Implementation of point of care ultrasound to assess umbilical venous catheter position in the neonatal intensive care unit. (12th December 2022)

• Record Type: Journal Article
• Authors: Polonio, Patrick Louis; Tumin, Dmitry; Zheng, Yingying; Gandhi, Anita; Bear, Kelly
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 35:Number 25(2022)
• Page Start: 7207
• Page End: 7209
• Publication Date: 2022-12-12
• Subjects: Intensive care -- neonatology -- point-of-care ultrasound -- umbilical venous catheter; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.1080/14767058.2021.1946508
• Languages: English
• ISSNs: 1476-7058

Abstract

Abstract: Point of care ultrasound (POCUS) is an emerging method for assessing umbilical venous catheter (UVC) position. We implemented a training module for neonatal providers geared toward POCUS proficiency in assessing UVC position in our neonatal intensive care unit. Over 14 months, the percentage of providers qualified to use POCUS for UVC placement increased from 0 to 33%. The median time to achieve proficiency was 5 months (interquartile range: 3–14 months). Additionally, we discovered that a minimum of two views were required to correctly assess catheter tip location. The two views in which it was easiest to correctly identify the catheter tip were the subcostal and parasternal short view using the cardiac ultrasound windows, and the phased array ultrasound probe.