(J4) PediNeo General Session: Transhepatic and Subcostal Ultrasound Imaging for Catheter Location of Tunneled Mid-thigh Femoral Vein Catheters in Neonates
Matthew D. Ostroff, MSN, AGACNP, VABC: No relevant disclosure to display
To improve patient care and decrease radiation exposure to the neonates, we recently adapted the use of point-of-care-ultrasound (POCUS) to confirm neonatal subcutaneously tunneled femorally inserted central catheters. We compared the accuracy of POCUS (trans hepatic and subcostal views) to standard radiography (anterior posterior and lateral) for verification of vessel placement and catheter terminal tip location. We will present the data from our prospective IRB approved study in our neonatal ICU as well as case studies, and the final protocol for POCUS tip location.
Learning Objectives:
Describe the trans-hepatic and subcostal point of care ultrasound views.
By the end of this session the participants will be able to define the protocol for using ultrasound and or radiography for catheter terminal tip positioning.
Describe single puncture subcutaneous tunneling for PICC/CVC catheter placement.
