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Mohammadi, Shirin, Kadivar, Maliheh, Majnoon, Mohammadtaghi, Shariat, Mamak. (1402). Determining the Position of Peripherally-inserted Central Catheter tips in Neonates: A Review of Common Methods during the Last Two Decades. , 12(Issue 2), 18573-18585. doi: 10.22038/ijp.2024.76501.5399
Shirin Mohammadi; Maliheh Kadivar; Mohammadtaghi Majnoon; Mamak Shariat. "Determining the Position of Peripherally-inserted Central Catheter tips in Neonates: A Review of Common Methods during the Last Two Decades". , 12, Issue 2, 1402, 18573-18585. doi: 10.22038/ijp.2024.76501.5399
Mohammadi, Shirin, Kadivar, Maliheh, Majnoon, Mohammadtaghi, Shariat, Mamak. (1402). 'Determining the Position of Peripherally-inserted Central Catheter tips in Neonates: A Review of Common Methods during the Last Two Decades', , 12(Issue 2), pp. 18573-18585. doi: 10.22038/ijp.2024.76501.5399
Mohammadi, Shirin, Kadivar, Maliheh, Majnoon, Mohammadtaghi, Shariat, Mamak. Determining the Position of Peripherally-inserted Central Catheter tips in Neonates: A Review of Common Methods during the Last Two Decades. , 1402; 12(Issue 2): 18573-18585. doi: 10.22038/ijp.2024.76501.5399

Determining the Position of Peripherally-inserted Central Catheter tips in Neonates: A Review of Common Methods during the Last Two Decades

Journal of Pediatric Perspectives
دوره 12، Issue 2، اردیبهشت 2024، صفحه 18573-18585    اصل مقاله (246.94 K)
نوع مقاله: original article
شناسه دیجیتال (DOI): 10.22038/ijp.2024.76501.5399
نویسندگان
Shirin Mohammadi1؛ Maliheh Kadivar* 2؛ Mohammadtaghi Majnoon3؛ Mamak Shariat4
1Assistant professor, Neonatal Health Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2Professor, Division of Neonatology, Department of Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
3Assistant professor, Department of Pediatrics, Division of Pediatric Cardiology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
4Professor, Maternal, Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.
چکیده
Background: Peripherally Inserted Central Catheters (PICCs) are used for providing intravenous therapy to premature neonates. There are different intra- or post-procedural techniques to confirm line-tip placement to decrease the potential complications. The present study provides a literature review of common methods developed for the detection of PICC tip positions over the last two decades.
Methods: The literature search was conducted in various databases without language restrictions for all terms related to PICC and its tip position evaluation methods including plain radiographs, fluoroscopy, ultrasonographic detection, digital imaging, computed radiography, and intracavitary/trans-esophageal and thoracic electrocardiographic monitoring.
Results: Among the primary 172 articles, 52 of them met the inclusion criteria and were included in the study. Comparing the methods, it was found that ultrasound should be a complement to, rather than a replacement for, x-rays for PICC placement and CTP confirmation. When the catheter tip is close to the heart, Tn-ECHO should be replaced with x-rays.
Conclusion: Considering advantages and disadvantages of each method, the choice of the most appropriate method for examining the catheter tip depends on the patient's condition, available facilities, and the decision of the physician.
کلیدواژه‌ها
Echocardiography؛ Neonate؛ Peripherally-inserted central catheter؛ Radiography؛ Sonography؛ Tip position
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