Kadivar, Maliheh, Majnoon, Mohammad-Taghi, Mohammadi, Shirin, Goldoost-Baghi, Mahrokh, Bayati, Nasrin, Emamgholi, Somayeh, Jamali, Roghayeh, Sahriat, Mamak. (1402). Comparing the Accuracy of Echocardiography and Radiography for Evaluation of Tip Position of Peripherally Inserted Central Catheters: Experienced in an NICU in Iran. , 11(4), 17654-17664. doi: 10.22038/ijp.2023.69841.5149
Maliheh Kadivar; Mohammad-Taghi Majnoon; Shirin Mohammadi; Mahrokh Goldoost-Baghi; Nasrin Bayati; Somayeh Emamgholi; Roghayeh Jamali; Mamak Sahriat. "Comparing the Accuracy of Echocardiography and Radiography for Evaluation of Tip Position of Peripherally Inserted Central Catheters: Experienced in an NICU in Iran". , 11, 4, 1402, 17654-17664. doi: 10.22038/ijp.2023.69841.5149
Kadivar, Maliheh, Majnoon, Mohammad-Taghi, Mohammadi, Shirin, Goldoost-Baghi, Mahrokh, Bayati, Nasrin, Emamgholi, Somayeh, Jamali, Roghayeh, Sahriat, Mamak. (1402). 'Comparing the Accuracy of Echocardiography and Radiography for Evaluation of Tip Position of Peripherally Inserted Central Catheters: Experienced in an NICU in Iran', , 11(4), pp. 17654-17664. doi: 10.22038/ijp.2023.69841.5149
Kadivar, Maliheh, Majnoon, Mohammad-Taghi, Mohammadi, Shirin, Goldoost-Baghi, Mahrokh, Bayati, Nasrin, Emamgholi, Somayeh, Jamali, Roghayeh, Sahriat, Mamak. Comparing the Accuracy of Echocardiography and Radiography for Evaluation of Tip Position of Peripherally Inserted Central Catheters: Experienced in an NICU in Iran. , 1402; 11(4): 17654-17664. doi: 10.22038/ijp.2023.69841.5149

Comparing the Accuracy of Echocardiography and Radiography for Evaluation of Tip Position of Peripherally Inserted Central Catheters: Experienced in an NICU in Iran

Journal of Pediatric Perspectives
مقاله 12، دوره 11، شماره 4، تیر 2023، صفحه 17654-17664    اصل مقاله (326.32 K)
نوع مقاله: original article
شناسه دیجیتال (DOI): 10.22038/ijp.2023.69841.5149
نویسندگان
Maliheh Kadivar1؛ Mohammad-Taghi Majnoon2؛ Shirin Mohammadi* 3؛ Mahrokh Goldoost-Baghi4؛ Nasrin Bayati5؛ Somayeh Emamgholi5؛ Roghayeh Jamali4؛ Mamak Sahriat6
1Division of Neonatology, Department of Pediatrics Children’s Medical Center Tehran University of Medical Sciences
2Pediatrics Department of Pediatrics, Division of pediatric cardiology, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
31. Associate professor, Neonatal Health Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2. Division of Neonatology, Department of Pediatrics, Children&a
4Bc of Nursing, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
5Msc of Neonatal Intensive Care Nursing. Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
6Maternal & Child Health Specialist, Maternal, Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
چکیده
Background: Echocardiography (ECHO) is a non-radiation real-time technique for evaluating Peripherally Inserted Central Catheter (PICC) tips that could overcome the limitations of plain radiographs, including the static and single image and exposing neonates to radiation. This study compared the accuracy of ECHO and radiography for PICC tip positioning in neonates.  
Methods: This cross-sectional pilot study was conducted in the neonatal intensive care unit (NICU) of the Children's Medical Center in Tehran, Iran. Ultrasonography was used to visualize the end of the catheter in the vessels. After insertion of the catheter, a chest x-ray along with the ECHO was performed by a pediatric cardiologist blinded to the preliminary radiographic reports, and the results were compared and interpreted.
Results: Forty infants with mean gestational ages of 35.4±3.3 weeks were enrolled in this study which was conducted during 12 months, from 2019 to 2020. The radiography results confirmed the correct PICC location in 29 infants (72.5%), which was simultaneously confirmed by ECHO in 28 infants (70.0%). The ECHO results indicated inappropriate placement in 12 infants (30%), and radiographs indicated correct placement in 11 infants (27.5%). This confirmed the higher accuracy of ECHO 
کلیدواژه‌ها
Echocardiography,,؛ ,،Neonate,,؛ ,،Peripherally inserted central catheter,,؛ ,،Radiography
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