Health Condition 1: P073- Preterm [premature] newborn [other]
Conditions
Interventions
Intervention1: Ultrasound: Ultrasound guided umbilical venous catheter insertion
Control Intervention1: Standard: In standard umbilical venous catheter insertion, the catheter is inserted without ultr
Sponsors
Lokmanya Tilak Municipal College and General Hospital Sion Mumbai
Eligibility
Inclusion criteria
Inclusion criteria: All neonates admitted in NICU requiring umbilical venous catheter insertion within 1st week of life will be included.
Exclusion criteria
Exclusion criteria: Major congenital anomalies of thorax and abdomen
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is the reduction in the catheter tip malposition rates when catheter insertion done ultrasound guidance in neonates admitted in NICU. Optimal position on radiograph is defined when it is placed between T8 and T10 on radiograph and on USG where the catheter tip is in the IVC between the hepatic veins confluence and right atrium opening. A vertebral landmark of T8 to T10 corresponds to the vena cava right atrial junction in 90 percent of the neonatesTimepoint: Immediate | — |
Secondary
| Measure | Time frame |
|---|---|
| Position of catheter tip when malpositioned in both groupsTimepoint: Immediate;Rate of malposition in groups stratified according to weightTimepoint: Immediate;Reduction in number of catheter repositioning requiredTimepoint: Immediate;Role of catheter insertion by manoeuvre of aligning the umbilical vein and ductus venosus as described by Kishigami et alTimepoint: Immediate;Time taken for the completion of procedure in both groupsTimepoint: Immediate;To compare accuracy of ultrasound with radiograph (current gold standard) in determining catheter tip position.Timepoint: Immediate | — |
Countries
India
Contacts
Public ContactDr Amandeep Kaur
Lokmanya Tilak Municipal College and General Hospital, Sion, Mumbai
Outcome results
None listed