Point-of-care ultrasound for peripherally inserted central catheter monitoring: a pilot study.

Abstract:

:Objective To assess the feasibility and accuracy of point-of-care ultrasound (POCUS) in monitoring peripherally inserted central catheter (PICC) location in neonates by non-radiologist physicians. Methods A prospective cohort study compared PICC localization by ultrasound in neonates with a recent radiograph. The ultrasound exam was performed using a standardized protocol with 13-6 MHz linear and 8-4 MHz phased array transducers by a neonatal-perinatal fellow who was blinded to PICC location on the radiograph. Results Of the 30 neonates included, 96.6% (n = 29) were preterm, with 63.3% (n = 19) weighing <1500 g. Nighty-four percent (n = 94) of ultrasound scans matched the radiograph report. The protocol had a sensitivity of 0.97, specificity of 0.66 and positive predictive value of 0.98. Conclusion Limited ultrasound exams to monitor PICC position in neonates using a standardized protocol by non-radiologist physicians are feasible and accurate in a single ultrasound user. Further study in multiple providers is needed before widespread use.

journal_name

J Perinat Med

authors

Motz P,Von Saint Andre Von Arnim A,Iyer RS,Chabra S,Likes M,Dighe M

doi

10.1515/jpm-2019-0198

subject

Has Abstract

pub_date

2019-11-26 00:00:00

pages

991-996

issue

9

eissn

0300-5577

issn

1619-3997

pii

/j/jpme.ahead-of-print/jpm-2019-0198/jpm-2019-0198

journal_volume

47

pub_type

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