ECHOTIP-Ped: A structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in pediatric patients

Geremia Zito Marinosci, Daniele Guerino Biasucci, Giovanni Barone, Vito D'Andrea, Daniele Elisei, Emanuele Iacobone, Antonio La Greca, Mauro Pittiruti

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Central venous access devices are routinely used in pediatric care for administration of fluids and medications and for drawing blood samples. The adoption of ultrasound guided venipuncture, the availability of bedside ultrasound devices and the use of intraprocedural methods for tip location have been shown to reduce procedure-related complications, as documented by the recommendations of most recent guidelines. In pediatric patients, bedside ultrasound is a promising tool not only for optimizing the choice of the vein and guiding the venipuncture, but also for ensuring an accurate and intraprocedural method of tip navigation and tip location. The aim of this paper is to review all the evidence about the accuracy of ultrasound methods for tip navigation and tip location in pediatric patients, and to suggest a structured protocol for clinical practice.
Lingua originaleEnglish
pagine (da-a)5-13
Numero di pagine9
RivistaJournal of Vascular Access
Volume24
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • PICC
  • Pediatric patients
  • central venous access
  • central venous catheters
  • ultrasound
  • infants—children
  • tip location
  • tip navigation
  • femoral catheters

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