‐guided technique in umbilical venous catheterisation in neonates.
Methods
Sixty‐six critically ill neonates underwent umbilical venous catheterisation with (ECG group) or without (control group) ECG guidance from January 2017 to March 2019. We retrospectively analysed and compared the rate of correct tip placement on first try, unplanned extubation rate and incidence of catheter‐related complications between the two groups.
Results
There were 33 patients in each group. The ECG group showed significantly higher rate of correct tip placement on first try (P < 0.001), lower unplanned extubation rate (P < 0.001), but identical incidence of catheter‐related complications (P = 0.492) comparing with the control group.
Conclusion
The ECG‐guided technique is an effective and safe method for umbilical venous catheterisation. The connecting method we modified made this technique more practical and can be promoted to areas without access to specific ECG adaptors.</abstract><cop>Australia</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>31849129</pmid><doi>10.1111/jpc.14710</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of paediatrics and child health, 2020-05, Vol.56 (5), p.716-720 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Catheterization, Central Venous Catheters electrocardiogram Electrocardiography Humans Incidence Infant, Newborn Neonatal care neonate Newborn babies Patient safety Retrospective Studies Umbilical cord umbilical venous catheterisation |
| title | Application of a modified electrocardiogram‐guided technique for umbilical venous catheterisation in neonates: A retrospective trial |
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